| Records |
| Author |
Kinealy, T.; Arroll, B.; Kenealy, H.; Docherty, B.; Scott, D.; Scragg, R.; Simmons, D. |
| Title |
Diabetes care: Practice nurse roles, attitudes and concerns |
Type  |
Journal Article |
| Year |
2004 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
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| Volume |
48 |
Issue |
11 |
Pages |
68-75 |
| Keywords |
Diabetes Type 2; Practice nurses; Attitude of health personnel; Primary health care |
| Abstract |
The aim of this paper is to report a study to compare the diabetes-related work roles, training and attitudes of practice nurses in New Zealand surveyed in 1990 and 1999, to consider whether barriers to practice nurse diabetes care changed through that decade, and whether ongoing barriers will be addressed by current changes in primary care. Questionnaires were mailed to all 146 practice nurses in South Auckland in 1990 and to all 180 in 1999, asking about personal and practice descriptions, practice organisation, time spent with patients with diabetes, screening practices, components of care undertaken by practice nurses, difficulties and barriers to good practice, training in diabetes and need for further education. The 1999 questionnaire also asked about nurse prescribing and influence on patient quality of life. More nurses surveyed in 1999 had post-registration diabetes training than those in 1990, although most of those surveyed in both years wanted further training. In 1999, nurses looked after more patients with diabetes, without spending more time on diabetes care than nurses in 1990. Nevertheless, they reported increased involvement in the more complex areas of diabetes care. Respondents in 1999 were no more likely than those in 1990 to adjust treatment, and gave a full range of opinion for and against proposals to allow nurse prescribing. The relatively low response rate to the 1990 survey may lead to an underestimate of changes between 1990 and 1999. Developments in New Zealand primary care are likely to increase the role of primary health care nurses in diabetes. Research and evaluation is required to ascertain whether this increasing role translates into improved outcomes for patients. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1100 |
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| Author |
Paton, B.; Martin, S.; McClunie-Trust, P.; Weir, N. |
| Title |
Doing phenomenological research collaboratively |
Type |
Journal Article |
| Year |
2004 |
Publication |
Journal of Continuing Education in Nursing |
Abbreviated Journal |
Wintec Research Archive |
| Volume |
35 |
Issue |
4 |
Pages |
176-181 |
| Keywords |
Qualiltative research; Nursing research; New graduate nurses |
| Abstract |
The purpose of this article is twofold. The first is to clarify some of the challenges experienced while conducting collaborative research and describe the steps taken to ensure consistency between the purpose of the research and the phenomenological research design used to explore the learning that nursing students acquire in their final clinical practicum. Second, it was thought that by illuminating this learning, registered nurses working as preceptors and those supporting new graduates could gain insight into the complexities of learning the skills of safe and competent practice from the student's perspective. This insight is essential in creating a strategy between education and practice to minimise the duplication of learning opportunities and lessen the cost of supporting newly registered nurses, which may be at the expense of investment in the professional development of experienced registered nurses. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1202 |
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| Author |
Haggerty, C. |
| Title |
Supporting the development of critical analysis through the use of a constructivist learning strategy |
Type |
Journal Article |
| Year |
2004 |
Publication |
Whitireia Nursing Journal |
Abbreviated Journal |
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| Volume |
11 |
Issue |
|
Pages |
19-26 |
| Keywords |
Nursing; Education; Teaching methods; Theory |
| Abstract |
This paper analyses how the programme co-ordinator for a diploma in mental health nursing used the Instructional Design process in order to identify aspects of teaching and learning that could further enhance the student development of critical thinking. Theoretical understandings of constructivist learning environments are outlined, and translated to this programme. Tools and techniques such as learning strategies, scaffolding, coaching and modelling are explained. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1290 |
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| Author |
White, T. |
| Title |
Avoiding the pitfalls of long-term suprapubic catheterisation |
Type |
Journal Article |
| Year |
2004 |
Publication |
Vision: A Journal of Nursing |
Abbreviated Journal |
Available online at Eastern Institute of Technology |
| Volume |
12 |
Issue |
2 |
Pages |
4-7 |
| Keywords |
Nursing specialties; Long term care |
| Abstract |
Studies show that majority of complications experienced by patients with long term suprapubic catheters are associated with urinary tract infection and encrustation of catheters. This article will revise the pathophysiology of infection and encrustation and discuss management of suprapubic catheters based on current best practice. It is stressed that suprapubic catheters should only be considered once less invasive methods of maintaining bladder function have been exhausted as it is preferable for patients to manage incontinence with bladder training, pelvic floor exercises and continence products than to have a permanent indwelling catheter inserted. |
| Call Number |
NRSNZNO @ research @ 1319 |
Serial |
1303 |
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| Author |
Therkleson, T; Sherwood, P. |
| Title |
Patients' experience of the external therapeutic application of ginger by anthroposophically trained nurses |
Type |
Journal Article |
| Year |
2004 |
Publication |
The Indo-Pacific Journal of Phenomenology |
Abbreviated Journal |
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| Volume |
4 |
Issue |
1 |
Pages |
1-11 |
| Keywords |
