| |
Records |
Links |
|
Author |
Diers, D. |
|
| |
Title |
“Noses and eyes”: Nurse practitioners in New Zealand |
Type |
Journal Article |
| |
Year  |
2008 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
24 |
Issue |
1 (Mar) |
Pages |
4-10 |
|
| |
Keywords |
Cross-cultural comparison; Nurse practitioners; History of nursing |
|
| |
Abstract |
Principles for understanding and evolving nurse practitioner practice, politics and policy are distilled from 40 years of experience in the United States and Australia. The issues in all countries are remarkably similar. The author suggests that some historical and conceptual grounding may assist the continuing development of this expanded role for nursing in New Zealand. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
965 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Goodyear-Smith, F.; Janes, R. |
|
| |
Title |
New Zealand rural primary health care workforce in 2005: More than just a doctor shortage |
Type |
Journal Article |
| |
Year |
2008 |
Publication |
Australian Journal of Rural Health |
Abbreviated Journal |
|
|
| |
Volume |
16 |
Issue |
1 |
Pages |
40-46 |
|
| |
Keywords |
Personnel; Physicians; Rural health services; Nursing; Primary health care; Pharmacists |
|
| |
Abstract |
The aim of this study was to obtain a 2005 snapshot of the New Zealand rural primary health care workforce, specifically GPs, general practice nurses and community pharmacists. A postal questionnaire was distributed to rural general practice managers, GPs, nurses, community pharmacy managers and pharmacists in November 2005. The self-reported data included information on demographics, country of training, years in practice, business ownership, hours worked including on-call, and intention to leave rural practice. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
966 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Darbyshire, P. |
|
| |
Title |
'Never mind the quality, feel the width': The nonsense of 'quality', 'excellence', and 'audit' in education, health and research |
Type |
Journal Article |
| |
Year |
2008 |
Publication |
Collegian: Journal of the Royal College of Nursing Australia |
Abbreviated Journal |
|
|
| |
Volume |
15 |
Issue |
1 |
Pages |
35-41 |
|
| |
Keywords |
Accountability; Quality assurance; Organisational change; Nursing research; Nursing; Education |
|
| |
Abstract |
The author contends that health care and education have been colonised by 'The Audit Society' and managerialism. It is argued that under the benign guise of 'improving quality' and 'ensuring value for money' a more Orwellian purpose operates. Academics had to be transformed into a workforce of 'docile bodies', willing to scrutinise and survey themselves and their 'performance' as outcome deliverers and disciples of the new 'Qualispeak'. This paper critiques the current obsession with audit and performativity, and the constant and often pointless 'change' that is held to be so self-evidently 'a good thing' and identifies policy discussion as a linguistic wasteland. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
967 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
McKenna, B.; Thom, K.; O'Brien, A.J. |
|
| |
Title |
Return to nursing programmes: Justifications for a mental health specific course |
Type |
Journal Article |
| |
Year |
2008 |
Publication |
Intensive & Critical Care Nursing |
Abbreviated Journal |
|
|
| |
Volume |
5 |
Issue |
1 |
Pages |
1-16 |
|
| |
Keywords |
Psychiatric Nursing; Training; Recruitment and retention; Curriculum |
|
| |
Abstract |
This paper presents the findings from research that investigated the feasibility of developing a specialty return to mental health nursing programme in New Zealand. This was achieved through a scoping of existing return to nursing programmes; a survey of non-active nurses; and stakeholder consultation via interviews or focus groups. Existing generic programmes fail to attract non-active nurses wishing to focus on mental health nursing. The non-active nurses survey found 142 nurses who presently would or might possibly return to mental health nursing and participate in a programme. Most stakeholders supported the idea of implementing such a programme. The findings from this research indicate both feasibility and enthusiasm for the introduction of return to mental health nursing programmes. It is recommended that all aspects of this course mirror the service user focused 'recovery paradigm' that is a central tenet in contemporary mental health service delivery. |
|
| |
Call Number |
NRSNZNO @ research @ 984 |
Serial |
968 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Chang, E.M.; Bidewell, J.W.; Huntington, A.D.; Daly, J.; Johnson, A.; Wilson, H.; Lambert, V.; Lambert, C.E. |
|
| |
Title |
A survey of role stress, coping and health in Australian and New Zealand hospital nurses |
Type |
Journal Article |
| |
Year |
2008 |
Publication |
Intensive & Critical Care Nursing |
Abbreviated Journal |
|
|
| |
Volume |
44 |
Issue |
8 |
Pages |
1354-1362 |
|
| |
Keywords |
Stress; Psychology; Cross-cultural comparison; Nursing |
|
| |
Abstract |
