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Author Mortensen, A.; Young, N. openurl 
  Title Caring for refugees in emergency departments in New Zealand Type Journal Article
  Year 2004 Publication Nursing Praxis in New Zealand Abbreviated Journal  
  Volume 20 Issue 2 Pages 24-35  
  Keywords Emergency nursing; Culture; Mental health; Health status  
  Abstract This paper outlines some of the special health needs of people from refugee backgrounds who present in the emergency department, and the role of emergency department nurses in improving care for refugee and migrant peoples. Refugees and asylum seekers represent a significant proportion of attendees in emergency departments in Auckland Hospitals. Culture and ethnicity are a major factor to be considered in addressing the health care needs of this population. Other factors such as the physical and psychological sequelae of the refugee experience, health care experience prior to arrival in New Zealand, poverty, language, and the trauma of resettlement also have a major impact on health care seeking behaviours.  
  Call Number NRSNZNO @ research @ 557 Serial 543  
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Author Morrison, M. openurl 
  Title Posthuman pathology: A postmodern art project located in critical care Type
  Year 2003 Publication Abbreviated Journal Victoria University of Wellington Library  
  Volume Issue Pages  
  Keywords Intensive care nursing; Nursing philosophy; Culture; Technology  
  Abstract The author's art project “Posthuman Pathology” is a postmodern examination of the resolutely modernist culture of critical care medicine. She uses conceptual art practices in conjunction with the techniques of anti-aesthetics in order to dismantle, open out and critique ideas which are foundational to the culture of critical care.  
  Call Number NRSNZNO @ research @ 580 Serial 566  
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Author Tuitea, I. openurl 
  Title Solution focused nursing: An alternative model for assessing psychosis and mai aitu in mental health Type
  Year 2006 Publication Abbreviated Journal Victoria University of Wellington Library  
  Volume Issue Pages  
  Keywords Pacific peoples; Mental health; Psychiatric Nursing; Culture  
  Abstract The objective of this paper is to establish if there is any documented research and literature evidence that describe what the presenting clinical symptoms of Mai Aitu is, and also to explore an alternative frame-work to assess Pacific Islanders who present to mental health in crisis. As a community mental health nurse in the Crisis Assessment and Treatment Team (CATT), the author reports being confronted almost every day with an increasing number of Pacific Islanders presenting in crisis with symptoms consistent with the well documented signs of psychosis. For instance, symptoms like hallucinations, delusion and paranoid ideation which are also well known for describing schizophrenia. Her concern is that mental health nurses may be compromising their practice, the safety of the Pacific Island population and possibly the credibility of the profession with what appears like a lack of knowledge and awareness regarding the clinical symptoms of some Pacific Island mental illness. In Tonga it is called Avea Avanga, in Fiji it is referred to as Lialia, in Samoa it is known as Mai Aitu. The author notes that the issue becomes apparent when Samoan clients present in crisis with what appears to be psychosis but the fanau believe their love one is not mentally unwell, that he or she is simply suffering a traditional Samoan illness. Therefore they insist he or she be treated at home, instead of through admission to the psychiatric hospital, and also that they be seen by a Samoan healer instead of a psychiatrist.  
  Call Number NRSNZNO @ research @ 753 Serial 739  
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Author Hughes, F. openurl 
  Title Nurses at the forefront of innovation Type Journal Article
  Year 2006 Publication International Nursing Review Abbreviated Journal  
  Volume 53 Issue 2 Pages 94-101  
  Keywords Organisational culture; Technology; Policy; Nursing  
  Abstract This paper explores the concept of innovation in nursing, the inherent set of characteristics that need to be present in order for innovations to succeed, and the barriers that impede innovation from occurring. Successful innovations developed and implemented by nurses are featured, and organisational factors necessary to support innovation are described. This paper is based on a presentation given by the author at the 23rd Quadrennial ICN Congress and 7th International Regulation Congress in Taipei in May 2005.  
  Call Number NRSNZNO @ research @ 796 Serial 780  
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Author Coleman, R.; Sim, G. openurl 
  Title The sacredness of the head: Cultural implications for neuroscience nurses Type Journal Article
  Year 2003 Publication Australasian Journal of Neuroscience Abbreviated Journal  
  Volume 16 Issue 2 Pages 20-22  
  Keywords Paediatric nursing; Transcultural nursing; Culture  
  Abstract The aim of this paper is to increase neuroscience nurses' awareness of how the head is perceived as sacred by some cultures. This article will outline a definition of culture, discussion around the sanctity of the head for some cultures, the cultural significance of common neuroscience interventions, the use of traditional healing methods, and prayer. Examples will be provided of how nursing interactions and interventions affect some cultures, looking primarily at a Maori and Pacific Island perspective. The focus of this paper is within a New Zealand paediatric setting.  
