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Author Horsburgh, M.; Perkins, R.; Coyle, B.; Degeling, P.
Title The professional subcultures of students entering medicine, nursing and pharmacy programmes Type Journal Article
Year 2006 Publication Journal of Interprofessional Care Abbreviated Journal
Volume (down) 20 Issue 4 Pages 425-431
Keywords Interprofessional relations; Attitude of health personnel; Nurse managers; Nursing; Education; Organisational culture
Abstract This study sought to determine the attitudes, beliefs and values towards clinical work organisation of students entering undergraduate medicine, nursing and pharmacy programmes in order to frame questions for a wider study. University of Auckland students entering medicine, nursing and pharmacy programmes completed a questionnaire based on that used by Degeling et al. in studies of the professional subcultures working in the health system in Australia, New Zealand, England and elsewhere. Findings indicate that before students commence their education and training medical, nursing and pharmacy students as groups or sub-cultures differ in how they believe clinical work should be organised. Medical students believe that clinical work should be the responsibility of individuals in contrast to nursing students who have a collective view and believe that work should be systemised. Pharmacy students are at a mid-point in this continuum. There are many challenges for undergraduate programmes preparing graduates for modern healthcare practice where the emphasis is on systemised work and team based approaches. These include issues of professional socialisation which begins before students enter programmes, selection of students, attitudinal shifts and interprofessional education.
Call Number NRSNZNO @ research @ Serial 937
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Author DeSouza, R.
Title Transforming possibilities of care: Goan migrant motherhood in New Zealand Type Journal Article
Year 2005 Publication Contemporary Nurse Abbreviated Journal
Volume (down) 20 Issue 1 Pages 87-101
Keywords Pregnancy; Transcultural nursing; Quality of health care; Attitude to health
Abstract This paper reports on a study of the maternity care experiences of women from Goa (India) in Auckland. Multiple research strategies were incorporated into the process to prevent reproduction of deficiency discourses. Interviews were carried out with Goan women who had experiences of migration and motherhood. The findings revealed that as a consequence of motherhood and migration, migrant mothers were able to reclaim and re-invent innovative solutions. Nurses and other health professionals can have a significant role in supporting women and their families undergoing the transition to parenthood in a new country and develop their knowledge and understanding of this dual transition.
Call Number NRSNZNO @ research @ Serial 942
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Author Horsburgh, M.; Merry, A.; Seddon, M.; Baker, H.; Poole, P.; Shaw, J.; Wade, J.
Title Educating for healthcare quality improvement in an interprofessional learning environment: A New Zealand initiative Type Journal Article
Year 2006 Publication Journal of Interprofessional Care Abbreviated Journal
Volume (down) 20 Issue 5 Pages 555-557
Keywords Quality of health care; Multidisciplinary care teams; Nursing; Education; Maori; Patient safety
Abstract This article describes two interprofessional learning modules offered by the Faculty of Medical and Health Sciences at the University of Auckland to undergraduate medicine, nursing and pharmacy students. The modules, 'Maori Health“ and ”Patient Safety", have a focus on quality improvement in healthcare and are used to bring together students for a shared learning programme.The specific dimensions of healthcare quality covered in the programme are: patient safety, equity, access, effectiveness, efficacy and patient-centeredness.
Call Number NRSNZNO @ research @ Serial 1042
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Author Chenery, K.
Title Family-centred care: Understanding our past Type Miscellaneous
Year 2004 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume (down) 20 Issue 3 Pages 4-12
Keywords History of nursing; Nurse-family relations; Paediatric nursing; Parents and caregivers
Abstract Oral history accounts of the care of the hospitalised child in the context of family are used to argue that current practice paradoxes in family-centred care are historically ingrained. The article looks at the post-war period, the intervening years, and current practice, centred on the changing concept of motherhood throughout that time. The conflict between clinical expediency versus family and child needs is explored.
Call Number NRSNZNO @ research @ 1113 Serial 1098
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Author Jacobs, S.
Title Advanced nursing practice: Time and meaning Type Journal Article
Year 2003 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume (down) 19 Issue 3 Pages 29-39
Keywords Advanced nursing practice; Nurse practitioners; Professional development; History of nursing
Abstract The particular, contemporary meanings ascribed to “advanced nursing practice” in New Zealand have been debated and delineated in the 1990s, culminating in the launch of the nurse practitioner role at a conference sponsored by the Ministry of Health and the Nursing Council of New Zealand in August, 2001. Drawing on archival materials, documents, other texts and voices, this article explores the evolution of connotations and meanings of the word “advanced” as applied to nursing in New Zealand. The focus is on clinical practice, research, teaching, consulting, higher education, and advancement of the profession. Historical aspects of advancement in New Zealand nursing are examined, including registration, unsupervised practice, technical specialisation, and career development.
