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Author Gardner, G.; Dunn, S.; Carryer, J.B.; Gardner, A.
Title Competency and capability: Imperative for nurse practitioner education Type (up) Journal Article
Year 2006 Publication Australian Journal of Advanced Nursing Abbreviated Journal The author-version of article, available online from Queensland University of Technology ePrints arc
Volume 24 Issue 1 Pages 8-14
Keywords Nursing; Education; Nurse practitioners; Curriculum
Abstract The objective of this study was to conduct research to inform the development of standards for nurse practitioner education in Australia and New Zealand and to contribute to the international debate on nurse practitioner practice. The research was conducted in all states of Australia where the nurse practitioner is authorised, and in New Zealand. The research was informed by multiple data sources including nurse practitioner programme curricula documents from relevant universities in Australia and New Zealand, interviews with academic convenors of these programmes and interviews with nurse practitioners. Findings include support for masters level of education as preparation for the nurse practitioner. These programs need to have a strong clinical learning component and in-depth education for the sciences of specialty practice. Additionally an important aspect of education for the nurse practitioner is the centrality of student directed and flexible learning models. This approach is well supported by the literature on capability.
Call Number NRSNZNO @ research @ Serial 882
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Author Greenwood, S.; Wright, T.; Nielsen, H.
Title Conversations in context: Cultural safety and reflexivity in child and family health nursing Type (up) Journal Article
Year 2006 Publication Journal of Family Nursing Abbreviated Journal
Volume 12 Issue 2 Pages 201-224
Keywords Cultural safety; Nursing; Education; Curriculum; Nursing philosophy; Teaching methods; Biculturalism
Abstract This article outlines some key aspects of the practice of a number of nurse educators and researchers, and their commitment to the needs of their specific region. The group has been based at the Waikato Institute of Technology (WINTEC) over the last decade and have worked collaboratively across primary health, cultural safety, and child and family health domains of the nursing curriculum. They share a common philosophy underpinned by notions of diversity and health equity. The philosophy informs their theoretical inquiry, practice and research interests, and pedagogical concerns. In this article, the nurse researchers begin by situating themselves within the region, its people, and influences before moving into a consideration of the wider political and policy environment. They then consider the destabilising effects of cultural safety education and the tension between biculturalism and multiculturalism in their context. Finally, they reflect on how these ideas inform their work with postgraduate child and family nurses.
Call Number NRSNZNO @ research @ Serial 883
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Author Richardson, F.I.; Carryer, J.B.
Title Teaching cultural safety in a New Zealand nursing education program Type (up) Journal Article
Year 2005 Publication Journal of Nursing Education Abbreviated Journal
Volume 44 Issue 5 Pages 201-208
Keywords Cultural safety; Nursing; Education; Teaching methods; Feminist critique; Treaty of Waitangi; Maori
Abstract This article describes the findings of a research study on the experience of teaching cultural safety. As a teacher of cultural safety, the first author was interested in exploring the experience of teaching the topic with other cultural safety teachers. A qualitative approach situated in a critical theory paradigm was used for the study. The study was informed by the ideas of Foucault and feminist theory. Fourteen women between ages 20 and 60 were interviewed about their experience of teaching cultural safety. Five women were Maori and 9 were Pakeha. Following data analysis, three major themes were identified: that the Treaty of Waitangi provides for an examination of power in cultural safety education; that the broad concept of difference influences the experience of teaching cultural safety; and that the experience of teaching cultural safety has personal, professional, and political dimensions. These dimensions were experienced differently by Maori and Pakeha teachers.
Call Number NRSNZNO @ research @ Serial 885
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Author Wepa, D.