  Call Number NRSNZNO @ research @ 1083 Serial 1068  
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Author Simon, V.N. openurl 
  Title Characterising Maori nursing practice Type
  Year 2000 Publication Abbreviated Journal University of Waikato Library  
  Volume Issue Pages  
  Keywords Maori; Nursing; Culture  
  Abstract  
  Call Number NRSNZNO @ research @ 1134 Serial 1119  
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Author Rowe, W. openurl 
  Title An ethnography of the nursing handover Type
  Year 2001 Publication Abbreviated Journal Massey University Library  
  Volume Issue Pages  
  Keywords Administration; Nursing; Organisational culture  
  Abstract  
  Call Number NRSNZNO @ research @ 1272 Serial 1257  
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Author McArthur, J. openurl 
  Title Discursive understanding of knowledge within advanced nursing practice roles: A co-operative inquiry in an acute health care organisation Type
  Year Publication Abbreviated Journal Auckland University of Technology Library  
  Volume Issue Pages  
  Keywords Advanced nursing practice; Organisational culture  
  Abstract  
  Call Number NRSNZNO @ research @ 1280 Serial 1265  
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Author Lindsay, L. openurl 
  Title Atrocity tales: The language of terrorism in nursing Type
  Year 2004 Publication Whitireia Nursing Journal Abbreviated Journal  
  Volume 11 Issue Pages 27-35  
  Keywords Gender; Male nurses; Culture  
  Abstract In this paper, the author explores the concept of 'professional terrorism'. He exposes discrimination against male nurses as being a form of professional terrorism, primarily as it is enacted through use of language. He presents the concept of horizontal violence as a way to understand why nurses, as a marginalised group, perform oppressive acts towards male nurses, who are similarly oppressed. He outlines the cost of such a culture on nursing practice and presents strategies for change.  
  Call Number NRSNZNO @ research @ 1310 Serial 1294  
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Author Roberts, C. openurl 
  Title The influence of nursing culture on family visiting in adult intensive care units Type
  Year 2007 Publication Abbreviated Journal Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz  
  Volume Issue Pages  
  Keywords Intensive care nursing; Nurse-family relations; Culture; Nursing  
  Abstract This dissertation considers the implications of the relationship between nurses and the patient's family, when family members visit intensive care units (ICUs) following the acute admission of a relative there. In particular it explores the issues of power and control, nurses might have in this setting, the culture that supports that, and the implications this has for practice in the New Zealand context. A comprehensive literature review on the perspective of nurses in relation to relatives visiting adult intensive care units was conducted. The author concludes that nurses modify policies related to visiting access for family members to suit themselves, and the needs of their patient. Nurses use a variety of tactics to maintain a position of power and control by looking out for themselves first, their patient second, and relatives third. The need of the patient and their families is not well understood by nurses, and nurses feel they have inadequate skills to cope with the needs and stresses of visiting relatives. The author suggests that for nurses to provide family focused care in ICU they must develop a therapeutic relationship with all concerned. ICU nursing culture affects nurses ability to focus on caring for their patients and their families. Nurses in ICU appear to need to maintain power and control over their environment but further research is needed to identify the current situation in New Zealand ICUs.  
  Call Number NRSNZNO @ research @ Serial 502  
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Author Morton, J.; Williams, Y.; Philpott, M. openurl 
  Title New Zealand's Christchurch Hospital at night: An audit of medical activity from 2230 to 0800 hours Type Journal Article
  Year 2006 Publication New Zealand Medical Journal Abbreviated Journal  
  Volume 119 Issue 1231 Pages  
  Keywords Hospitals; Teamwork; Administration; Shiftwork; Organisational culture  
  Abstract The authors conduct an audit of medical activity at Christchurch Hospital, a 650 bed tertiary centre, between 2230 and 0800 hours. They measured the volumes of tasks requiring completion overnight and identified the competencies required for this as well as the level of teamwork that existed. They found several organisational areas of concern, that indicate new approaches are required to staff the “hospital at night,” and an Out of Hours Multidisciplinary Team is recommended. Specific issues included the lack of teamwork from the Resident Medical Officers (RMOs), with some overextended while others were inactive. House officer tasks were largely generic rather than specialty specific; there was no formal handover from the afternoon or day shifts and the level of hospital medical staffing did not reflect the activity levels over the time period studied. The researchers also recommend an urgent review of the beep policy. A third of the admissions were to General Medicine, and basic medical activities (including admitting, reviewing, and prescribing drugs and fluids) for patients admitted under all specialties represented the majority of the night workload. Medical registrars had reduced some of the traditional multiple clerking by admitting patients themselves.  
