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Author Smye, V.; Rameka, M.; Willis, E.
Title Indigenous health care: Advances in nursing practice Type Journal Article
Year 2006 Publication Contemporary Nurse Abbreviated Journal
Volume (down) 22 Issue 2 Pages 142-154
Keywords Cultural safety; Transcultural nursing; Cross-cultural comparison; Nursing; Education
Abstract In this introduction to a special issue on nursing with indigenous peoples, the authors affirm the need for continued application of tools and strategies for thinking critically about issues of culture, history and race. Without these things, evidence of discriminatory policies and practices in the health system remain hidden to many health professionals. Attention to socio-political structures is as essential to promoting health and preventing illness as are nurses' activities with the individual clients. To develop critical consciousness in nursing requires educational strategies and frameworks that focus on the responsibilities and implications of practicing nursing in a postcolonial context where race and power continue to create patterns of inclusion and exclusion in health care settings. The authors suggest that many contemporary nursing programmes fail to provide such strategies and frameworks, and argue that nursing must view critical analyses of these issues as central aspects of nursing education, research, theory and practice. They go on to engage with the notion of cultural safety as a means of fostering a critical political and social consciousness in nursing to create an opportunity for social transformation.
Call Number NRSNZNO @ research @ Serial 1037
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Author Nicol, M.J.
Title The teaching of genetics in New Zealand undergraduate nursing programmes Type Journal Article
Year 2002 Publication Nurse Education Today Abbreviated Journal
Volume (down) 22 Issue 5 Pages 401-408
Keywords Curriculum; Nursing; Education
Abstract This paper reports the results of a survey to determine how much genetics is taught in the bioscience component of the three-year Bachelor of Nursing degree offered by 16 tertiary education institutes in New Zealand. A questionnaire was mailed to the bioscience lecturers seeking information on the bioscience and genetics content of current programmes. They were also asked to indicate their perception of the impact and relevance of new genetic knowledge on health care and nursing education. Results indicated that on average 250-350 hours are devoted to the teaching of biosciences. Less than 10 hours are devoted to genetics at 66% of institutes, one institute did not teach any aspect of genetics. None of the institutes taught more than 20 hours of genetics in the programme, although 47% of lecturers said they would like to teach more genetics if there were more time available in the curriculum. Lecturers teaching bioscience to Bachelor of Nursing students are aware of the importance of genetics in health care and to nursing in particular, and the majority are of the opinion that more genetics should be included in undergraduate programmes, however 'curriculum crowding' is a problem.
Call Number NRSNZNO @ research @ Serial 1076
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Author Litchfield, M.
Title Practice wisdom Type Journal Article
Year 1999 Publication Advances in Nursing Science Abbreviated Journal
Volume (down) 22 Issue 2 Pages 62-73
Keywords Nursing research; Nursing; Health knowledge
Abstract The paper is the report of two cumulative research projects studying the nature of nursing knowledge and methodology to develop it. They were undertaken as theses for masters and doctoral degrees at the University of Minnesota, USA. Nursing knowledge is depicted as relational: an evolving participatory process of research-as-if-practice of which 'health' (its meaning), dialogue, partnership and pattern recognition are threads inter-related around personal values of vision and community.
Call Number NRSNZNO @ research @ 1186 Serial 1171
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Author Amankwaa, Isaac; Nelson, Katherine; Rook, Mary; Hales, Caroline
Title Association between body mass index, multi-morbidity and activities of daily living among New Zealand nursing home older adults: a retrospective analysis of nationwide InterRAI data Type Journal Article
Year 2022 Publication BMC Geriatrics Abbreviated Journal
Volume (down) 22 Issue 1 Pages 1-10
Keywords Obesity; Body mass index; Residential aged care facilities; InterRAI
Abstract Undertakes a retrospective review of nursing home residents' data obtained from the NZ International Residential Assessment Instrument national dataset, 2015-2018. Includes 198,790 aged care residents, calculating weight in kilograms divided by height in metres squared. Defines multi-morbidity as the presence of 2 or more health conditions. Measures the risk of disability by a self-performance scale. Highlights an inverse relationship between activities of daily living (ADL) and BMI.
Call Number NZNO @ research @ Serial 1785
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Author Litchfield, M.; Noroian, E.
Title Changes in selected pulmonary functions in patients diagnosed with myasthenia gravis Type Journal Article
Year 1989 Publication Journal of Neuroscience – Nursing Abbreviated Journal
Volume (down) 21 Issue 6 Pages 375-381
Keywords
Abstract Patients with myisthenia gravis (MG) face major pulmary problems as a part of the disease process. In this descriptive study, changes in selected pulmonary functions (respiratory rate, negative inspiratory force, tidal volume and forced total capacity) in 14 patients diagnosed with mild or moderate MG were measured every two hours from 8.00 a.m. to 8.00 p.m. Females comprised 64% of the sample while 36% were males. All subjects received anticholnesterase medication, and some subjects received additional treatment modalities. Most of the subjects were non-smokers or previous smokers, but two subjects continued to smoke. Ninety-three recent of the sample had forced vital capacities less than 60% of their predicted values. Myasthenic forced vital capacities were significantly lower (p=.0000) than those predicted for normal subjects. The inspiratory force for the sample was low sat 8:00 a.m. as well as in females over 55 years of age. There was a wide variation in total volume to normal values derived from random tables and predicted equations ws not significant. Th major implications from this study are the need to assess pulmonary function in the hospitalized myasthenic every two hours, and the need for a program of coughing, deep breathing and sighing after medication administration when the muscles are strongest
Call Number NRSNZNO @ research @ 370 Serial 370
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Author Phillips, B.N.