Title An exploration of the experiences of cultural safety educators in New Zealand: An action research approach Type (up) Journal Article
Year 2003 Publication Journal of Transcultural Nursing Abbreviated Journal
Volume 14 Issue 4 Pages 339-348
Keywords Cultural safety; Nursing; Education; Teaching methods; Organisational culture; Maori
Abstract This research is a study of the experiences of four cultural safety educators in nursing education in Aotearoa, New Zealand. Action research methods assisted the participants to implement change in their practice and gain positive personal involvement in the study. Reflective diaries provided the major tool in this process as participants were able to achieve at least one action research cycle by identifying issues, planning action, observing the action, and reflecting. The findings of the research revealed that the participants not only coped with everyday stressors of teaching but were also required to formulate knowledge for cultural safety. For the Maori participants, their stress was confounded with recruiting and retaining Maori students and macro issues such as commitment to their iwi (tribe). Lack of support to teach cultural safety was identified to be a key theme for all participants. An analysis of this theme revealed that many issues were organisational in nature and out of their control. Action research provided a change strategy for participants to have a sense of control of issues within their practice. Recommendations include the following: support for cultural safety educators to have a dialogue on a regular basis, the introduction of nurse educator programmes, paid leave provisions for educators to conduct and publish research so that a body of knowledge can be developed, and that Maori cultural safety educators be recognised for their professional and cultural strengths so that they do not fall victim to burnout.
Call Number NRSNZNO @ research @ Serial 887
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Author Gallagher, P.
Title Preconceptions and learning to be a nurse Type (up) Journal Article
Year 2007 Publication Nurse Education Today Abbreviated Journal
Volume 27 Issue 8 Pages 878-884
Keywords Nursing; Education; Attitude of health personnel; Theory
Abstract This article discusses the important role that preconceptions play in the process by which students learn to be nurses. The importance of preconceptions emerged from the analysis of data in a grounded theory study that sought to gain a greater understanding of how undergraduate student nurses in New Zealand experienced and responded to differences they perceived between the theory and the practice of nursing. It became clear that the preconceptions each student nurse held about the nature of nurses and nursing care were the standards against which the worth of the formal, practical and personal theories to which students were exposed during their nursing degree was evaluated. It was clear that preconceptions functioned as the mediator between the intentions of nursing education and the learning that eventuated for each student from practicum experiences. The implications for nursing education, for which preconceptions are not generally highly valued as a basis for learning about professional nursing, are that the individual experience and personal characteristics of each student receive significant focus when a nursing programme is planned. This means that the orthodox principles that underpin the design of nursing curricula should be reviewed and an overtly constructivist perspective adopted for nursing education for which the prior experiences of the student are the starting point.
Call Number NRSNZNO @ research @ Serial 931
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Author Pirret, A.M.
Title The level of knowledge of respiratory physiology articulated by intensive care nurses to provide rationale for their clinical decision-making Type (up) Journal Article
Year 2007 Publication Intensive & Critical Care Nursing Abbreviated Journal
Volume 23 Issue 3 Pages 145-155
Keywords Evaluation; Intensive care nursing; Clinical decision making; Nursing; Education
Abstract The objective of this paper is to outline a study firstly, assessing ICU nurses' ability in articulating respiratory physiology to provide rationale for their clinical decision-making and secondly, the barriers that limit the articulation of this knowledge. Using an evaluation methodology, multiple methods were employed to collect data from 27 ICU nurses who had completed an ICU education programme and were working in one of two tertiary ICUs in New Zealand. Quantitative analysis showed that nurses articulated a low to medium level of knowledge of respiratory physiology. Thematic analysis identified the barriers limiting this use of respiratory physiology as being inadequate coverage of concepts in some ICU programmes; limited discussion of concepts in clinical practice; lack of clinical support; lack of individual professional responsibility; nurses' high reliance on intuitive knowledge; lack of collaborative practice; availability of medical expertise; and the limitations of clinical guidelines and protocols. These issues need to be addressed if nurses' articulation of respiratory physiology to provide rationale for their clinical decision-making is to be improved.
Call Number NRSNZNO @ research @ Serial 933
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Author Horsburgh, M.; Perkins, R.; Coyle, B.; Degeling, P.