  Call Number NRSNZNO @ research @ Serial 528  
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Author Wilkinson, J.A.; Huntington, A.D. openurl 
  Title The personal safety of district nurses: A critical analysis Type Journal Article
  Year 2004 Publication Nursing Praxis in New Zealand Abbreviated Journal  
  Volume 20 Issue 3 Pages 31-44  
  Keywords District nursing; Occupational health and safety; Organisational culture; Risk factors  
  Abstract A workplace safety study of district nurses in New Zealand was conducted to explore personal safety experiences. A qualitative methodology informed by Critical Social Theory was employed. This paper details the findings and implications derived from data collected from six district nurses in two urban New Zealand health services who recalled incidents in which they felt their personal safety was compromised. Data were collected through individual interviews and a focus group discussion with the participants. Data analysis revealed two-fold risks to nurse safety; these were associated with client behaviour as well as risks embedded in the organisational structure. The findings suggest a number of practical issues involving basic security measures require urgent attention. The complex power relationships that shape the experience of nursing in a community impinged on the ability of the nurses in this study to confidently and safely fulfil their role. An organisational commitment to a culture of safety would help address the powerlessness experienced by district nurses.  
  Call Number NRSNZNO @ research @ Serial 549  
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Author McBride-Henry, K.; Foureur, M. openurl 
  Title A secondary care nursing perspective on medication administration safety Type Journal Article
  Year 2007 Publication Journal of Advanced Nursing Abbreviated Journal  
  Volume 60 Issue 1 Pages 58-66  
  Keywords Patient safety; Drug administration; Organisational culture; Nursing  
  Abstract This paper reports on a study to explore how nurses in a secondary care environment understand medication administration safety and the factors that contribute to, or undermine, safe practice during this process. Data were collected in 2005 using three focus groups of nurses that formed part of a larger study examining organisational safety and medication administration from a nursing perspective. A narrative approach was employed to analyse the transcripts. Participants had good understandings of organisational culture in relation to medication safety and recognised the importance of effective multi-disciplinary teams in maintaining a safe environment for patients. Despite this, they acknowledged that not all systems work well, and offered a variety of ways to improve current medication practices. These findings highlight the meaningful contribution nurses can make to patient safety and emphasise the importance of including the nursing voice in any quality improvement initiatives.  
  Call Number NRSNZNO @ research @ Serial 648  
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Author McBride-Henry, K.; Foureur, M. openurl 
  Title Organisational culture, medication administration and the role of nurses Type Journal Article
  Year 2006 Publication Practice Development in Health Care Abbreviated Journal  
  Volume 5 Issue 2 Pages 208-222  
  Keywords Patient safety; Medical errors; Organisational culture; Nursing; Drug administration  
  Abstract This research study was designed to identify ways of enhancing patient safety during the administration of medications within the New Zealand context. The researchers employed a multi-method approach that included a survey using the Safety Climate Survey tool, focus groups and three clinical practice development groups. The authors conclude that the outcomes of this study indicate that practice development initiatives, such as the ones outlined in this project, can have a positive effect on nurses' perceptions of organisational safety, which in turn has been demonstrated to have a positive impact on patient safety.  
  Call Number NRSNZNO @ research @ Serial 784  
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Author Crowe, M. openurl 
  Title Psychiatric diagnosis: Some implications for mental health nursing care Type Journal Article
  Year 2006 Publication Journal of Advanced Nursing Abbreviated Journal  
  Volume 53 Issue 1 Pages 125-131  
  Keywords Psychiatric Nursing; Diagnosis; Culture; Gender; Socioeconomic factors; Nursing models  
  Abstract This article explores some of the functions of psychiatric diagnosis and the implications this has for mental health nursing care. It critiques the psychiatric diagnosis as a categorisation process that maintains oppressive power relations within society, by establishing and enforcing normality through gender, culture and class biases. The American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders is used to illustrate some of the inherent biases in the diagnostic process. The author argues that mental health nursing practice needs to demonstrate an awareness of the power relations inherent in any diagnostic process and make attempts to redress these at both the individual and sociopolitical levels. To create a true patient-centred partnership in mental health nursing, the nursing focus should be on the patient's experience rather than the psychiatric diagnosis with which the experience is attributed. NB this is a reprint of article first published in Journal of Advanced Nursing, 2000 Mar; 31(3), 583-9.  
  Call Number NRSNZNO @ research @ Serial 837  
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