The aim of this study was to examine and compare Australian and New Zealand nurses' experience of workplace stress, coping strategies and health status. A postal survey was administered to 328 New South Wales (Australia) and 190 New Zealand volunteer acute care hospital nurses (response rate 41%) from randomly sampled nurses. The survey consisted of a demographic questionnaire, the Nursing Stress Scale, the WAYS of Coping Questionnaire and the SF-36 Health Survey Version 2. More frequent workplace stress predicted lower physical and mental health. Problem-focused coping was associated with better mental health. Emotion-focused coping was associated with reduced mental health. Coping styles did not predict physical health. New South Wales and New Zealand scored effectively the same on sources of workplace stress, stress coping methods, and physical and mental health when controlling for relevant variables. Results suggest mental health benefits for nurses who use problem-solving to cope with stress by addressing the external source of the stress, rather than emotion-focused coping in which nurses try to control or manage their internal response to stress. Cultural similarities and similar hospital environments could account for equivalent findings for New South Wales and New Zealand. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
970 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Tielemans, W. |
|
| |
Title |
Encouraging young women to have regular smear tests |
Type |
Journal Article |
| |
Year |
2008 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
14 |
Issue |
7 |
Pages |
16-18 |
|
| |
Keywords |
Nursing research; Sexual and reproductive health; Screening; Attitude to health; Cancer |
|
| |
Abstract |
The author presents the results of a study carried out as part of a research project with two nurse researchers from Maastricht University in the Netherlands. The aim of this study was to examine awareness among female students aged 18 to 25 about cervical cancer and to identify factors associated with their decision or intention to enter the cervical screening programme. Students aged 18-25 were recruited from four tertiary institutions in the Wellington region. A questionnaire was available online and distributed by student health centres and the researchers. Questions covered the following areas: intentions, attitude, knowledge, awareness, modelling, and support systems and efficacy. Data was analysed using descriptive statistics, multiple regression and independent t-tests. The findings are presented, and factors associated with intention and participation in cervical screening are discussed. The results indicate that the information concerning the national screening programme needs to be adjusted for the different age groups. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
984 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Sutton, D.M. |
|
| |
Title |
Nurses have an important role in managing intermittent claudication |
Type |
Journal Article |
| |
Year |
2008 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
14 |
Issue |
4 |
Pages |
20-22 |
|
| |
Keywords |
Diseases; Nursing; Quality of life |
|
| |
Abstract |
The author reviews the diagnosis, treatment, and management of intermittent claudation. She uses a case study to illustrate successful management of the condition. |
|
| |
Call Number |
NRSNZNO @ research @ 1006 |
Serial |
990 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Smith, M.C. |
|
| |
Title |
Reviewing the role of a mental health nurse practitioner |
Type |
Journal Article |
| |
Year |
2008 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
14 |
Issue |
3 |
Pages |
20-22 |
|
| |
Keywords |
Psychiatric Nursing; Nurse practitioners; Evaluation research; Professional competence |
|
| |
Abstract |
The author describes his experience of five years as a nurse practitioner in mental health at Waikato District Health Board. A recent review of the role gave him the opportunity to reflect on the learning associated with assuming the nurse practitioner role. A key area of learning has been in negotiating the shifting responsibilities and changing relationships associated with his role as an nurse practitioner and also as a Responsible Clinician, a role traditionally held by psychiatrists. The Responsible Clinician role is a statutory one under the Mental Health Act (1992), generally performed by psychiatrists but open to other suitably qualified professionals. He reports the results of a review based on feedback from fellow professionals, clients and their families, along with quantitative data from basic statistics connected to the role, such as a time and motion study. The review asked fellow professionals to rate the performance of the nurse practitioner against the Nursing Council competencies. These results indicate the nurse practitioner role is of some value and that other professionals and clients seem satisfied with the role. There is some evidence it is delivering outcomes acceptable to clients and other professionals. The study has many limitations which are discussed, such as a poor response rate and short time frame. Further research is planned to evaluate this role. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
993 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Gregory, R.; Kaplan, L. |
|
| |
Title |
Understanding residuals in Guillain-Barre Syndrome |
Type |
Journal Article |