Title The professional subcultures of students entering medicine, nursing and pharmacy programmes Type (up) Journal Article
Year 2006 Publication Journal of Interprofessional Care Abbreviated Journal
Volume 20 Issue 4 Pages 425-431
Keywords Interprofessional relations; Attitude of health personnel; Nurse managers; Nursing; Education; Organisational culture
Abstract This study sought to determine the attitudes, beliefs and values towards clinical work organisation of students entering undergraduate medicine, nursing and pharmacy programmes in order to frame questions for a wider study. University of Auckland students entering medicine, nursing and pharmacy programmes completed a questionnaire based on that used by Degeling et al. in studies of the professional subcultures working in the health system in Australia, New Zealand, England and elsewhere. Findings indicate that before students commence their education and training medical, nursing and pharmacy students as groups or sub-cultures differ in how they believe clinical work should be organised. Medical students believe that clinical work should be the responsibility of individuals in contrast to nursing students who have a collective view and believe that work should be systemised. Pharmacy students are at a mid-point in this continuum. There are many challenges for undergraduate programmes preparing graduates for modern healthcare practice where the emphasis is on systemised work and team based approaches. These include issues of professional socialisation which begins before students enter programmes, selection of students, attitudinal shifts and interprofessional education.
Call Number NRSNZNO @ research @ Serial 937
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Author Ross, J.
Title International perspective: The development of the advanced role of rural nurses in New Zealand Type (up) Journal Article
Year 1999 Publication Australian Journal of Rural Health Abbreviated Journal
Volume 7 Issue 4 Pages 253-257
Keywords Nursing; Education; Rural nursing; Advanced nursing practice
Abstract This paper offers an insight into the development of the advanced role of rural nursing practice in New Zealand. The concept of advanced nursing practice is discussed within the context of the interdisciplinary healthcare team. It is argued that as nurses take on advanced practice, it is essential they receive appropriate clinical and theoretical skills to ensure they are in a position to provide competent and clinically safe, effective health care in an ethical, efficient manner. A description of a survey, undertaken by the author, studying rural nurses' skills provides the recommendation for the development of an appropriate postgraduate course at Masters level, designed specifically for primary rural nurses for the advanced role.
Call Number NRSNZNO @ research @ Serial 953
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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 (up) Journal Article
Year 2008 Publication 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 Currie, J.; Edwards, L.; Colligan, M.; Crouch, R.
Title A time for international standards? Comparing the Emergency Nurse Practitioner role in the UK, Australia and New Zealand Type (up) Journal Article
Year 2007 Publication Accident & Emergency Nursing Abbreviated Journal
Volume 15 Issue 4 Pages 210-216
Keywords Emergency nursing; Cross-cultural comparison; Nursing; Education
Abstract The aim of this paper is to compare the Emergency Nurse Practitioner role in the UK, Australia and New Zealand. Whilst geographically distant, the role of the Emergency Nurse Practitioner within these three countries shares fundamental similarities, causing the researchers to question, is this a time to implement international standards for the role? The Emergency Nurse Practitioner role in all three countries is gradually establishing itself, yet there are shared concerns over how the role is regulated and deficits in standardisation of scope of practice and educational level. Together these issues generate confusion over what the role embodies. The authors suggest that one method of demystifying the Emergency Nurse Practitioner role would be to progress towards international standards for regulation, education and core components of practice.
Call Number NRSNZNO @ research @ Serial 971
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Author Chenery, K.
