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Author (up) Hamer, H.P.; Finlayson, M.; Thom, K.; Hughes, F.; Tomkins, S.
Title Mental health nursing and its future: A discussion framework: Report from the Expert Reference Group to the Deputy Director-General Dr Janice Wilson Type Report
Year 2006 Publication Abbreviated Journal
Volume Issue Pages
Keywords Mental health; Psychiatric Nursing; Policy; Leadership; Nurse practitioners; Nursing; Education; Careers in nursing
Abstract This project was initiated by the Ministry of Health to ensure a nationally coordinated approach to mental health nursing. The purpose of the project is to provide a national strategic framework for mental health nursing that will strengthen both nursing leadership and practice within the multi-disciplinary clinical environment. The framework reviews a range of key workforce issues identified by the Ministry of Health and provides strategies to move mental health nursing forward. The framework integrates directions from government mental health strategies, policies and directions, national and international literature as well as professional nursing requirements which aim to create a sustainable mental health nursing workforce using evidence based practice. The framework considers a range of key workforce issues identified by the Ministry of Health including: nursing leadership, nurse practitioners, standards, skill mix, clinical career pathways, professional supervision, education, research and recruitment and retention.
Call Number NRSNZNO @ research @ Serial 865
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Author (up) Hughes, F.
Title Nurses at the forefront of innovation Type Journal Article
Year 2006 Publication International Nursing Review Abbreviated Journal
Volume 53 Issue 2 Pages 94-101
Keywords Organisational culture; Technology; Policy; Nursing
Abstract This paper explores the concept of innovation in nursing, the inherent set of characteristics that need to be present in order for innovations to succeed, and the barriers that impede innovation from occurring. Successful innovations developed and implemented by nurses are featured, and organisational factors necessary to support innovation are described. This paper is based on a presentation given by the author at the 23rd Quadrennial ICN Congress and 7th International Regulation Congress in Taipei in May 2005.
Call Number NRSNZNO @ research @ 796 Serial 780
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Author (up) Hughes, F.
Title Reconnecting with policy: Requirements for survival as a mental health nurse Type Journal Article
Year 2006 Publication Journal of Psychosocial Nursing & Mental Health Services Abbreviated Journal
Volume 44 Issue 8 Pages 30-39
Keywords Policy; Mental health; Nursing specialties
Abstract This article discusses the disconnection between mental health nurses and policy, and the importance of reconnecting such relationships. It is suggested this will benefit consumers, provide influence in health care policies and, ultimately, contribute to strategies to improve the health of our nation. In this article, the author draws on her own experiences and applies these to a discussion of how mental health nurses can influence and strengthen their relationships with nursing policy.
Call Number NRSNZNO @ research @ Serial 938
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Author (up) Hughes, F.
Title Locating health policy and nursing: Time for a closer relationship Type Journal Article
Year 2001 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 17 Issue 3 Pages 5-14
Keywords Policy; Nursing
Abstract This paper outlines the role that policy and nursing have in a demanding and changing health care environment. It shows the basic tenets of policy, and provides strategies to enable nurses to increase their involvement in policy-making.
Call Number NRSNZNO @ research @ 641 Serial 627
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Author (up) Hughes, F.; Blackwell, A.; Bish, T.; Chalmers, C.; Foulkes, K.; Irvine, L.; Robinson, G. Sherriff, R.; Sisson, V.
Title The coming of age: Aged residential care nursing in Aotearoa New Zealand in the times of COVID-19 Type Journal Article
Year 2021 Publication Nursing Praxis in Aotearoa New Zealand Abbreviated Journal
Volume 37 Issue 3 Pages 25-29
Keywords Aged residential care; COVID-19; Nursing homes; Nursing leadership
Abstract Provides a commentary on the work of executive nurses within the Nursing Leadership Group of the New Zealand Aged Care Association as COVID-19 spread into some aged residential care (ARC) facilities in early 2020 and threatened the health and wellbeing of many residents and nurses. Examines how the Group influenced the agenda and implementation of policies for ARC and brought the voice of nursing and residents of aged care to the forefront at national and regional levels.
Call Number NZNO @ research @ Serial 1729
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Author (up) Hughes, F.; Duke, J.; Bamford-Wade, A.; Moss, C.
