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Author Hunt, M.
Title Nurses can enhance the pre-operative assessment process Type Journal Article
Year 2006 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume (up) 12 Issue 10 Pages 20-22
Keywords Nursing specialties; Clinical assessment; Hospitals; Surgery
Abstract This reports on an initiative at Whakatane Hospital, where a Nurse-Led pre-assessment (NLPA) was delivered at an outpatients clinic. NLPA involves taking a comprehensive medical history, a nursing assessment, physical examination, airway assessment, ordering appropriate investigations and carefully documenting the process and results. More valuably, it provides an opportunity for the patient to participate in planning their care. The aim of this initative was to short circuit delays and congestion in existing pre-assessment clinics, streamline the pre-assessment process and reduce the number of patient visits to hospital. Reducing cancellations of surgery (often on the day of surgery) and “did not appear” (DNA) numbers were also objectives. After a small pilot, a six-month trial was funded by the Ministry of Health. Over the six-month trial, 373 patients attended NLPA; 178 patients required anaesthetist review before surgery, and 198 could proceed directly to surgery following NLPA. An anonymous postal survey was made of patients, who indicated satisfaction with the service. Other outcomes are discussed, and the trial was deemed successful. Follow up plans have been disrupted by restructuring at the hospital and the clinic has yet to be implemented.
Call Number NRSNZNO @ research @ 1005 Serial 989
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Author McKenna, B.; O'Brien, A.J.; Dal Din, A.; Them, K.
Title Responsible clinician role offers opportunities for nurses Type Journal Article
Year 2006 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume (up) 12 Issue 11 Pages 12-14
Keywords Psychiatric Nursing; Advanced nursing practice; Law and legislation; Mental health
Abstract The authors report on a recent study investigating the statutory role of responsible clinician. Statutory roles under mental health legislation offer mental health nurses a means of having advanced practice skills recognised, as well as contributing to improved access to services. There is a proliferation of roles intended to develop nursing readership, but in most cases they are not primarily clinical roles. The concept of “advanced practice” has become a means of developing clinical leadership roles in nursing. Research on responsible clinician role is presented along with the results of a survey of the 11 Registered Nurses practicing as responsible clinicians, five senior nurses from each of the 21 district health boards, and the Auckland Regional Forensic Psychiatry Services (n = 121). Respondents were asked whether the responsible clinician role was a legitimate one for nurses and whether they were motivated to attain or maintain that role. They were also asked which competencies for the role they believed they met, their perceptions of credentialing processes and the educational requirements needed to achieve the role. A clear majority of the respondents felt the role of the responsible clinician was a legitimate advanced practice role for mental health nurses. Despite this, some respondents expressed ambivalence about taking on the role. The research highlighted deficits in knowledge and skills that could become a focus of education for advanced practitioners seeking appointment as responsible clinicians. Deficits included some assessment skills, knowledge of a range of interventions and knowledge of other legislation affecting mental health legislation.
Call Number NRSNZNO @ research @ Serial 992
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Author Polley, H.
Title Treating wounds with oxygen Type Journal Article
Year 2006 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume (up) 12 Issue 2 Pages 16-17
Keywords Technology; Evidence-based medicine
Abstract This article overviews the use of hyperbaric oxygen treatment in New Zealand primarily for chronic wounds, those who have had radiation therapy and those who are having or who have had head and neck surgery. In New Zealand there are just three hyperbaric oxygen treatment units: The Devonport Naval Base and The Oxygen Therapy Clinic, both in Auckland; and the Hyperbaric Medicine Unit in Christchurch; thus access to this treatment is limited.
Call Number NRSNZNO @ research @ 1012 Serial 996
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Author Arcus, K.J.; Wilson, D.
Title Choosing Whitireia as a political act: Celebrating 20 years of a nurse education at Whitireia Community Polytechnic 1986-2006 Type Journal Article
Year 2006 Publication Whitireia Nursing Journal Abbreviated Journal
Volume (up) 13 Issue Pages 12-24
Keywords Cultural safety; Curriculum; Nursing; Education
Abstract In 2006, Whitireia Community Polytechnic celebrates 20 years of tertiary education. Nursing was one of the first courses to start at the new Parumoana Community College in February 1986. Oral histories, gathered from the women who have been the leaders of the undergraduate nursing programme throughout these two decades, form the basis of this article.
Call Number NRSNZNO @ research @ Serial 1038
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Author Pool, L.
Title Why do young people choose nursing as a career? Type Journal Article
Year 2006 Publication Whitireia Nursing Journal Abbreviated Journal
Volume (up) 13 Issue Pages 25-33
Keywords Careers in nursing; Nursing; Education
Abstract
Call Number NRSNZNO @ research @ Serial 1039
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Author Pearson, J.R.; Holloway, K. T.
