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Author Sutton, D.M.
Title An analysis of the application of Christensen's Nursing Partnership Model in vascular nursing: A case study approach Type
Year (down) 2007 Publication Abbreviated Journal University of Otago Library
Volume Issue Pages
Keywords Nursing specialties; Nursing models; Cardiovascular diseases
Abstract
Call Number NRSNZNO @ research @ 822 Serial 806
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Author Jefferson, F.E.
Title An exploration of the competencies for advanced nursing practice in the perioperative setting Type
Year (down) 2007 Publication Abbreviated Journal University of Otago Library
Volume Issue Pages
Keywords Advanced nursing practice; Operating theatre
Abstract A clinical research practicum.
Call Number NRSNZNO @ research @ 826 Serial 810
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Author Bigwood, S.
Title Got to be a soldier: Mental health nurses experiences of physically restraining patients Type
Year (down) 2007 Publication Abbreviated Journal University of Otago Library
Volume Issue Pages
Keywords Psychiatric Nursing; Workplace violence; Mental health; Stress
Abstract
Call Number NRSNZNO @ research @ 829 Serial 813
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Author Lilley, S.
Title Experiences of mentoring in primary health care settings: Registered nurses' and students' perspectives Type
Year (down) 2006 Publication Abbreviated Journal University of Otago Library
Volume Issue Pages
Keywords Mentoring; Students; Registered nurses; Primary health care
Abstract
Call Number NRSNZNO @ research @ 505 Serial 491
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Author Armstrong, S.E.
Title Exploring the nursing reality of the sole on-call primary health care rural nurse (PHCRN) interface with secondary care doctors Type
Year (down) 2006 Publication Abbreviated Journal University of Otago Library
Volume Issue Pages
Keywords Rural nursing; Rural health services; Relationships
Abstract A qualitative framework was used to explore the nature and the quality of interactions between sole on-call primary health care rural nurses and secondary care doctors as a component of rural nursing practice and representative of the primary-secondary care interface. Crucial to patient centred care, the premise was that the quality of this interface would be variable due to multiple influences such as: the historical nurse/doctor relationship that has perpetuated medical dominance and nursing subordination; current policy direction encouraging greater inter-professional collaboration; and changing role boundaries threatening traditional professional positioning. A total of 11 nurses representing 10 separate rural areas participated in semi-structured interviews. Rural nurses typically interact with secondary care doctors for acute clinical presentations with two tiers of interaction identified. The first tier was presented as a default to secondary care doctors for assistance with managing primary care level clinical presentations in the absence of access to a general practitioner or an appropriate Standing Order enabling appropriate management. The second tier presented itself as situations where, in the professional judgement of the nurse, the client status indicated a need for secondary level expertise and/or referral to secondary care. The needs of the rural nurse in these interactions were identified as access to expertise in diagnosis, therapy and management, authorisation to act when intervention would exceed the nurse's scope of practice; the need to refer clients to secondary care; and the need for reassurance, encompassing emotional and professional issues. The quality of the interactions was found to be variable but predominantly positive. Professional outcomes of positive interactions included professional acknowledgement, support and continuing professional development. For the patient, the outcomes included appropriate, timely, safe intervention and patient centred care. The infrequent but less than ideal interactions between the participants and secondary care doctors led to professional outcomes of intraprofessional discord, a sense of invisibility for the nurse, increased professional risk and professional dissatisfaction; and for the client an increased potential for deleterious outcome and suffering. Instead of the proposition of variability arising from interprofessional discord and the current policy direction, the data suggested that variability arose from three interlinking factors; appropriate or inappropriate utilisation of secondary care doctors; familiarity among individuals with professional roles and issues of rurality; and acceptance by the primary care doctor of the sole on-call primary health care rural nurse role and the responsibility to assist with the provision of primary health care. Recommendations for improving interactions at the interface include national, regional and individual professional actions.
Call Number NRSNZNO @ research @ Serial 493
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Author Patel, R.
Title Evaluation and assessment of the online postgraduate intensive care nursing course Type
Year (down) 2006 Publication Abbreviated Journal University of Otago Library
Volume Issue Pages
Keywords Education; Intensive care nursing; Nursing specialties
Abstract
Call Number NRSNZNO @ research @ 519 Serial 505
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Author Goulding, M.T.
Title The influence of work-related stress on nurses' smoking: A comparison of perceived stress levels in smokers and non-smokers in a sample of mental health nurses Type
Year (down) 2006 Publication Abbreviated Journal University of Otago Library
Volume Issue Pages
Keywords Smoking; Psychiatric Nursing; Stress; Mental health
Abstract
Call Number NRSNZNO @ research @ 701 Serial 687
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Author Gray, H.J.
Title Clinician or manager: An exploration of duty management in New Zealand hospitals Type
Year (down) 2006 Publication Abbreviated Journal University of Otago Library
Volume Issue Pages
Keywords Nurse managers; Administration; Scope of practice; Hospitals
Abstract
Call Number NRSNZNO @ research @ 741 Serial 727
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Author Murray, C.