Title Enhancing nursing leadership through policy, politics, and strategic alliances Type Journal Article
Year 2006 Publication Nurse Leader Abbreviated Journal
Volume 4 Issue 2 Pages 24-27
Keywords Policy; Nursing; Leadership
Abstract This paper looks at the links between nursing roles and health policy in New Zealand. Strategic alliances between key professional leaders in different nursing roles can help the profession by directly influencing policy development and implementation. This form of policy entrepreneurship is an important component of professional leadership.
Call Number NRSNZNO @ research @ 955 Serial 939
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Author (up) Hughes, F.; Farrow, T.
Title Caring for obese patients in a culturally safe way Type Journal Article
Year 2007 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 13 Issue 4 Pages 14-16
Keywords Nursing models; Obesity; Cultural safety
Abstract The authors review the contemporary notion of obesity and suggest that the nursing approach, with an emphasis on treatment, are shaped by a culture located within “western” views of ideal body shape. The biomedical framework regards obesity as disease and obese people as the cause of their own health problems. The authors note varying cultural interpretations of obesity, and suggest that by viewing obesity as a disease, the cultural, social or economic determinants of obesity are not acknowledged. Nursing needs to broaden the concept of the categories of difference to respond in a culturally safe way to obesity. Cultural safety asks that nurses care for people “regardful” of difference. This means nurses must reflect on the care given, so that the biomedical model is not just replicated. Nurse-led clinics offer an opportunity for practices based on nursing values of care and cultural safety. Such clinics are based on nursing's social model of health, rather than a biomedical, disease-focused model.
Call Number NRSNZNO @ research @ 994 Serial 978
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Author (up) Hughes, F.; Lockyer, H.
Title Evidence and engagement in the introduction of nurse prescribing in New Zealand Type Journal Article
Year 2004 Publication Nurse Prescribing Abbreviated Journal
Volume 2 Issue 3 Pages 131-136
Keywords
Abstract The article reviews the extension of prescribing rights to nurses, which is described as a complex process from both a policy and a legal perspective. New Zealand, like many other jurisdictions, took time to develop and establish changes. The authors present a number of lessons that New Zealand has learned about the factors likely to contribute to success. They identify success factors as including building strong relationships with stakeholders; using robust evidence and information, including the latest developments internationally; and ensuring flexible policy and legal arrangements that can respond to change.
Call Number NRSNZNO @ research @ 711 Serial 697
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Author (up) North, N.; Rasmussen, E.; Hughes, F.; Finlayson, M.
Title Turnover amongst nurses in New Zealand's district health boards: A national survey of nursing turnover and turnover costs Type Journal Article
Year 2005 Publication New Zealand Journal of Employment Relations Abbreviated Journal
Volume 30 Issue 1 Pages 49-62
Keywords Recruitment and retention; Nursing; Economics; Cross-cultural comparison
Abstract This article reports on the New Zealand part of an international study, using agreed study design and instruments, to determine the direct and indirect costs of nursing turnover. These costs also include the systemic costs, estimated by determining the impacts of turnover on patient and nurse outcomes. It presents the findings from the pilot study conducted in six countries to test the availability of costs and suitability of the instrument. Reports the results from a survey of directors of nursing in 20 of the 21 district health boards on turnover and workplace practices.
Call Number NRSNZNO @ research @ Serial 533
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Author (up) 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 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 (up) Stone, P.W.; Tourangeau, A.E.; Duffield, C.M.; Hughes, F.; Jones, C.A.; O'Brien-Pallas, L.; Shamian, J.
Title Evidence of nurse working conditions: A global perspective Type Journal Article
Year 2003 Publication Policy, Politics, & Nursing Practice Abbreviated Journal
Volume 4 Issue 2 Pages 120-130
Keywords Nursing; Recruitment and retention; Policy; Cross-cultural comparison; Nursing research
Abstract The purpose of this article is to review evidence about nurse workload, staffing, skill mix, turnover, and organisational characteristics' effect on outcomes; discuss methodological considerations in this research; discuss research initiatives currently under way; review policy initiatives in different countries; and make recommendations where more research is needed. Overall, an understanding of the relationships among nurse staffing and organisational climate to patient safety and health outcomes is beginning to emerge in the literature. Little is known about nursing turnover and more evidence is needed with consistent definitions and control of underlying patient characteristics. Research and policy initiatives in Australia, Canada, New Zealand, and the United States are summarised.
Call Number NRSNZNO @ research @ Serial 951
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