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Author |
Finlayson, M.; Gower, S.E. |
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Title |
Hospital restructuring: Identifying the impact on patients and nurses |
Type |
Journal Article |
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Year |
2002 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume  |
18 |
Issue |
2 |
Pages |
27-35 |
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Keywords |
Quality of health care; Hospitals; Organisational change |
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Abstract |
The authors report a survey of all nurses working in hospitals included in the International Hospital Outcomes Study of staffing and patient outcomes in New Zealand's secondary and tertiary hospitals from 1988-2001. The survey examines the way in which the hospitals have been restructured and analyses patient outcomes. Research has identified links between how nursing is organised in a hospital and that hospital's patient outcomes. |
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Call Number |
NRSNZNO @ research @ |
Serial |
615 |
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Author |
Warren, B.L. |
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Title |
Intramuscular injection angle: Evidence for practice? |
Type |
Miscellaneous |
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Year |
2002 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
18 |
Issue |
2 |
Pages |
42-51 |
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Keywords |
Patient safety; Immunisation |
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Abstract |
This article presents the findings of a search for evidence to support the 45-60 degree angle of insertion for intramuscular injection of vaccine which is recommended in New Zealand. With the objective of discovering the evidence base for an intramuscular injection angle which differs from that recommended by the World Health Organisation and the accepted practice experienced by the author in the UK, Canada, Malawi and the USA, a comprehensive library and internet literature search was undertaken. Information was also sought by personal correspondence and contact with a range of immunisation specialists. Both the literature specifically on needle angle and that which includes needle angle within a wider investigation of technique is included. Overwhelmingly the evidence supports a 90 degree angle of needle insertion for intramuscular injection as being most effective in terms of patient comfort, safety and efficacy of vaccine. |
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Call Number |
NRSNZNO @ research @ |
Serial |
616 |
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Author |
Farrow, T.; McKenna, B.; O'Brien, A.J. |
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Title |
Initiating committal proceedings 'just in case' with voluntary patients: A critique of nursing practice |
Type |
Journal Article |
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Year |
2002 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
18 |
Issue |
2 |
Pages |
15-23 |
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Keywords |
Patient rights; Law and legislation; Mental health; Nurse-patient relations |
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Abstract |
The authors report a clinical audit that, combined with anecdotal evidence, verifies the practice of putting section 8B medical certificates on the files of voluntary mental health patients at the time of admission. This is seen as a strategy to balance the requirement to support and promote the autonomy of voluntary patients with the need to protect those patients or other people. A conceptual analysis of these issues indicates that such a practice is both legally questionable and ethically inappropriate. The authors suggest an alternative framework for practice that is legally and ethically preferable for both nurses and patients. |
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Call Number |
NRSNZNO @ research @ |
Serial |
618 |
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Author |
Mackay, B. |
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Title |
Leadership development: Supporting nursing in a changing primary health care environment |
Type |
Journal Article |
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Year |
2002 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
18 |
Issue |
2 |
Pages |
24-32 |
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Keywords |
Leadership; Professional development; Primary health care; Nursing |
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Abstract |
The author argues that the involvement of nurses in the decision-making of health organisations is essential to maximise the contribution of nurses and promote positive outcomes for patients. She suggests that development of leadership skills will make nurses aware of power structures in the health system and allow them to become interdependent health professionals in primary health organisations (PHO). The particular competencies discussed are those proposed by Van Maurik (1997), namely ability to understand and manage organisational politics, work facilitatively with people and circumstances, and build a feeling of purpose. |
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Call Number |
NRSNZNO @ research @ |
Serial |
619 |
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Author |
Carryer, J.B.; Budge, C.; Russell, A. |
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Title |
Measuring perceptions of the Clinical Career Pathway in a New Zealand hospital |
Type |
Journal Article |
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Year |
2002 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
18 |
Issue |
3 |
Pages |
18-29 |
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Keywords |
Professional development; Careers in nursing; Nursing; Hospitals |
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Abstract |
