| |
Records |
Links  |
|
Author |
Wong, G.; Sakulneya, A. |
|
| |
Title |
Promoting EAL nursing students' mastery of informal language |
Type |
Journal Article |
| |
Year |
2004 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
20 |
Issue |
1 |
Pages |
45-52 |
|
| |
Keywords |
Communication; Asian peoples; Education; Nursing |
|
| |
Abstract |
This article describes the development, delivery and evaluation of a pilot programme designed to help nursing and midwifery students from Asian and non-English speaking backgrounds improve their conversational skills in practice settings. Many such students, although previously assessed as competent in English, find that communication with patients and their families, and other health professionals is difficult. The study was conducted in a large tertiary educational institution in a major metropolitan centre. Each week for a period of 11 weeks students participated in an interactive session. Content for these was based on areas highlighted by a needs assessment involving interviews with both students and lecturers, and was subject to ongoing modification in response to feedback from participants. Evaluation questionnaires completed at the conclusion of the series indicated that students perceived the impact as positive. Students who attended regularly and were actively involved in the practice activities described gains in communication skills. From this it was concluded that further development of the pilot scheme was warranted in order to benefit English as an additional language (EAL) students enrolled in nursing and midwifery courses |
|
| |
Call Number |
NRSNZNO @ research @ 564 |
Serial |
550 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Gallaher, L. |
|
| |
Title |
Expert public health nursing practice: A complex tapestry |
Type |
Journal Article |
| |
Year |
1999 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
14 |
Issue |
3 |
Pages |
16-27 |
|
| |
Keywords |
Public health; Community health nursing; Communication |
|
| |
Abstract |
The research outlined in this paper used Heideggerian phenomenology to examine the phenomenon of expert public health nursing practice within a New Zealand community health setting. Narrative interviews were conducted with eight identified expert practitioners who are currently practising in this speciality area. Data analysis led to the identification and description of themes which were supported by paradigm cases and exemplars. Four key themes were identified which describe the finely tuned recognition and assessment skills demonstrated by these nurses; their ability to form, sustain and close relationships with clients over time; the skilful coaching undertaken with clients; and the way in which they coped with the dark side of their work with integrity and courage. |
|
| |
Call Number |
NRSNZNO @ research @ 656 |
Serial |
642 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Radka, I.M. |
|
| |
Title |
Handover and the consumer voice: The importance of knowing the whole, full story |
Type |
|
| |
Year |
2003 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Communication; Patient satisfaction; Nurse-patient relations |
|
| |
Abstract |
In the acute hospital setting, nurses provide care twenty-four hours a day, seven days a week. Due to the ever-changing nature of the patient's situation, nurses need quality information at the beginning of each eight-hour shift to plan and implement patient care effectively. It is claimed that handover is central for maintaining the continuity and the quality of patient care. This qualitative descriptive study was undertaken to identify what core information needs to be exchanged at nursing handover to ensure quality and continuity of patient care. Five consumers who had experience of recurrent hospital admissions shared their perceptions of handover practice through individual interviews. Three focus group meetings of seven nurses from a secondary care setting discussed handover practice from their professional perspectives. Both nursing and consumer voices are integral to the overall understanding of this study but the consumer voice is the privileged and dominant voice. Through the process of thematic content analysis the central themes of communication, continuity and competence emerged for the consumers. Consumers expect to be kept informed and involved in their healthcare. They want continuity of nurse, information and care and expect that nurses involved in the delivery of healthcare are competent to manage their situation. The 'importance of knowing' is the overarching construct generated in this research. Knowing is identified as the foundation on which quality and continuity of care is built and is discussed under the subheadings of: not knowing, knowing the patient as a person, knowing takes time, hidden knowing, knowing consumers' rights, oral knowing, knowing involves more than handing over patient care and knowing the economics. Recommendations have been developed for future research, nursing practice, education and management. These centre on ways to develop a more consumer-focused approach to contemporary healthcare. |
|
| |
Call Number |
NRSNZNO @ research @ 883 |
Serial |
867 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
O'Shea, M.; Reddy, L. |
|
| |
Title |
Action change in New Zealand mental health nursing: One team's perspective |
Type |
Journal Article |
| |
Year |
2007 |
Publication |
Practice Development in Health Care |
Abbreviated Journal |
|
|
| |
Volume |
6 |
Issue |
2 |
Pages |
137-142 |
|
| |
Keywords |
Experiential learning; Psychiatric Nursing; Communication; Community health nursing |
|
| |
Abstract |
This paper describes an attempt at effecting change with specific relevance to the discharge planning of clients from a New Zealand inpatient mental health unit to a community setting. It explores how a team of community mental health nurses, practising in an urban/rural area, used the concepts of practice development to endeavour to bring about change while still retaining a client-centred focus. It describes how, in their enthusiasm, they embarked on the road to practice change without undertaking some of the essential ground work, Although they did not achieve all they set out to achieve, much was learnt in the process. In this paper, the authors outline their key learning points concerning the importance of engagement, communication, consistency and cooperation to the process and outcomes of practice change. |
