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	Author	Carter, T.
	Title	The places we will go		Type
	Year	2000	Publication	Abbreviated Journal	Victoria University of Wellington Library
	Volume		Issue	Pages
	Keywords	Nursing philosophy
	Abstract	The author examines how writing shapes her practice and how she nurses, her way of being and doing. She notes that “as human beings we cannot be broken into subsets, my personal and professional being inform each other, therefore you will find woven into the fabric of this paper my personal and professional becoming united by the dominant thread of nursing”. The paper is structured using the different phases of her career as a staff nurse, nurse practitioner and charge nurse. In each section she has linked the stories of children and young adults with reflections on her writing and how it has impacted her practice. She goes on to say that question and reflection are vital adjuncts to nurses' development as individual practitioners and to the profession. They facilitate journeying past the superficial into the deep of a relationship with patients and colleagues. She identifies a responsibility as nurses is to engage with the individual and help them find a space where they can regain a sense of hope and personal power. This paper follows the author's journey, leaving her with a clearer understanding of who she is and how she nurses.
	Call Number	NRSNZNO @ research @ 578		Serial	564
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	Author	Logan, C.M.
	Title	Anaesthetic nursing: Focusing perioperative practice on the patient		Type
	Year	2000	Publication	Abbreviated Journal	Victoria University of Wellington Library
	Volume		Issue	Pages
	Keywords	Nursing specialties; Advanced nursing practice; Nurse-patient relations; Nursing; Education
	Abstract	The purpose of this literature review is to generate a picture of what is known and what needs to be investigated further about anaesthetic nursing in the perioperative nursing role in New Zealand, and to examine this in relation to international trends. Nurse anaesthetists in the United States are described in American nursing literature, and recognised as one of the four advanced nurse practitioner roles. In New Zealand, recent efforts to provide appropriate post-graduate education for the perioperative nurse have been challenged by other inter-professional interests, thus restricting the development of an expanded role. The author notes that this has caused concern for New Zealand's perioperative nurses who consider anaesthetic nursing is an integral part of perioperative practice. Anaesthetic nursing forms a substantial component of the basic competencies required of a registered nurse working in the operating theatres. Orientation programmes and ongoing education at all levels of professional development incorporate anaesthetic nursing competencies to provide continuity of patient care and support perioperative practice. Care of the patient undergoing anaesthesia is an area where nurses demonstrate their advanced assessment skills and clinical judgement and is included in perioperative specialist or nurse practitioner job descriptions. The Perioperative Nurses Association in New Zealand is concerned to develop postgraduate education in their area of speciality to support their application for 'College' status within the New Zealand Nurses Organisation. For this to happen in a cogent fashion, information and knowledge generated from research, are required to clarify perioperative nursing's current position and determine how practice can be shaped to best care for patients undergoing surgical interventions. Evidence from research supports nurses in the anaesthetic role by demonstrating that the preoperative visits and assessments they undertake can reduce patients' anxieties, decrease the need for pain relief and shorten hospital stays. This review includes literature sources that explore disparities between the development of New Zealand anaesthetic nursing and international models. The author suggests that information and understanding gained from conducting this review will allow future developments in anaesthetic nursing practice to be informed by previous initiatives and projects and identifies areas for further research.
	Call Number	NRSNZNO @ research @		Serial	790
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	Author	McClunie-Trust, P.
	Title	Body boundaries and discursive practices in life threatening illness: Narratives of the self		Type
	Year	2000	Publication	Abbreviated Journal	Victoria University of Wellington Library
	Volume		Issue	Pages
	Keywords	Nurse-family relations; Nursing; Ethics
	Abstract	This thesis tells a story from within and between the boundaries of my professional work as a nurse and my private life as the wife of a patient with life threatening illness. The events related in the thesis are told using a technique I have called writing back to myself, where my own journals and stories of the experience of living with life threatening illness provide data for analysis. The reader is invited to participate in these representations and to consider the potential for the skilful practice of nursing which may be read in the stories, and the analysis I have developed from them. I have developed the theoretical and methodological positionings for the thesis from the work of Foucault (1975,1979,1982,1988), Deleuze (1988), Ellis (1995), Richardson (1998) and other writers who utilise genealogical or narrative approaches. The analysis of my own stories in the thesis explores the philosophical and contextual positionings of the nurse as a knowledge worker through genealogies of practice and the specific intellectual work of the nurse. Local and contextual epistemologies are considered as ways of theorising nursing practice through personal knowledge, which is surfaced through the critical analysis of contextual positionings and the process of writing as inquiry.