The authors outline the Clinical Career Pathways (CCPs) for nurses, which were first established in New Zealand during the late 1980s. This paper introduces a new instrument, the Clinical Career Pathway Evaluation Tool (CCPET) designed to assess nurses' and midwives' knowledge of and attitudes towards their Clinical Career Pathway. The 51 item instrument takes the form of a self-report questionnaire. The development of the CCPET is described and results from an initial application of the instrument with 239 nurses and midwives in a New Zealand hospital are presented. Results indicate that knowledge levels were moderate in this sample and were correlated with both positive and negative attitudes. Results of t-test comparisons indicated that, on average, the group who had already completed a CCP portfolio had greater knowledge and more positive attitudes than the group who had not. |
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Call Number |
NRSNZNO @ research @ 634 |
Serial |
620 |
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Author |
McKenna, B. |
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Title |
Risk assessment of violence to others: Time for action |
Type |
Journal Article |
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Year |
2002 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
18 |
Issue |
1 |
Pages |
36-43 |
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Keywords |
Mental health; Workplace violence; Risk management; Nursing; Nurse-patient relations; Psychiatric nursing |
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Abstract |
The author performs a literature search on the topics of risk assessment, dangerousness, aggression, and violence in order to determine an evidence-based approach to risk assessment of patient violence towards others. This is set in the context of possible expansion in the scope of practice of mental health nurses, and the prevalence of nurses being assaulted by patients. In the absence of reliable and valid nursing risk assessment measures, the approach suggested here focuses on the use of observation skills to detect behaviour antecedent to physical assault, and the ability to adapt evidence to specific clinical settings. |
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Call Number |
NRSNZNO @ research @ |
Serial |
621 |
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Author |
Horsburgh, M.; Smith, V.A.; Kivell, D. |
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Title |
South Auckland community paediatric nursing service: A framework for evaluation |
Type |
Journal Article |
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Year |
2002 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
18 |
Issue |
3 |
Pages |
40-49 |
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Keywords |
Paediatric nursing; Community health nursing; Evaluation research |
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Abstract |
This paper describes the Kidz First paediatric community homecare nursing team in South Auckland. While the service was not initially planned as an integrated approach to child health, its evolution reflects the move to more community based care delivery and the expansion of nurse-led initiatives in New Zealand. The components of a community paediatric home nursing team as described by Eaton (2000) are used to provide the framework with which to describe the service. A focus group held with the Kidz First paediatric community homecare nurses has enabled definition of the key nursing components provided to children and their families living in South Auckland. |
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Call Number |
NRSNZNO @ research @ |
Serial |
622 |
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Author |
Jackson, H. |
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Title |
Compassion: A concept exploration |
Type |
Journal Article |
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Year |
2001 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
17 |
Issue |
1 |
Pages |
16-23 |
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Keywords |
Ethics; Nursing philosophy |
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Abstract |
This paper explores the nature of compassion and posits it as a moral virtue that requires the nurse to act in the presence of suffering. Compassion is defined in relation to suffering and reciprocity, and distinguished from sympathy and pity. |
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Call Number |
NRSNZNO @ research @ 638 |
Serial |
624 |
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Author |
Spence, D. |
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Title |
The evolving meaning of 'culture' in New Zealand nursing |
Type |
Journal Article |
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Year |
2001 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
17 |
Issue |
3 |
Pages |
51-61 |
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Keywords |
Cultural safety; Biculturalism; History of nursing; Maori |
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Abstract |
The author traces the nursing definition of biculturalism as it has evolved from the colonial period to the present. An examination of nursing literature demonstrates that local understandings of culture have matured beyond anthropological interpretations to a sociopolitical definition of Maori culture. The author suggests that, in nursing, culture has come to mean cultural safety. |
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Call Number |
NRSNZNO @ research @ |
Serial |
625 |
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Author |
Noble-Adams, R. |
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Title |
'Exemplary' nurses: An exploration of the phenomenon |
Type |
Journal Article |
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Year |
2001 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
17 |
Issue |
1 |
Pages |
24-33 |
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Keywords |
Nurse-patient relations; Nursing; Professional competence |
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Abstract |
This paper examines the phenomenon of exemplary nursing. It includes a literature review to identify the characteristics of good nurses. These include particular personality traits, altruism, caring, expert practice, vocation, commitment and attitude. Aspects of the nurse-patient relationship with such nurses is described. |