Anthroposophical therapy |
| Abstract |
There has been considerable public debate on the range of complementary health practices throughout the western world, perhaps especially in Australia, United States and Europe. Most often, the research critique of these practices is restricted to quantitative or non-user qualitative research methodologies. Consequently, there is a significant gap in the research profile of complementary health services that need to be addressed particularly in view of the rapid and ongoing increase in the use of complementary services, even in the face of sometimes adverse media publicity. This paper demonstrates the contribution that phenomenologically-based research can make to fill this lacuna by explicating, in detail, the client experience of a complementary health practice. The paper explores patient experience of a ginger compress, as applied by anthroposophically trained nurses, to demonstrate various therapeutic effects. Four key themes emerged including an increase in warmth and internal activity in the major organs of the body, changes in thought-life and sensory perception along with a greater sense of well-being and self-focus with the perception of clearer personal boundaries. These themes, emerging from a patient sample in New Zealand, compared favourably to the Filderklinik Study completed in 1992 in a large German state hospital. |
| Call Number |
NZNO @ research @ |
Serial |
1345 |
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| Author |
Ihimaera, L.V. |
| Title |
He ara ki te ao marama : a pathway to understanding the facilitation of taha wairua in mental health services |
Type |
Journal Article |
| Year |
2004 |
Publication |
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Abbreviated Journal |
Held by Lakes DHB Library (ROM) |
| Volume |
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Issue |
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Pages |
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| Keywords |
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| Abstract |
A thesis submitted in partial fulfilment of the requirements for a Masters of Arts, Massey University, Palmerston North, New Zealand. |
| Call Number |
NZNO @ research @ |
Serial |
1366 |
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| Author |
Daniels, Anne |
| Title |
Listening to New Zealand nurses: A survey of intent to leave, job satisfaction, job stress, and burnout |
Type |
Book Whole |
| Year |
2004 |
Publication |
|
Abbreviated Journal |
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| Volume |
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Issue |
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Pages |
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| Keywords |
Stress; Job satisfaction; Nursing |
| Abstract |
This study aims to identify work related factors contributing to New Zealand nurses' intent to leave the job. Two hundred and seventy five surveys (response rate = 68.8%) from a random sample of 400 nurses employed in one district health board were used to explore intent to leave the job. Three research questions directed the description of levels of job satisfaction, job stress, and burnout found in nurse participants, correlations between the three variables, and the identification of variables predicting intent to leave the job through regression analyses. The survey found levels of job satisfaction were high, job stress was low, and burnout was average. Specifically, lack of opportunity to participate in organisational decision making, control over work conditions, control over what goes on in the work setting (key Magnet Hospital characteristics) were not evident, and with pay rates, were the main sources of job dissatisfaction. Workload was the most frequently experienced source of stress by nurse participants. Twenty-five per cent of nurse participants reported high levels of intent to leave the job. Correlations suggested that reductions in job satisfaction influenced increases in job stress and burnout. Job stress was associated with increases in emotional exhaustion. Emotional exhaustion was influenced by eight job satisfaction, job stress, and burnout subscales. Five subscales (professional opportunities, praise and recognition, interaction opportunities, extrinsic rewards, lack of support) explained 26.2% of the variance in nurse participant's intent to leave. The author concludes that issues of power and control were associated with job dissatisfaction, job stress and burnout in nursing practice. However, predictors of intent to leave the job suggest a growing realisation by nurse participants that postgraduate education and nursing research may provide the tools to create positive change in the health care environment and make nursing visible, valued and appropriately rewarded. |
| Call Number |
NRSNZNO @ research @ |
Serial |
826 |
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| Author |
Connor, M. |
| Title |
Courage and complexity in chronic illness: Reflective practice in nursing |
Type |
Book Whole |
| Year |
2004 |
Publication |
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Abbreviated Journal |
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| Volume |
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Issue |
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Pages |
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| Keywords |
Asthma; Nurse-patient relations; Nurse-family relations; Community health nursing; District nursing; Chronically ill |
| Abstract |
This book presents the reflective account of an actual nursing practice situation (a woman living with chronic asthma).The author provides a descriptive narrative and then delves deeper into the narrative to obtain greater understanding of what she calls “strife” in chronic illness and the best nursing practice to assist its resolution. |
| Call Number |
NRSNZNO @ research @ 926 |
Serial |
910 |
| 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 |
|
Abbreviated Journal |
University and Polytechnic Libraries, NZNO Library |
| Volume |
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Issue |
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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 |