| |
Year |
2008 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
10 |
Issue |
7 |
Pages |
16-18 |
|
| |
Keywords |
Diseases; Nursing; Management |
|
| |
Abstract |
The authors review the literature on the residual effects of Guillain-Barre Syndrome (GBS), which can include fatigue, foot drop or numbness, reduced mobility and nerve tingling. In GBS the peripheral nerves are attacked by the body's defence system, an auto-immune attack, and as a result, the myelin sheath and axons of nerves are impaired. The pathophysiology of the illness and long term effects are presented, and implications for nursing care and rehabilitation are discussed. Two case studies are included which illustrate coping with the long-term effects of GBS, the effect of GBS residuals on extreme fatigue and depression. |
|
| |
Call Number |
NRSNZNO @ research @ 1013 |
Serial |
997 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Webby, A. |
|
| |
Title |
Should non-Maori research and write about Maori? |
Type |
Journal Article |
| |
Year |
2008 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
14 |
Issue |
5 |
Pages |
20-21 |
|
| |
Keywords |
Maori; Nursing research |
|
| |
Abstract |
The author examines the complexities surrounding non-Maori nurse researchers working on Maori issues. She suggests that as long as respect and observation of Maori processes is shown, and work is undertaken collaboratively with Maori, then such a role is appropriate. |
|
| |
Call Number |
NRSNZNO @ research @ 1046 |
Serial |
1030 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Dent, G.W. |
|
| |
Title |
Mental health nurses' knowledge and views on talking therapies in clinical practice |
Type |
|
| |
Year |
2008 |
Publication |
|
Abbreviated Journal |
ResearchArchive@Victoria http://hdl.handle.net/10063/675 |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Psychiatric Nursing; Attitude of health personnel; Evidence-based medicine; Professional development |
|
| |
Abstract |
Using a qualitative descriptive research design, this study explored nurses' knowledge and views on their talking therapy training and skills in practice. The study examined the use of talking therapies, or specialised interpersonal processes, embodied within the Te Ao Maramatanga: New Zealand College of Mental Health Nurses Inc (2004) Standards of Practice for Mental Health Nurses in New Zealand. A survey questionnaire was sent to 227 registered nurses from a district health hoard mental health service and a sample of eight nurses participated in a semi-structured interview. Content analysis based on the headings “knowledge views, skill acquisition and skill transfer” established the major themes from the data collection processes. The findings confirmed that nurses believe their knowledge and skills in evidence-based talking therapies to be vitally important in mental health nursing practice. Nurses identified that talking therapy training courses needed to be clinically relevant and that some learning strategies were advantageous. The identification of some knowledge gaps for, nurses with limited post graduate experience, and for nurses who currently work in inpatient areas suggests that further consideration must be given to ensure that a cohesive, sustainable approach is ensured for progression of workforce development projects relevant to training in talking therapies for mental health nurses in New Zealand. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1151 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Apelu, J. |
|
| |
Title |
Pacific community mental health nurses' experiences of working for a district health board in New Zealand |
Type |
|
| |
Year |
2008 |
Publication |
|
Abbreviated Journal |
ResearchArchive@Victoria http://hdl.handle.net/10063/684 |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Psychiatric Nursing; Pacific peoples; Community health nursing; District Health Boards; Culture |
|
| |
Abstract |
This study explored the perspectives of Pacific nurses on what it is like for them to work in a Pacific community mental health (PCMH) service within a district health board. Five Pacific Island nurses who worked in the three Pacific community mental health services based in the Auckland region participated in the project. The study employed narrative inquiry to gather data through focused storytelling method. The results of the study have indicated that PCMH nursing is a unique nursing field as well as highlighting significant practice issues for nurses. Complex service infrastructure and language have been found to be the major contributing practice constraints. The findings suggest the need for district health board authorities, Pacific mental health service management, professional nursing education and development programs to consider addressing these practice issues to prevent further increase in the problem of PCMH nurses shortage and enhance recruitment and retention of these nurses. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1153 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
James, G.G. |
|
| |
Title |
Woven threads: A case study of chemotherapy nursing practice in a rural New Zealand setting |
Type |
|
| |
Year |
2008 |
Publication |
|
Abbreviated Journal |