Call Number NRSNZNO @ research @ Serial 552
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Author Connor, M.
Title Advancing nursing practice in New Zealand: A place for caring as a moral imperative Type Journal Article
Year 2003 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume (down) 19 Issue 3 Pages 13-21
Keywords Advanced nursing practice; Ethics; Professional competence; Nurse-patient relations
Abstract The author argues that the framework of competencies required for advanced nursing practice should include a moral dimension in order to take account of relational as well as functional competencies. There is no recognition of the relational competencies required to practice caring as a moral imperative. The Nursing Council of New Zealand expects that nurses will practise 'in accord with values and moral principles'. The paper explores the history of two nursing discourses, that which sees nursing as a functional occupation and that which emphasises the relationship between nurse and patient. A practice exemplar is used to demonstrate positive outcomes from advanced relational competencies.
Call Number NRSNZNO @ research @ Serial 553
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Author Vallance, E.; Scott, S.
Title A critique of problem-based learning in nursing education and the contribution it can make toward beginning professional practice, part two Type Journal Article
Year 2003 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume (down) 19 Issue 3 Pages 40-49
Keywords Problem solving; Critical thinking; Nursing; Education
Abstract In this article, the second of two, the literature is examined to determine the ability of problem-based learning to develop professional nursing practice. Professional practice depends on critical thinking for the development of both rational problem-solving skills and critical reflective thinking. This article proposes that problem-based learning has the potential to develop the critical thinking skills required for problem solving and decision-making. However problem-based learning is less likely to promote the critical reflective thinking without which the transformative practice needed to drive health gains in the 21st century is unlikely to emerge.
Call Number NRSNZNO @ research @ Serial 555
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Author Vallance, E.; Scott, S.
Title A critique of problem-based learning in nursing education and the contribution it can make toward beginning professional practice, part one Type Journal Article
Year 2003 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume (down) 19 Issue 2 Pages 41-51
Keywords Nursing; Education; Critical thinking; Problem solving; Nursing; Teaching methods
Abstract Within New Zealand nursing education there appears to be a widespread acceptance of problem-based learning and an assumption that the strategies it uses are unproblematic. A review of the literature however, reveals that problem-based learning has drawbacks that may inhibit the achievement of desired graduate outcomes. It seems timely for nurse educators to exercise caution in uncritically accepting problem-based learning approaches and using them as the predominant approach to teaching and learning. To this end, a two-part critique of this teaching and learning method is presented. Part one critiques the methods of problem-based learning, discussing self-directed learning, the group process, self-assessment, and content knowledge. Part two explores the philosophical underpinnings of problem-based learning, and the so-called 'fit' within nursing.
Call Number NRSNZNO @ research @ Serial 556
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Author Nicol, M.J.
Title Genetics and nursing: Preparing for future health care development Type Journal Article
Year 2003 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume (down) 19 Issue 2 Pages 27-40
Keywords Nursing; Education
Abstract The author discusses the impact of 'new genetic knowledge' on society and how molecular and clinical genetics are having an increasing influence on routine health care. Increasingly, nurses will be exposed to this new genetic knowledge and challenged to integrate it into their clinical practice in order to ensure that patients and families receive the best health care available. The paper reports the percentage of undergraduate nursing curricula devoted to teaching about genetics and considers how the fundamental principles of molecular genetics and the clinically relevant areas of genetics can be incorporated into pre- or post-registration education.
Call Number NRSNZNO @ research @ Serial 609
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Author Carryer, J.B.; Boyd, M.
Title The myth of medical liability for nursing practice Type Journal Article
Year 2003 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume (down) 19 Issue 4-12 Pages 4-12
Keywords Interprofessional relations; Law and legislation; Nurse practitioners; Advanced nursing practice
Abstract This article explores the complex nature of liability in the case of standing orders and vicarious liability by employers, and also when nurses and doctors are in management roles. The authors address misconceptions about medico-legal responsibility for nursing practice with the advent of nurse prescribers and nurse practitioners. They refer to the submission made by the College of Nurses Aotearoa (NZ) on the Health Practitioners Competence Assurance Act (2003), and discuss practice liability and nurse-physician collaboration.
Call Number NRSNZNO @ research @ 624 Serial 610
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Author Mortensen, A.; White, G.E.