|
| |
Call Number |
NRSNZNO @ research @ 897 |
Serial |
881 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Major, G.; Holmes, J. |
|
| |
Title |
How do nurses describe health care procedures? Analysing nurse-patient interaction in a hospital ward |
Type |
Journal Article |
| |
Year |
2008 |
Publication |
Australian Journal of Advanced Nursing |
Abbreviated Journal |
|
|
| |
Volume |
25 |
Issue |
4 |
Pages |
58-70 |
|
| |
Keywords |
Communication; Nursing; Nurse-patient relations |
|
| |
Abstract |
This study examines the communication strategies used by nurses on the ward in one aspect of the job, namely the ways that they describe health procedures to patients. The data used in this project was collected by nurses on a busy hospital ward as part of Victoria University's Language in the Workplace Project. Three nurses carried minidisc recorders as they went about their normal working day, recording their conversations with patients, visitors, and other staff. The data was collected in a women's hospital ward. All patients, nurses, cleaners and ward clerks were female; two doctors were female and two were male. Twenty three instances where nurses described procedures to patients were identified in the data set. The analysis identified several typical components; indicated there was no fixed order of components; and demonstrated that all except the core component of describing the procedure were optional rather than obligatory elements. The researchers note this is qualitative and exploratory research. The findings demonstrate the benefit of discourse analysis within a sociolinguistic framework for the analysis of nurse-patient interaction. The results indicate that health discourse is not one-sided, nor is it as straightforward as many nursing textbooks suggest. |
|
| |
Call Number |
NRSNZNO @ research @ 975 |
Serial |
959 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Payne, D.; Goedeke, S. |
|
| |
Title |
Holding together: Caring for clients undergoing assisted reproductive technologies |
Type |
Journal Article |
| |
Year |
2007 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
|
|
| |
Volume |
60 |
Issue |
6 |
Pages |
645-653 |
|
| |
Keywords |
Nursing specialties; Sexual and reproductive health; Communication; Multidisciplinary care teams |
|
| |
Abstract |
This paper reports a study to investigate the roles and experiences of nurses caring for clients undergoing assisted reproductive technologies (ART). Nurses are in a potentially unique position in the assisted reproductive technology environment as they maintain a more constant contact with the client. A qualitative approach was taken and a convenience sample of 15 nurses from New Zealand was interviewed in 2005. Data were analysed using interpretive description. The overarching theme identified was that of the potential role of the nurse to 'hold together' multiple components of the assisted reproductive technology process: holding together clients' emotional and physical experiences of assisted reproductive technologies; holding together the roles of different specialist team members; and holding together personal own emotions. It encompasses practices such as information-giving, interpreting, supporting and advocating. The researchers note that recognition of and support for the complexity of the role of ART nurses may positively contribute to clients' experiences. |
|
| |
Call Number |
NRSNZNO @ research @ 985 |
Serial |
969 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Evans-Murray, A. |
|
| |
Title |
Meeting the needs of grieving relatives |
Type |
Journal Article |
| |
Year |
2004 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
10 |
Issue |
9 |
Pages |
18-20 |
|
| |
Keywords |
Intensive care nursing; Grief; Communication |
|
| |
Abstract |
This article examines the role of nurses working in intensive care units who may need to work with families as they face the death of a loved one. How the nurse communicates with relatives during these crucial hours prior to the death can have profound implications on their grief recovery. Universal needs for families in this situation have been identified in the literature, and include: hope; knowing that staff care about their loved one; and having honest information about their loved one's condition. A case study is used to illustrate key skills and techniques nurses can employ to help meet these universal needs. In the first stage of grief the bereaved is in shock and may feel a sense of numbness and denial. The bereaved may feel confused and will have difficulty concentrating and remembering instructions, and they may express strong emotions. Studies on families' needs show that honest answers to questions and information about their loved one are extremely important. It is often very difficult for the nurse to give honest information when the prognosis is poor. Good communication skills and techniques are discussed, in which hope is not offered at the expense of truthfulness, and the nurse facilitates the process of saying goodbye and expressing emotions. Practical techniques, such as including the family in basic care such as foot massaging and simple hygiene routines, may also be used to move the family from being bystanders to the impending death, to comforters. |
|
| |
Call Number |
NRSNZNO @ research @ 1004 |
Serial |
988 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Tritschler, E.; Yarwood, J. |
|
| |
Title |
Relating to families through their seasons of life: An indigenous practice model |
Type |
Journal Article |
| |
Year |
2007 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
13 |
Issue |
5 |
Pages |
18-3 |
|
| |
Keywords |
Parents and caregivers; Nursing models; Nurse-family relations; Communication |