	Call Number	NRSNZNO @ research @		Serial	791
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	Author	Casey, G.
	Title	Conditional expertise in chronic illness		Type
	Year	2000	Publication	Abbreviated Journal	Massey University Library
	Volume		Issue	Pages
	Keywords	Chronically ill; Nurse-patient relations
	Abstract
	Call Number	NRSNZNO @ research @ 808		Serial	792
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	Author	Mortensen, A.
	Title	Destigmatisation: A grounded theory of the work of sexual health nurses		Type
	Year	2000	Publication	Abbreviated Journal	Massey University Library
	Volume		Issue	Pages
	Keywords	Sexual and reproductive health; Prejudice; Nurse-patient relations; Attitude to health
	Abstract
	Call Number	NRSNZNO @ research @ 809		Serial	793
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	Author	Robertson, G.
	Title	Disquiet in the development of clinical supervision for professional development in nursing practice: A literature review		Type
	Year	2000	Publication	Abbreviated Journal	Victoria University of Wellington Library
	Volume		Issue	Pages
	Keywords	Clinical supervision; Professional development; Nursing
	Abstract	Nursing literature reflects that nurses have been exploring and experiencing the process of clinical supervision for well over a decade. Nurses in the United States, United Kingdom, Scandinavia, and Australasia have written much over the past fifteen years. However, the author notes that nurses grapple with what clinical supervision is within nursing development and disquiet continues to emerge in the literature. This literature review expands on themes that surround this disquiet. These centre on continued confusion and lack of clear definition; whether psychotherapy is implemented under the guise of clinical supervision, who uses it, and the dearth of empirical evaluation of its effectiveness. The lack of significant empirical evidence of its ability to assist practitioners to deliver improved patient/client care continues despite claims of improved professional and personal development, therapeutic relationship, and occupational stress management. These claims come from both supervisees and supervisors. The manner in which clinical supervision is portrayed in nursing in that it is frequently referred to as a support system, rather than one of learning a complex set of communication skills is also highlighted. The continued debate on what model(s) best suit nurses, or whether line management should provide clinical supervision as a means to ensure quality standards and control over nursing practice and optimal patient care is discussed. Whether nursing should stop borrowing from other fields and develop their own model(s) is also raised. Two emerging stances focus on a process that is practice-based as identified by senior staff and management, or one that continues along the lines of what psychotherapy has developed with practitioner-identified developmental needs. These issues raise many questions for further development in nursing, one being are nurses developed enough in their self-awareness to understand what they are to adopt into their practice? Authentic voices from those nurses experienced in the practice of providing and receiving clinical supervision, are shaping therapeutic practice for nurses in the future, and continue to sharpen the debate. Some reference to unpublished data and local practice in the Wellington area have been included as a stimulus for further incorporation of clinical supervision in local practice development.
	Call Number	NRSNZNO @ research @		Serial	794
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	Author	Blockley, C.E.
	Title	The experience of hospitalization first time for an acute medical illness		Type
	Year	2000	Publication	Abbreviated Journal	Massey University Library
	Volume		Issue	Pages
	Keywords	Hospitals; Patient satisfaction
	Abstract
	Call Number	NRSNZNO @ research @ 811		Serial	795
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	Author	Crawford, R.
	Title	An exploration of nurses' understanding of parenting in hospital		Type
	Year	2000	Publication	Abbreviated Journal	Massey University Library
	Volume		Issue	Pages
	Keywords	Nurse-family relations; Children; Hospitals; Parents and caregivers
	Abstract
	Call Number	NRSNZNO @ research @ 812		Serial	796
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	Author	Thompson, S.A.
	Title	Getting it right: An exploration of compulsive caregiving and helping profession syndrome		Type
	Year	2000	Publication	Abbreviated Journal	Victoria University of Wellington Library
	Volume		Issue	Pages
	Keywords	Psychology; Nursing
	Abstract	This thesis is a theoretical exploration of the concepts of 'Compulsive caregiving' and 'helping profession syndrome' in relation to the choice of nursing as a career. These concepts are derived from Bowlby's attachment theory and psychodynamic psychotherapy. Both have evolved from psychoanalytic theory. The thesis explains Bowlby's development of compulsive caregiving in health professionals. The author notes that her life history and experience as a nurse educator and as a nurse practicing psychotherapy support this theoretical explanation. An argument is developed that the propensity towards compulsive caregiving is a strength in nurses. Nursing places high value on caring and many of the traits exhibited by compulsive caregivers are desirable in nurses. Nursing as a caring interpersonal process is explored with reference to the literature. However, nursing has been identified as a stressful occupation. Support strategies such as professional supervision and reflective practice are discussed. Thesis concludes with a suggestion for further research on compulsive caregiving and helping profession syndrome.