Title A postgraduate primary health care programme for experienced registered nurses and newly graduated nurses Type Journal Article
Year 2006 Publication Whitireia Nursing Journal Abbreviated Journal
Volume (up) 13 Issue Pages 44-52
Keywords Primary health care; New graduate nurses; Registered nurses; Nursing; Education
Abstract This paper outlines the historical development of the Postgraduate Certificate in Primary Health Care Specialty Nursing programme. The paper discusses the multiple contextual considerations for the programme in terms of New Zealand health policy direction, academic level, and appropriate level of competency development for nurses new to primary health care and newly graduated nurses.
Call Number NRSNZNO @ research @ Serial 1040
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Author Trimmer, W.C.
Title The way things are done around here: Perceptions of clinical leadership in mental health nursing Type Journal Article
Year 2006 Publication Whitireia Nursing Journal Abbreviated Journal
Volume (up) 13 Issue Pages 68-69
Keywords Psychiatric Nursing; Leadership; Clinical supervision
Abstract Based on the author's thesis, this research project explored nurses' perceptions of clinical leadership in mental health nursing practice. From personal experience and discussion with colleagues the author argues that clinical leadership in terms of support and guidance for nurses is often minimal and that there is a relationship between qualities of clinical leadership and poor retention rates of mental health nurses.
Call Number NRSNZNO @ research @ 1057 Serial 1041
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Author O'Brien, A.J.; Kar, A.
Title The role of second health professionals under New Zealand mental health legislation Type Journal Article
Year 2006 Publication Journal of Psychiatric & Mental Health Nursing Abbreviated Journal
Volume (up) 13 Issue 3 Pages 356-363
Keywords Scope of practice; Psychiatric Nursing; Nurse-patient relations
Abstract The development of generic statutory roles in mental health care has been the subject of discussion by New Zealand nurses for the past decade. One such role is that of second health professional in judicial reviews of civil commitment. Issues identified by New Zealand nurses have also been raised in England, where it seems that nurses are likely to assume the role of Approved Mental Health Worker under English mental health law. A survey of mental health nurses found that few had received any preparation for the role of second health professional and 45% did not feel adequately prepared for the role. Some of these issues are reflected in a New Zealand inquiry which resulted in the Ministry of Health developing a written report form for second health professionals. However, the form has the potential to reduce the mental health nursing role to a narrow legal role. Statutory roles such as that of second health professional challenge mental health nurses to critically reflect on the conceptual and ethical basis of their practice. While traditional concepts such as therapeutic relationships and advocacy need to be reviewed in light of these changes, nurses need to be vigilant in articulating the moral and clinical basis of their roles. The development of guidelines for the second health professional role is suggested as a way of supporting clinical practice in this area.
Call Number NRSNZNO @ research @ Serial 1045
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Author Neville, S.J.; Alpass, F.
Title Older men and worries: The impact on well-being Type Journal Article
Year 2006 Publication Vision: A Journal of Nursing Abbreviated Journal Available online from Eastern Institute of Technology
Volume (up) 14 Issue 1 Pages 4-7
Keywords Older people; Male; Geriatric nursing
Abstract The aim of this research was to investigate the relationship between worries and psychological well-being, and self-rated health in older men. A cross-sectional survey method was used to investigate the research aim. A group of men aged 65 years and over (n = 217), who lived in a small New Zealand city, participated in this study. Results from this research revealed that worries about physical abilities and health were significantly related to a decrease in psychological well-being and self-rated health. Gerontological nurses are challenged to be cognisant of older men's concerns about their health and physical ability.
Call Number NRSNZNO @ research @ 1323 Serial 1307
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Author Wiffin, L.
Title Treating depression during pregnancy: Cognitive behavioural therapy as a treatment option Type Journal Article
Year 2006 Publication Vision: A Journal of Nursing Abbreviated Journal Available online from Eastern Institute of Technology
Volume (up) 14 Issue 1 Pages 8-12
Keywords Pregnancy; Mental health; Stress
Abstract This article reviews the use of cognitive behavioural therapy (CBT) for pregnant women suffering from depressive symptoms. CBT provides a structured, short-term, collaborative process between clinician and client, using strategies and techniques to identify dysfunctional thinking and beliefs, challenge and change these beliefs, then implement new rational beliefs and behaviours. A process of engagement, assessment and conceptualisation is followed by treatment planning and implementation, and modification of dysfunctional thinking and behaviours. Use of CBT to treat depression in women during pregnancy is supported by the literature, especially where pharmacological intervention is declined or contraindicated. Pregnancy can bring stressors that combine with biological factors and core beliefs to contribute to depressive symptoms.
Call Number NRSNZNO @ research @ Serial 1308
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Author Bavidge, D.
Title Leadership: Further perspectives Type Journal Article
Year 2006 Publication Vision: A Journal of Nursing Abbreviated Journal Available online from Eastern Institute of Technology
Volume (up) 14 Issue 1 Pages 20-22
Keywords Leadership; Feminist critique; Nursing philosophy
Abstract This paper uses two perspectives, a feminist analysis and emancipatory leadership model, to analyse the practice and philosophy of leadership. It finds the important components of leadership include communicating understanding, developing a sense of community, and reconstituting the power relationships. This challenges traditional leadership perspectives which privilege individuals hierarchically appointed, or with deemed alienable qualities or traits.