ResearchArchive@Victoria |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Case studies; Rural health services; Nursing specialties; Cancer; Oncology |
|
| |
Abstract |
This descriptive case study was undertaken to provide an account of chemotherapy practice in a nurse-led clinic located within a rural New Zealand area. The researcher, an oncology nurse specialist, worked alongside colleagues for thirteen months to enable practice development. This clinic developed out of a need to have services closer to rural patients in order to address issues of equity, access, care integration and the fiscal and social constraints associated with the cancer burden of care. Capturing the range of data applicable to this case; the ability to conceptualise it as a service within its context was possible using case study research methods. Four nurses involved in the chemotherapy clinic were participants in this study. The findings of this study reveal that what could be perceived as barriers to outcomes and practice can in essence be turned into opportunities to develop new ways of caring for the patient and supporting nursing practice. These nurses view their practice as safe within the clinic despite resource constraints. They work in many ways to support each other and to cushion the patient from the impact of situational and contextual influences. Nursing practice was shown to evolve as a direct result of internal and external influences which were the impetus for nurses taking responsibility for their own competency. This study also explored what it meant to be an experienced nurse but novice in a speciality practice. It challenges previously held assumptions that, to deliver chemotherapy successfully, a nurse needs to be operating from a previously held body of oncology nursing knowledge. Many challenges are faced on a day to day basis in a rural practice environment to just maintain consistent care and promote good patient outcomes. The nurses are well aware of their role in contributing to patients' quality of life and the roles they take to meet the growing needs of the patient as a consumer. This study delves into the multifarious nature of this nurse-led clinic and discusses the processes and relationships that are forged to deliver care. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1166 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Barratt, Ruth |
|
| |
Title |
Behind barriers: patients' perceptions of hospital isolation for methicillin-resistant Staphylococcus aureus (MRSA) |
Type |
|
| |
Year |
2008 |
Publication |
|
Abbreviated Journal |
|
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Infection control; Patient satisfaction; Nursing specialties; Hospitals |
|
| |
Abstract |
This study explored the experiences of hospitalised patients in methicillin resistant Staphylococcus aureus (MRSA) isolation in New Zealand and the meaning that those patients made of those experiences. The research question of this study was 'What is the lived experience of patients in MRSA isolation?' An interpretive phenomenological approach was undertaken for this research, informed by the philosophical hermeneutic tenets of Heidegger (1927/1962). Audio-taped, semi-structured interviews were used to collect data from a purposive sample of ten adults who were in MRSA isolation in various wards in a large acute care hospital in the central North Island. Three salient themes emerged from the data. The first, 'being MRSA positive', summarises the meaning of having an identity of being MRSA positive. The second theme, 'being with others', is concerned with the effect that being in isolation for MRSA has on interpersonal relations. 'Living within four walls' is the third theme and reveals the significance that the physical environment of the MRSA isolation room has on the experience of MRSA isolation. Within the discussion of these themes, excerpts from the interviews are provided to illuminate the meanings and interpretations made. Recommendations are made for nursing practice and education. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1167 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Litchfield, M.; Jonsdottir, H. |
|
| |
Title |
A practice discipline that's here and now |
Type |
Journal Article |
| |
Year |
2008 |
Publication |
Advances in Nursing Science |
Abbreviated Journal |
|
|
| |
Volume |
31 |
Issue |
1 |
Pages |
79-92 |
|
| |
Keywords |
Nursing research; Policy; Nursing philosophy |
|
| |
Abstract |
The article is a collaborative writing venture drawing on research findings from New Zealand and Iceland to contribute to the international scholarship on the status and future direction of the nursing discipline. It takes an overview of the international historical trends in nursing knowledge development and proposes a framework for contemporary nursing research that accommodates the past efforts and paradigms of nurse scholars and reflects the changing thinking around the humanness of the health circumstance as the focus of the nursing discipline. It addresses contemporary challenges facing nurses as practitioners and researchers for advancement of practice and delivery of health services, and for influencing health policy. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1174 |
|
| Permanent link to this record |