Title The process of destigmatisation: The work of sexual health nurses Type Journal Article
Year 2003 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume (down) 19 Issue 1 Pages 32-39
Keywords Nursing specialties; Sexual and reproductive health; Attitude to health
Abstract The focus of this article is on the findings of a grounded theory study of sexual health nursing in New Zealand. Nurses' experiences of providing sexual health care are described and theoretical explanations generated. The emphasis in this article is on countering stigma which emerged as a recurrent problem for nurses in the study. A comparative analysis of the nurses' counter reactions with Gilmore and Somerville's (1994) model of stigmatised reactions towards people with sexually transmitted diseases was done. The model describes the processes of disidentification, depersonalisation, scapegoating, and discrimination, which characterise stigmatised reactions. Nurses' understandings of the impact of socioeconomic conditions and gender/power relations in society have an important role to play in how nurses manage care. The concept of destigmatisation, which seeks to counteract negative social attitudes, is discussed. The study showed that as a consequence of their work nurses in this study encountered professional stigma and marginalisation.
Call Number NRSNZNO @ research @ 626 Serial 612
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Author Pirret, A.M.
Title A preoperative scoring system to identify patients requiring postoperative high dependency care Type Journal Article
Year 2003 Publication Intensive & Critical Care Nursing Abbreviated Journal
Volume (down) 19 Issue 5 Pages 267-275
Keywords Hospitals; Quality of health care; Surgery; Nursing; Clinical assessment
Abstract The incidence of postoperative complications is reduced with early identification of at risk patients and improved postoperative monitoring. This study describes the development and effect of a nursing preoperative assessment tool to identify patients at risk of postoperative complications and to reduce the number of acute admissions to ICU/HDU. All surgical patients admitted to a surgical ward for an elective surgical procedure (n=7832) over a 23-month period were concurrently scored on admission using the preoperative assessment tool. During the time period studied, acute admissions to ICU/HDU reduced from 40.37 to 19.11%. Only 24.04% of patients who had a PAS >4 were identified by the surgeon and/or anesthetist as being at risk of a postoperative complication, or if identified, no provision was made for improved postoperative monitoring. This study supports the involvement of nurses in identifying preoperatively patients at risk of a postoperative complication and in need of improved postoperative monitoring. The postoperative monitoring requirements for the PAS >4 patients were relatively low technology interventions.
Call Number NRSNZNO @ research @ 904 Serial 888
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Author Milligan, K.; Neville, S.J.
Title The contextualisation of health assessment Type Journal Article
Year 2003 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume (down) 19 Issue 1 Pages 23-31
Keywords Cross-cultural comparison; Evaluation; Nursing
Abstract The authors defines health assessment and argue that it is a tool nurses should be using as a means of improving health outcomes for clients. The skills involved in health assessments are analysed, and four levels of data gathering are identified. The authors present an historical perspective, tracing the development of these skills as they have been incorporated in nursing practice in North America and Australia.
Call Number NRSNZNO @ research @ Serial 1095
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Author Sue, Kim; Lee, Tae W; Kim, Gwang S. and others
Title Nurses in advanced roles as a strategy for equitable access to healthcare in the WHO Western Pacific region: a mixed methods study Type Journal Article
Year 2021 Publication Human Resources for Health Abbreviated Journal
Volume (down) 19 Issue 1 Pages 1-9
Keywords Advanced nursing practice; Health promotion; Western Pacific; Surveys
Abstract Investigates current responsibilities of nurses in advanced roles (NAR) in the Western Pacific. Uses a Delphi survey to identify key barriers and challenges for enhancing role development within the country and the region. Conducts semi-structured individual interviews with 55 national experts from clinical, academic and/or governmental backgrounds in 18 countries, to identify strategies for establishing nurses in advanced roles to improve equitable access to healthcare in the region.
Call Number NZNO @ research @ Serial 1777
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Author Brasell-Brian, R.; Vallance, E.
Title Clinical practice/education exchange: Bridging the theory-practice gap Type Journal Article
Year 2002 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume (down) 18 Issue 1 Pages 17-26
Keywords Education; Interprofessional relations
Abstract This article positions clinical practice/education exchange (CPEE) within nursing literature and presents narrative accounts from a nurse educator and clinician who exchanged jobs for one year. This type of exchange, between education institutes and service areas where students are placed, is a new concept. The aim is to enhance student learning and facilitating meaningful links between theory and practice for them.
Call Number NRSNZNO @ research @ Serial 613
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