Title Building child health nurses' confidence and competence Type (up) Journal Article
Year 2007 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 13 Issue 5 Pages 26-38
Keywords Paediatric nursing; Nursing; Education; Evaluation
Abstract This article describes the development of the Generic Orientation Programme, Child Health Nursing and its perceived impact on practice after ten months, through two simultaneous evaluation surveys, seeking the views of programme participants and their nurse managers. The programme aims to equip the newly appointed RN in the child health cluster or the nurse working in a non-designated children's area with the knowledge and skills to safely care for children. These include basic anatomical and physiological differences; fluid and electrolyte management; safe administration of medication; pain management; recognition of the seriously ill child; and building partnerships with children and their families. A survey instrument eliciting qualitative and quantitative responses was used. The majority of nurse respondents believed they had gained new knowledge and described how they were incorporating it into everyday practice. Similarly, several nurse managers observed that nurses' clinical knowledge and skills had improved since attending the programme. In particular, responses from those working in non-designated children's areas suggested the programme had provided them with greater insight into the care of children.
Call Number NRSNZNO @ research @ Serial 975
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Author Woods, M.
Title Dissecting a brave new nursing world Type (up) Journal Article
Year 2002 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 8 Issue 10 Pages 20-22, 36
Keywords Nursing; Education; Nursing Council of New Zealand; Policy
Abstract This article critiques the 'Strategic Review of Undergraduate Education' commissioned by the Nursing Council. The premise of the review is examined, along with the foundations of nursing practice and the role of nursing education.
Call Number NRSNZNO @ research @ Serial 1003
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Author Hales, A.; Dignam, D.
Title Nurse prescribing lessons from the US Type (up) Journal Article
Year 2002 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 8 Issue 10 Pages 12-15
Keywords Nurse practitioners; Prescriptive authority; Cross-cultural comparison; Advanced nursing practice; Education
Abstract The researchers present a survey of a sample population of 32 advanced practice nurses (APN) in the US about their experiences of acquiring and implementing prescriptive authority. The issues relevant to nurse practitioners in New Zealand are discussed, around acquiring knowledge and education, relationships with other professionals, establishing the role, and retaining the nursing role. The intent and scope of APN prescribing in the US is also discussed.
Call Number NRSNZNO @ research @ Serial 1007
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Author McKenna, B.
Title Bridging the theory-practice gap Type (up) Journal Article
Year 1999 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 5 Issue 2 Pages 14-16
Keywords Psychiatric nursing; Nursing; Education; Teaching methods
Abstract The author presents a case study of a joint appointment between a nurse lecturer and a staff nurse in an acute forensic psychiatry unit. He explores the advantages, disadvantages and reasons for success in relation to the findings of a survey of the literature on joint appointments. This technique is seen as a means of narrowing the gap between theory and practice which resulted when nurse training was transferred from hospitals to polytechnics. He highlights the need to develop research methodology to clarify potential benefits of this approach.
Call Number NRSNZNO @ research @ Serial 1024
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Author Mockett, L.; Horsfall, J.; O'Callaghan, W.
Title Education leadership in the clinical health care setting: A framework for nursing education development Type (up) Journal Article
Year 2006 Publication Nurse Education in Practice Abbreviated Journal
Volume 6 Issue 6 Pages 404-410
Keywords Organisational change; Law and legislation; Nursing; Education; Leadership
Abstract This paper describes how a new framework for clinical nursing education was introduced at Counties Manukau District Health Board. The project was initiated in response to the significant legislative and post registration nursing education changes within New Zealand. The journey of change has been a significant undertaking, and has required clear management, strong leadership, perseverance and understanding of the organisation's culture. The approach taken to managing the change had four stages, and reflects various change management models. The first stage, the identification process, identified the impetus for change. Creating the vision is the second stage and identified what the change would look like within the organisation. To ensure success and to guide the process of change a realistic and sustainable vision was developed. Implementing the vision was the third stage, and discusses the communication and pilot phase of implementing the nursing education framework. Stage four, embedding the vision, explores the process and experiences of changing an education culture and embedding the vision into an organisation. The paper concludes by discussing the importance of implementing robust, consistent, strategic and collaborative processes that reflect and evaluate best educational nursing practice.
Call Number NRSNZNO @ research @ Serial 1036
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