|
| |
Abstract |
In this article the authors introduce an alternative way that nurses can be with families, using a relational process that can enhance nurses' responses when working with those transitioning to parenthood. Seasons of Life, a framework adapted from the Maori health model He Korowai Oranga, emerged from practice to offer a compassionate and encouraging stance, while at the same time respecting each family's realities and wishes. The model allows the exploration of the transition to parenthood within a wellness model, and takes a strengths-based approach to emotional distress. This approach provides a sense of “normality”, rather than of pathology, for the emotions experienced by new parents. The specific issues men may face are discussed, where despite recent culture change that allows men a more nurturing parental role, there is still no clear understanding of how men articulate their sense of pleasure or distress at this time. Practitioners are encouraged to examine their own assumptions, values and beliefs, and utilise tools such as reflective listening, respect, insight and understanding. The most significant aspect of relationship between nurse and parents is not the outcome, but how nurses engage with families. Examples from practice will demonstrate some of the differing ways this relational process framework has been effective. |
|
| |
Call Number |
NRSNZNO @ research @ 1007 |
Serial |
991 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Wilson, S.; Carryer, J.B. |
|
| |
Title |
Emotional competence and nursing education : A New Zealand study |
Type |
Journal Article |
| |
Year |
2008 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
24 |
Issue |
1 (Mar) |
Pages |
36-47 |
|
| |
Keywords |
Teaching methods; Communication; Nursing; Education; Nursing models |
|
| |
Abstract |
Explores the challenges encountered by nurse educators who seek to assess aspects related to emotional competence in nursing students. This emotional competence includes nurses managing their own emotional life along with the skill to relate effectively to the multiple colleagues and agencies that nurses work alongside. The research was designed to explore the views of nurse educators about the challenges they encounter when seeking to assess a student's development of emotional competence during the three year bachelor of nursing degree. Focus groups were used to obtain from educators evidence of feeling and opinion as to how theory and practice environments influence student nurses' development of emotional competence. The process of thematic analysis was utilised and three key themes arose as areas of importance to the participants. These were personal and social competence collectively comprises emotional competence in nursing; emotional competence is a key component of fitness to practise; and transforming caring into practice. The findings of the study indicate a need for definition of what emotional competence is in nursing. It is argued that educators and practicing nurses, who work alongside students, must uphold the expectation that emotional competence is a requisite ability and should themselves be able to role model emotionally competent communication. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
451 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
White, G.E.; Su, H.-R. |
|
| |
Title |
Am I dying, nurse? |
Type |
Journal Article |
| |
Year |
2000 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
15 |
Issue |
1 |
Pages |
33-40 |
|
| |
Keywords |
Communication; Ethics; Nursing; Palliative care |
|
| |
Abstract |
This paper addresses the concept of truth, and debates who should tell it and how it should be told. It explores the cultural aspects of knowing the truth about dying. The question of whether nurses have a moral obligation to tell the truth is explored, and suggests the lack of New Zealand research in this area should be addressed. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
631 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Macfarlane, K. |
|
| |
Title |
Communicating changes in a patient's condition: A critical incident approach |
Type |
|
| |
Year |
2006 |
Publication |
|
Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Communication; Clinical assessment; Physicians; Nursing; Relationships |
|
| |
Abstract |
This study explores how registered nurses working within the acute surgical ward environment of a New Zealand hospital communicate changes in a patient's condition. The purpose of this research study was to examine the processes, communication techniques and behaviours that nurses use, in order to determine the critical requirements for registered nurses to effectively communicate changes in patients' conditions to doctors. The critical incident technique developed by Flanagan (1954) was adapted and used to explore incidents that occurred when six registered nurses working in acute surgical wards communicated a change in a patient's condition to a doctor. Communication is an integral part of everyday activity. This study has shown an assessment process occurs before communication can take place. A nurse's concern for a patient's condition initiates the assessment process. A judgement is formed from the nurse's concern that a patient's condition has changed. Judgements take into account multiple ways of knowing including pattern recognition, empirical knowing and intuition. Institutional protocols also affect judgements and the ability of a nurse to ensure support is received for the patient's well being. The communication process is initiated for two reasons, to support the patient, and to support the nurse in providing care for the patient. Significant in determining the need for support is the action required that might be outside the nurse's scope of practice. The response should address the nurse's concern and take into account the importance of the relationship, trust between all parties, respect of each other's positions and knowing team members and their capabilities. Understanding these aspects of the communication process should enhance nurses and doctors abilities to effectively communicate regarding a change in a patient's condition. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