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Call Number |
NRSNZNO @ research @ 640 |
Serial |
626 |
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Author |
Hughes, F. |
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Title |
Locating health policy and nursing: Time for a closer relationship |
Type |
Journal Article |
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Year |
2001 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
17 |
Issue |
3 |
Pages |
5-14 |
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Keywords |
Policy; Nursing |
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Abstract |
This paper outlines the role that policy and nursing have in a demanding and changing health care environment. It shows the basic tenets of policy, and provides strategies to enable nurses to increase their involvement in policy-making. |
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Call Number |
NRSNZNO @ research @ 641 |
Serial |
627 |
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Author |
Clendon, J.; McBride, K. |
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Title |
Public health nurses in New Zealand: The impact of invisibility |
Type |
Journal Article |
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Year |
2001 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
17 |
Issue |
2 |
Pages |
24-32 |
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Keywords |
Public health; Nursing specialties |
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Abstract |
This research study examined the role of the public health nurse. Utilising community needs analysis method, 17 key informants and two focus groups were asked questions to determine perceptions of the public health nurse. Findings indicated that participants lacked knowledge regarding the role. Additional findings intimated that participants had difficulty in accessing public health nurse services and that 'knowing the system' was beneficial to receiving needed care. One of the major conclusions of this study was that many facets of care managed by public health nurses were invisible to the communities in which they work. Conclusions suggest that public health nurses need to enhance their service by improving accessibility to services and promoting their service in a more visible manner. |
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Call Number |
NRSNZNO @ research @ 643 |
Serial |
629 |
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Author |
Papps, E. |
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Title |
(Re)positioning nursing: Watch this space |
Type |
Journal Article |
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Year |
2001 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
17 |
Issue |
2 |
Pages |
4-12 |
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Keywords |
History of nursing; Nurse practitioners |
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Abstract |
This paper traces the emergence of categories of nurse over the last hundred years from the time that the Nurses Registration Act became law in 1901. Insights from the work of Michel Foucault are utilised to show how nurses and nursing have been historically shaped and positioned. It is suggested that the recent endorsement by the Nursing Council of New Zealand of the concept and title of 'nurse practitioner' represents an opportunity for nurses to imagine what might be constructed for their roles. |
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Call Number |
NRSNZNO @ research @ |
Serial |
630 |
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Author |
Clear, G.M.; Carryer, J.B. |
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Title |
Shadow dancing in the wings: Lesbian women talk about health care |
Type |
Journal Article |
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Year |
2001 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
17 |
Issue |
3 |
Pages |
27-39 |
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Keywords |
Sexuality; Patient satisfaction; Nursing research; Quality of health care; Feminist critique |
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Abstract |
A participatory approach, grounded in both critical social and feminist research, was used in this study of seven women who claim being lesbian as part of their identity. With the objective of providing information to enhance safe care provision for this marginalised group, the study explored factors which hindered or facilitated these women's sense of safety related to health care. The findings indicate that barriers to receiving health care exist for these women. As there is little local or international research on lesbians and healthcare, this work offers a starting place for future New Zealand nursing research involving lesbians. The authors encourage other nurses to explore previously ignored sections of our society in order to strive for safety for all those whom nursing serves. |
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Call Number |
NRSNZNO @ research @ |
Serial |
843 |
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Author |
Dyson, L. |
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Title |
The role of the lecturer in the preceptor model of clinical teaching |
Type |
Journal Article |
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Year |
2000 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
16 |
Issue |
3 |
Pages |
16-24 |
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Keywords |
Teaching methods; Nursing; Education; Preceptorship |
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Abstract |
This article reports on a descriptive study undertaken within a school of nursing where the author was formerly employed. The study explored the role of the lecturer within the preceptorship model of clinical teaching. It uses an exploratory/descriptive, qualitative approach to interviewing 12 lecturers. The findings demonstrate the educational orientation of the lecturer role and also highlight the tension that continues to exist between the world of education and the world of practice. |
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Call Number |
NRSNZNO @ research @ |
Serial |
635 |
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