Call Number NRSNZNO @ research @ 1325 Serial 1309
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Author Honey, M.; Waterworth, S.; Baker, H.; Lenzie-Smith, K.
Title Reflection in the disability education of undergraduate nurses: An effective learning tool? Type Journal Article
Year 2006 Publication Journal of Nursing Education Abbreviated Journal
Volume (up) 15 Issue 11 Pages 449-453
Keywords Nursing; Education; People with disabilities; Teaching methods; Evaluation
Abstract The aim of this qualitative study was to evaluate the usefulness of formal reflection in the context of undergraduate nursing education during the teaching of a disability module. Reflection is defined as examination and exploration of an issue of concern to help create or clarify meaning.Twelve reflection assignments written by second-year nursing students were analysed. The analysis indicated that students' reflection focused less on their experience of working with people with disabilities and more on their overall learning experience and coping with clinical practice. A central theme, Coping with Clinical Practice, and four sub-themes were identified. Students acknowledged reflection as beneficial to their learning and linked to their clinical practice.
Call Number NRSNZNO @ research @ Serial 839
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Author McKenna, B.; O'Brien, A.J.; Dal Din, T.; Thom, K.
Title Registered nurses as responsible clinicians under the New Zealand Mental Health (Compulsory Assessment and Treatment) Act 1992 Type Journal Article
Year 2006 Publication International Journal of Mental Health Nursing Abbreviated Journal
Volume (up) 15 Issue 2 Pages 128-134
Keywords Advanced nursing practice; Psychiatric Nursing; Law and legislation
Abstract The objectives of this research were to determine how many registered nurses are working as 'responsible clinicians', under what phases of the legislation they are functioning, and to describe the enabling processes and barriers to nurses undertaking this statutory role. An anonymous descriptive survey was distributed to the 11 nurses who were currently responsible clinicians as well as five senior nurses selected from each of the 21 district health boards and the Auckland Regional Forensic Psychiatry Services (n=121). The response rate was 88.4% (n=107). The survey questioned respondents on statutory roles currently undertaken. Respondents were asked whether the responsible clinician role was a legitimate one for nurses and whether they were motivated to attain it. They were also asked which competencies of the role they believed they met, their perceptions of credentialing processes and the educational requirements needed to achieve the role. Of the approximately 395 responsible clinicians nationally, 11 (2.8%) are nurses. Most nurses viewed the role as legitimate. However, many were unaware of competencies for the role and credentialing processes, and were somewhat ambivalent about achieving the role due to current workload, role conflict and lack of remuneration. Competency deficits were highlighted. The authors conclude that there are grounds to encourage nurses as responsible clinicians given the intent of the legislation. This will require the promulgation of appropriate mental health policy, and a concerted effort by major stakeholders in mental health service delivery.
Call Number NRSNZNO @ research @ Serial 1044
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Author Crowe, M.; Ward, N.; Dunnachie, B.; Roberts, M.H.
Title Characteristics of adolescent depression Type Journal Article
Year 2006 Publication International Journal of Mental Health Nursing Abbreviated Journal
Volume (up) 15 Issue 1 Pages 10-18
Keywords Psychiatric Nursing; Mental health; Adolescents
Abstract This is a descriptive study of the characteristics of depression in a sample of 121 adolescents attending an outpatient specialist adolescent mental health service in New Zealand. The adolescents were required to complete two self-report measures to assess presence of depressive symptoms, severity of depression, and particular characteristics of the depression. The findings revealed that irritability was the most common characteristic along with other interpersonal and thought processing symptoms. It is important that mental health nurses are able to identify the specific characteristics of adolescent depression that may differ from adult depression in order to manage this patient population effectively.
Call Number NRSNZNO @ research @ 1065 Serial 1050
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Author Harding, T.S.
Title New strategies in evidence based practice Type Journal Article
Year 2006 Publication Klinisk sygepleje Abbreviated Journal
Volume (up) 20 Issue 3 Pages 4-11
Keywords Evidence-based medicine; Nursing; Education; Curriculum
Abstract This article considers wider organisational issues that impact on the implementation of evidence based practice. It describes the strategies adopted by the Auckland Area Health Board and Unitec New Zealand to implement the principles of evidence based practice in New Zealand. This has resulted in a collaboration with Auckland University and the Joanna Briggs Institute for Evidence Based Nursing and Midwifery to form the Centre for Evidence Based Nursing – Aotearoa. Evidence based nursing is a vital part of nursing education. Unitec New Zealand has developed and incorporated evidence based nursing into all courses in their undergraduate programme. Central to this is the use of evidence based practice in patient care and the integration of technology with evidence based nursing in clinical practice.
Call Number NRSNZNO @ research @ Serial 778
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