	Call Number	NRSNZNO @ research @ 813		Serial	797
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	Author	Sadler, D.
	Title	Stigma, discrimination and a model for psychiatric mental health nursing practice		Type
	Year	2000	Publication	Abbreviated Journal	Victoria University of Wellington Library
	Volume		Issue	Pages
	Keywords	Mental health; Psychiatric Nursing; Psychology
	Abstract	This paper seeks to understand the aetiology of stigma. The word stigma comes from the Greek language and refers to a brand, a mark of shame. Society has used this phenomenon to mark those who do not fit with the stereotypical virtual identity expected by a group. Stigma has persisted throughout the ages to enforce norms and sanction rules. Stigma is a term used to broadly define an attitude to negative attributes. It is a way of treating people that indicates to the individual, they are different from the norm. Research indicates the general population has discriminatory attitudes to those who have experienced mental illness. This discrimination impacts on the lives of those people. Their stories tell of shame, sadness and anguish. Families too, feel the ongoing effects of stigma. Psychiatric mental health professionals are said to perpetuate the discrimination arising from the stigma of mental illness. This is shown in the literature to persist through labelling and disempowering practices. The attitude of nurses in particular is critical to promoting healing environments. It is thought that a humanistic altruistic approach to nursing practice will help to eliminate discriminatory practice by nurses. It is hoped that this approach will create collaborative care that gives the individual the respect, response, choice and support they need to assist in recovering from mental illness.
	Call Number	NRSNZNO @ research @ 815		Serial	799
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	Author	Richardson, F.I.
	Title	What is it like to teach cultural safety in a New Zealand nursing education programme?		Type
	Year	2000	Publication	Abbreviated Journal	Massey University Library; NZNO Library
	Volume		Issue	Pages
	Keywords	Cultural safety; Nursing; Education; Transcultural nursing; Maori
	Abstract
	Call Number	NRSNZNO @ research @		Serial	872
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	Author	Love, E.
	Title	Towards the best of both worlds: Developing a partnership between education and practice to improve clinical practicum experience and learning outcomes for undergraduate nursing students		Type
	Year	2000	Publication	Abbreviated Journal	Victoria University of Wellington Library
	Volume		Issue	Pages
	Keywords	Nursing; Education; Teaching methods
	Abstract	One proposed method for addressing concerns about a `theory-practice gap' in nurse education and perceived clinical shortcomings in beginning practitioners, is improved collaboration between education and practice. This paper is about a New Zealand nursing initiative to promote optimal learning outcomes for nursing students through supported hospital clinical experiences. It is implemented through a contractual partnership between Lakeland Health Limited in Rotorua, and Waiariki Institute of Technology. An associated “Clinical Nurse Educator Programme”, developed by lecturers at Waiariki's nursing school, prepares hospital nurses to be Clinical Nurse Educators. These “C.N.Es” replace and enhance the clinical role formerly provided by nursing lecturers, and short term contracted nurses. The programme is entering its fourth year with positive evaluations, and has extended into another hospital. Literature suggests that although educators are important, students may consider hospital nurses much more significant for their clinical learning and developing confidence 'in the real world'. These nurses are on hand, and generally have clinical credibility not afforded to academic staff. However, ward nurses, like contracted nurse teachers, have reported not having enough curriculum knowledge, nor teaching skills to optimise student learning. This C.N.E programme addresses these shortcomings through its selection of experienced nurses in current practice, and 50 hours of theoretical and practical course content, to prepare them for the role. This paper provides a clinical and personal perspective of the C.N.E programme, its beginnings, how it works locally, and process for its ongoing development. Not only does this programme provide a bridge between theory and practice for students during their clinical practicum placements, but communication, consultation and collaboration between education, practice and the workplace have also improved. Nurses in both sectors are confident that through the developing partnerships, students and future practice will benefit from the aim to provide students with 'the best of both worlds'.
	Call Number	NRSNZNO @ research @		Serial	897
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	Author	O'Brien, A.J.
	Title	The therapeutic relationship: Perceptions of mental health nurses		Type
	Year	2000	Publication	Abbreviated Journal	Massey University Library
	Volume		Issue	Pages
	Keywords	Psychiatric Nursing; Mental health; Nurse-patient relations
	Abstract
	Call Number	NRSNZNO @ research @ 914		Serial	898
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	Author	Wilson, H.V.