Title A survey of mental health nurses' opinion of barriers and supports for research Type Journal Article
Year 2005 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume (down) 21 Issue 1 Pages 24-32
Keywords Professional development; Mental health; Nursing research
Abstract This paper reports the findings of a preliminary survey of two district health boards, which shows that high workloads and lack of relief staffing appear as the greatest hurdles to mental health nurses participating in practice-based nursing research. A further constraint on their participation is lack of research expertise and experience. Consultative discussions with senior mental health nurses support these conclusions. In this paper, mentoring and flexible research designs are promoted as possible ways of overcoming these barriers.
Call Number NRSNZNO @ research @ Serial 532
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Author McPherson, G.; Horsburgh, M.; Tracy, C.
Title A clinical audit of a nurse colposcopist: Colposcopy, cytology, histology correlation Type Journal Article
Year 2005 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume (down) 21 Issue 3 Pages 13-23
Keywords Nurse practitioners; Professional competence; Diagnosis; Advanced nursing practice
Abstract A clinical audit was undertaken to assess the diagnostic skills of the nurse colposcopist measuring colposcopy: histology: cytology correlation. At National Women's Health the first New Zealand nurse colposcopist training programme was developed in 2000. A retrospective audit of the colposcopy clinical records was performed during the nurse's training programme between July 2000 and March 2002. An 82% (82/100) histology: cytology: colposcopy correlation was achieved by the nurse in the third phase of her training programme. The results are comparable with other reported studies involving medical and nurse colposcopists. Expertise in colposcopy examination can be incorporated into the broader role of a Nurse Practitioner working in the area of women's health.
Call Number NRSNZNO @ research @ 548 Serial 534
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Author Richardson, S.
Title Incorporation of research into clinical practice: The development of a clinical nurse researcher position Type Journal Article
Year 2005 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume (down) 21 Issue 1 Pages 33-42
Keywords Emergency nursing; Nursing research; Hospitals
Abstract The author backgrounds the development of the role of an innovative Nurse Researcher (Emergency Medicine) role at Christchurch Hospital. She describes the emergency department and the factors leading to the creation of the role. Specific nursing research projects are reviewed, and the nature of nursing in relation to research is discussed. The author argues that the nurse researcher is integral to the expansion of evidence-based nursing, and that the role of Clinical Nurse Researcher in the emergency department has resulted in a higher profile for research, and the gradual integration of research as a clinical skill with direct practical relevance.
Call Number NRSNZNO @ research @ Serial 536
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Author Hughes, M.; Farrow, T.
Title Invisible borders: Sexual misconduct in nursing Type Journal Article
Year 2005 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume (down) 21 Issue 2 Pages 15-25
Keywords Patient safety; Nursing; Guidelines
Abstract This paper identifies the issue of sexual misconduct by nurses in New Zealand. There is evidence that some nurses have been involved in sexual misconduct, resulting in disciplinary proceedings against them. Despite this, there is an absence of guidelines and discussion for New Zealand nurses to prevent such occurrences. This article identifies difficulties in naming and defining sexual misconduct, and discusses sexual misconduct as an abuse of power by nurses. New Zealand and international literature about sexual misconduct by nurses and other health professionals is described, as are guidelines designed to prevent sexual misconduct. Finally, the authors make recommendations for actions needed to facilitate New Zealand nurses in identifying and avoiding sexual misconduct in practice.
Call Number NRSNZNO @ research @ Serial 537
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Author Lyford, S.; Cook, P.
Title The Whanaungatanga model of care Type Journal Article
Year 2005 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume (down) 21 Issue 2 Pages 26-36
Keywords Maori; Hospitals; Nursing models
Abstract The authors introduce the Kaupapa nursing service at Te Puna Hauora, Tauranga Hospital. It implements an indigenous health model, the Whanaungatanga Model of Care, to guide nursing practice. This paper describes the concept of care it applies to serving its Maori population and the role of the Kaiawhina Social Worker. The authors highlights the interface between primary and secondary care after patients are discharged. The authors address the shortfall of Maori practitioners in the nursing service and the aims of a year-long pre-entry Kaupapa Health Professional Programme.
Call Number NRSNZNO @ research @ Serial 538
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Author Roud, D.; Giddings, D.L.S.; Koziol-McLain, J.