Title Clinical supervision in nursing: An investigation of supervisory issues from critical experiences Type
Year (down) 2006 Publication Abbreviated Journal University of Otago Library
Volume Issue Pages
Keywords Clinical supervision; Nursing
Abstract
Call Number NRSNZNO @ research @ 742 Serial 728
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Author Morgan, F.A.
Title Primary health care nurses supporting families parenting pre-term infants Type
Year (down) 2006 Publication Abbreviated Journal NZNO Library, University of Otago Library
Volume Issue Pages
Keywords Primary health care; Community health nursing; Paediatric nursing; Premature infants
Abstract This thesis reviews the role of primary health care nurses, who have an opportunity to play a unique role in teaching, touching and empowering families with newly discharged pre-term babies. Birth of a baby earlier than 37 weeks gestation ushers in a period of uncertainty and stress for parents. Uncertainties may centre on whether their infant will survive and what ongoing growth and developmental issues their infant will face.
Call Number NRSNZNO @ research @ Serial 1132
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Author Miles, M.A.P.
Title A critical analysis of the relationships between nursing, medicine and the government in New Zealand 1984-2001 Type
Year (down) 2005 Publication Abbreviated Journal University of Otago Library
Volume Issue Pages
Keywords Policy; Nursing
Abstract This thesis concerns an investigation of the tripartite arrangements between the government, the nursing and the medical sectors in New Zealand over the period 1984 to 2001 with a particular focus on primary health care. The start point is the commencement of the health reforms instituted by the Fourth New Zealand Labour Government of 1984. The thesis falls within a framework of critical inquiry, specifically, the methodology of depth hermeneutics (Thompson, 1990), a development of critical theory. The effects of political and economic policies and the methodologies of neo-liberal market reform are examined together with the concept of collaboration as an ideological symbolic form, typical of enterprise culture. The limitations of economic models such as public choice theory, agency theory and managerialism are examined from the point of view of government strategies and their effects on the relationships between the nursing and medical professions. The influence of American health care policies and their partial introduction into primary health care in New Zealand is traversed in some detail, together with the experiences of health reform in several other countries. Post election 1999, the thesis considers the effect of change of political direction consequent upon the election of a Labour Coalition government and concludes that the removal of the neo-liberal ethic by Labour may terminate entrepreneurial opportunities in the nursing profession. The thesis considers the effects of a change to Third Way political direction on national health care policy and on the medical and nursing professions. The data is derived from various texts and transcripts of interviews with 12 health professionals and health commentators. The histories and current relationships between the nursing and medical professions are examined in relation to their claims to be scientific discourses and it is argued that the issue of lack of recognition as a scientific discourse is at the root of nursing's perceived inferiority to medicine. This is further expanded in a discussion at the end of the thesis where the structure of the two professions is compared and critiqued. A conclusion is drawn that a potential for action exists to remedy the deficient structure of nursing. The thesis argues that this is the major issue which maintains nursing in the primary sector in a perceived position of inferiority to medicine. The thesis also concludes that the role of government in this triangular relationship is one of manipulation to bring about necessary fundamental change in the delivery of health services at the lowest possible cost without materially strengthening the autonomy of the nursing or the medical professions.
Call Number NRSNZNO @ research @ 596 Serial 582
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Author Wilson, B.
Title Maintaining equilibrium: The community mental health nurse and job satisfaction Type
Year (down) 2005 Publication Abbreviated Journal University of Otago Library
Volume Issue Pages
Keywords Community health nursing; Mental health; Job satisfaction; Stress
Abstract
Call Number NRSNZNO @ research @ 681 Serial 667
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Author Richardson, C.A.
Title Ever decreasing circles: Non-curative terminal illness, empowerment and decision making: Lessons for nursing practice Type
Year (down) 2005 Publication Abbreviated Journal University of Otago Library
Volume Issue Pages
Keywords Nursing; Palliative care; Terminal care; Psychology
Abstract
Call Number NRSNZNO @ research @ 683 Serial 669
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Author Ross, M.E.
Title A study into the effects of the New Zealand health reforms of the 1990's on the role of the nurse manager Type
Year (down) 2005 Publication Abbreviated Journal University of Otago Library
Volume Issue Pages
Keywords Nurse managers; History; Policy
Abstract
Call Number NRSNZNO @ research @ 687 Serial 673
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Author Neehoff, S.M.
Title The invisible bodies of nursing Type
Year (down) 2005 Publication Abbreviated Journal University of Otago Library
Volume Issue Pages
Keywords Nursing philosophy
Abstract In this thesis, the author explores what she terms 'invisible bodies of nursing', which are the physical body of the nurse, the body of practice, and the body of knowledge. She argues that the physical body of the nurse is absent in most nursing literature. Her contention is that the physical body of the nurse is invisible because it is tacit and much nursing practice is invisible because it is perceived by many nurses to be inarticulable and is carried out within a private discourse of nursing, silently and secretly. Nursing knowledge is invisible because it is not seen as being valid or authoritative or sanctioned as a legitimate discourse by the dominant discourse. This analysis is informed by Luce Irigaray's philosophy of the feminine, Michel Foucault's genealogical approach to analysing, and Maurice Merleau-Ponty's phenomenology. The author discusses strategies that nurses could use to make themselves more 'visible' in healthcare structures.
Call Number NRSNZNO @ research @ 1124 Serial 1109
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