	Title	Surveillance or support: Divergent discourses in Plunket nursing practice		Type
	Year	2000	Publication	Abbreviated Journal	Victoria University of Wellington Library
	Volume		Issue	Pages
	Keywords	Public health; Children; Community health nursing; Plunket
	Abstract	Plunket nurses are New Zealand child health nurses who work in the community with the families of new babies and preschool children. Their work is called child health surveillance and this is considered to involve routine and unproblematic practices which are generally carried out in homes and clinics in the context of a relationship with the child's mother (Ministry of Health 1996; Royal New Zealand Plunket Society 1997). However, evidence in the literature that surveillance can have implications for power relations throws doubts on official claims that the relationship between the mother and nurse operates as a partnership (Trout and Polaschek 1996). The purpose of this thesis was to explore the way in which surveillance is constituted within the discourses of Plunket nurses and to examine these discourses for any implications of unequal power relations. Foucauldian discourse theory and poststructuralism, which informed this thesis, provided the opportunity to challenge assumptions about power and knowledge in the child health context. Analysis of the discourses generated by interviews with five Plunket nurses revealed that, contrary to the claims in the official literature, the relationship between the Plunket nurse and the mother is not that of an equal partnership but is constituted in various and unexpected ways. It was through the nurses' discourses of surveillance that the power relations underpinning this relationship were surfaced. While these discourses suggested that many mothers who use the nursing service are actively involved on their own terms, there are a number of women for whom the surveillance activities of the nurse have been shown to be particularly intrusive (Mayall 1986; Clinton 1988; Bloor and McIntosh 1990; Knott and Latter 1999). It may be primarily this unwelcome surveillance which accounts for the considerable number of women who, the statistics show, cease using Plunket services particularly in the early months. It is perhaps for this reason that the nurses in this study locate themselves as being caught between divergent discourses of support and surveillance. Findings indicate that the resolution of this dilemma by abandoning surveillance practices might improve maternal satisfaction with the Plunket nursing service. The author concludes that a child health service responsive to mothers' stated needs rather than institutional requirements or the nurse's own agenda could lead to a more open and equal relationship between mother and nurse. This relationship would be likely to benefit mothers and babies and, at the same time, enhance both nursing practice and nurses' satisfaction with their work.
	Call Number	NRSNZNO @ research @		Serial	899
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	Author	Brinkman, A.
	Title	A study into the causes and effects of occupational stress in a regional women's health service		Type
	Year	2000	Publication	Abbreviated Journal	Victoria University of Wellington Library
	Volume		Issue	Pages
	Keywords	Stress; Midwifery; Nursing
	Abstract	Hospital-based health systems have the potential to be high stress environments, as staff work towards meetings the many and varied demands of the patients and their families / whanau in a situation of limited resources and unpredictable workloads. Dealing with physical and emotional trauma, and the 'normal' exigencies of daily life in what may be a far from normal workplace may compound the stresses facing health workers. Nurses, who are often at the interface between patients and other health professionals, may be caught in a cross-fire of transferred stress while also coping with stressors associated with their jobs. As well as being likely to have a negative effect on their well-being and job satisfaction, any such compounding impact of stress and stressors could have adverse impacts on patients and their supporters. The primary focus of this study has been to identify stress levels among nurses in a woman's health service, and to establish the causes of elevated stress. All staff were surveyed (with a 68% response rate). Midwives made up the largest portion, followed by nurses, doctors, therapies, support and clerical groups. The Job Stress Survey (JSS) and the General Health Questionnaire – 12 (GHQ-12) were used to help detect emergent stressors, and stress effects that staff were experiencing at the time. Aggregate data was used, focusing on the six occupational groupings and the nine areas within the health service. Findings from the JSS confirm that the staff had experienced a number of stressors, while indications of deleterious mental health effects in some staff emerged from the GHQ-12 scores. Occupational stress is a subset of general stress, making it difficult to separate one from the other as spheres of our lives overlap and interact. The stressors that were identified should contribute to the discussions and policies that might abet the reduction of stress. On the other hand, it is not possible to attribute the effects describes by the GHQ-12 as being derived primarily from occupational stress. A stressed staff member, no matter what the source of their stress might be, still needs support in order to cope. The author notes that the negative outcomes of occupational stress manifests themselves in many ways such as; mistakes, absenteeism, horizontal violence, burnout and turnover. These all affect the quality of the patient care delivered, leading to decreased patient satisfaction and and need to be addressed for these reasons.
	Call Number	NRSNZNO @ research @		Serial	900
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