Title A longitudinal survey of nurses' self-reported performance during an entry-to-practice programme Type Journal Article
Year 2005 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume (down) 21 Issue 2 Pages 37-46
Keywords New graduate nurses; Methodology; Professional competence; Training
Abstract The researchers conducted a study to compare self-reported changes in both frequency and quality of performance of nursing behaviours in a cohort of recently graduated nurses undertaking a one year entry to practice programme. Thirty-three nurses were surveyed, seven weeks after beginning the programme and again seven months later, using a modified version of Schwirian's (1978) Six-Dimension Scale of Nursing Performance (6-DSNP). Over the study period participants reported significant increases in frequency of performance for the domains of leadership, critical care, teaching/collaboration, and planning/evaluation. Significant increases in the quality of nurse behaviours in the domains of critical care, planning/evaluation and interpersonal relations/communication were also reported. The modified Schwirian 6-DSNP was found to be a useful instrument for measuring nurses' self reporting of performance during periods of transition.
Call Number NRSNZNO @ research @ 553 Serial 539
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Author Stewart, R.
Title Opportunistic chlamydia testing: Improving nursing practice through self-audit and reflection Type Journal Article
Year 2005 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume (down) 21 Issue 1 Pages 43-52
Keywords Nursing; Practice nurses; Diseases; Case studies
Abstract This article details how an individual family planning nurse's practice concerning opportunistic testing for sexually transmitted chlamydia was improved through an audit of her testing rates and reflection on the outcome. The leading curable sexually transmitted infection in New Zealand, chlamydia, (including the incidence and spread of the infection and why it is a public health issue) is discussed, and the audit examined. The first audit of fifty consecutive client visits exposed a lack of opportunistic testing. The second looking at a similar but more recent group of client visits, made after the results of the first (zero opportunistic testing) were known, shows an increase in testing and education about chlamydia. Important clinical issues concerning chlamydia testing and treatment are considered. In conclusion the article challenges other nurses in the community to take a lead in raising awareness of the consequences of undiagnosed chlamydial infection and find ways of increasing opportunistic testing for chlamydia within their practice.
Call Number NRSNZNO @ research @ 554 Serial 540
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Author O'Brien, A.J.; Hughes, F.; Kidd, J.D.
Title Mental health nursing in New Zealand primary health care Type Journal Article
Year 2006 Publication Contemporary Nurse Abbreviated Journal
Volume (down) 21 Issue 1 Pages 142-152
Keywords Mental health; Primary health care; Nursing specialties; Community health nursing
Abstract This article describes the move in mental health from institutional care to community arrangements. It draws on international literature and New Zealand health policy, which gives increased emphasis to the role of the primary health care sector in responding to mental health issues. These issues include the need for health promotion, improved detection and treatment of mild to moderate mental illness, and provision of mental health care to some of those with severe mental illness who traditionally receive care in secondary services. These developments challenge specialist mental health nurses to develop new roles which extend their practice into primary health care. In some parts of New Zealand this process has been under way for some time in the form of shared care projects. However developments currently are ad hoc and leave room for considerable development of specialist mental health nursing roles, including roles for nurse practitioners in primary mental health care.
Call Number NRSNZNO @ research @ 730 Serial 716
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Author Bland, M.F.
Title The challenge of feeling 'at home' in residential aged care in New Zealand Type Journal Article
Year 2005 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume (down) 21 Issue 3 Pages 4-12
Keywords Rest homes; Older people; Patient satisfaction; Nursing; Identity
Abstract In this research report, a resident reveals the challenges associated with firstly becoming a nursing home resident, and then trying to establish a new sense of 'home'. The story supports a conclusion that nurses' knowledge of the unique 'admission story' of each resident, and their individual understandings of home, is essential in promoting their ongoing comfort. Although approximately 30,000 older adults live in residential aged care, little research has been done on their experience.
Call Number NRSNZNO @ research @ 862 Serial 846
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Author McKenna, B.; Simpson, A.I.F.; Coverdale, J.
Title Best practice management strategies for mental health nurses during the clinical application of civil commitment: An overview Type Journal Article
Year 2006 Publication Contemporary Nurse Abbreviated Journal
Volume (down) 21 Issue 1 Pages 62-70
Keywords Psychiatric Nursing; Law and legislation; Nurse-patient relations; Patient satisfaction
Abstract The aim of this article is to outline best practice management strategies for nurses during the clinical application of civil commitment of mentally ill persons. A literature search on 'coercion' and 'civil commitment' was undertaken. Published and unpublished research undertaken by the authors in New Zealand on this topic was drawn upon. This research considered the use of civil commitment during admission to acute mental health services, acute forensic mental health services and community mental health services. The experience of coercion by service users coincides with the degree of restriction associated with the service they are involved in. Socio-demographic factors, clinical factors and the experience of coercive events have little bearing on the amount of coercion experienced. Rather, it is the pattern of communication and the use of 'procedural justice' that has the potential to ameliorate the amount of perceived coercion. The authors conclude that 'Procedural justice' aligns with the emphasis placed on the therapeutic relationship in mental health nursing and is an important consideration for nurses during the clinical application of civil commitment
Call Number NRSNZNO @ research @ Serial 1051
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