724 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Evans, S. |
|
| |
Title |
Silence kills: Communication around adverse events in ICU |
Type |
|
| |
Year |
2006 |
Publication |
|
Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Intensive care nursing; Communication; Interprofessional relations |
|
| |
Abstract |
The aim of this dissertation is to assess the preventability or reduction of adverse events in the intensive care unit (ICU) through a literature review. Research shows the ICU is at high risk for errors, nevertheless there is a huge gap between knowing something should be done and applying this knowledge to practice. That being the case, this dissertation identifies and discusses several proven and transferable quality improvement proposals. These include: instituting anonymous error reporting; documentation of a daily goal-of-care; a nurse as ICU team co-ordinator; conflict resolution processes and communication training for all ICU staff. NThe author concludes that nurse-doctor collaboration requires the support of medicine, with recognition of the unique contribution nurses make to patient safety. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
741 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Sheward, K.A. |
|
| |
Title |
Exploring the juxtaposition of end of life care in the acute setting and the integrated care pathway for the care of the dying |
Type |
|
| |
Year |
2005 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Palliative care; Hospitals; Communication; Nurse-patient relations |
|
| |
Abstract |
The primary aim of this research paper is to draw on the literature to offer some insight into end of life care in the acute hospital setting. The secondary purpose is to provide an understanding of the integrated clinical pathway (ICP) for the care of the dying, consider its influence related to some of the challenges shaping end of life care and the positive effect it can generate on the quality of care experienced. There are significant challenges that impact on both the delivery and receipt of care for dying patients and their families. Six key influential barriers are considered within the context of the acute setting. Communication and the acute environment are two areas that significantly impact on the quality of care delivered, and are explored in more depth. Narratives from nursing and medical staff convey the realities encountered and difficulties experienced when they are unable to provide the care to which they aspire. Stories are shared by patients and families, which reflect on their experience of end of life care in the acute setting, and offer heath professionals some insight into the lives of the people nurses care for. The literature in relation to the development and implementation of the Liverpool Care of the Dying Pathway, and an overview of the Pathway document is presented. The strengths and limitations of its use are considered, alongside its influence beyond the documentation of clinical care. It is not possible to transfer the hospice service into the hospital setting, however the author suggests that through the implementation of the clinical pathway there is an opportunity to transfer best practice guidelines and positively influence the palliative culture in the acute setting. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
772 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Powell, J. |
|
| |
Title |
Caring for patients after an ICU admission |
Type |
Journal Article |
| |
Year |
2002 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
8 |
Issue |
7 |
Pages |
24-25 |
|
| |
Keywords |
Intensive care nursing; Nurse-patient relations; Trauma; Communication |
|
| |
Abstract |
The author presents research on nursing strategies that reduce the psychological effects of critical illness and prevent the intensive care unit (ICU) atmosphere from adversely affecting the nurse-patient relationship. Post-traumatic stress disorder and other phobic anxiety syndromes are noted as a risk among former ICU patients. Four interventions to put in place for discharge are presented: patient-centred nursing, communication, multidisciplinary care, and patient/family education. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
954 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Polaschek, L.; Polaschek, N. |
|
| |
Title |
Solution-focused conversations: A new therapeutic strategy in Well Child health nursing telephone consultations |
Type |
Journal Article |
| |
Year |
2007 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
|
|
| |
Volume |
59 |
Issue |
2 |
Pages |
111-119 |
|
| |
Keywords |
Telenursing; Communication; Evaluation |
|
| |
Abstract |
This paper reports a study to explore Well Child nurses' perceptions of outcomes resulting from the use of solution-focused conversations in their telephone consultations with clients. The standard problem-solving approach used to address physical issues is less effective for various non-physical concerns, where different communication strategies may be helpful. In this qualitative, action-oriented study, a small group of Well Child telenurses in New Zealand was introduced to a specific communication strategy, called 'solution-focused conversations', during 2005. They applied this approach in their practice and then reflected together on their experiences in focus groups. The nurses considered that the solution-focused conversations enabled clients to: recognise the nature of the parenting issue of concern that had motivated their call; identify more effective parenting practices to address specific issues with their child; increase their confidence in their own parenting capabilities. This study suggested the value of learning a specific communication strategy for the practice of a group of Well Child telenurses. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
973 |
|
| Permanent link to this record |
