toggle visibility Search & Display Options

Select All    Deselect All
 |   | 
Details
   print
  Records Links
Author (up) Farrow, T.; McKenna, B.; O'Brien, A.J. openurl 
  Title Advanced 'prescribing' of nurses' emergency holding powers under New Zealand mental health legislation Type Journal Article
  Year 2002 Publication International Journal of Mental Health Nursing Abbreviated Journal  
  Volume 11 Issue 3 Pages 164-169  
  Keywords Mental health; Law and legislation; Psychiatric Nursing; Scope of practice  
  Abstract A new approach to mental health legislation has seen the involvement of a range of health professionals in legislated mental health roles, including the power of registered nurses to detain patients in hospital under Section 111 of the New Zealand Mental Health (Compulsory Assessment and Treatment) Act (1992). Under this Section, a nurse who believes that a voluntary patient meets the legal criteria of the Act can independently detain the patient for a period of up to six hours, pending further assessment by a medical practitioner. However, anecdotal evidence and a clinical audit undertaken by the authors suggest some doctors 'prescribe' Section 111 at the time of admission. This practice instructs nurses to initiate Section 111 if particular voluntary patients choose to leave hospital. This study outlines practice issues resulting from 'prescribing' Section 111; provides a legal critique of medical practitioners' involvement in this practice; and makes recommendations for guidelines toward a more constructive use of Section 111.  
  Call Number NRSNZNO @ research @ Serial 651  
Permanent link to this record
 

 
Author (up) Farrow, T.; McKenna, B.; O'Brien, A.J. openurl 
  Title Initiating committal proceedings 'just in case' with voluntary patients: A critique of nursing practice Type Journal Article
  Year 2002 Publication Nursing Praxis in New Zealand Abbreviated Journal  
  Volume 18 Issue 2 Pages 15-23  
  Keywords Patient rights; Law and legislation; Mental health; Nurse-patient relations  
  Abstract The authors report a clinical audit that, combined with anecdotal evidence, verifies the practice of putting section 8B medical certificates on the files of voluntary mental health patients at the time of admission. This is seen as a strategy to balance the requirement to support and promote the autonomy of voluntary patients with the need to protect those patients or other people. A conceptual analysis of these issues indicates that such a practice is both legally questionable and ethically inappropriate. The authors suggest an alternative framework for practice that is legally and ethically preferable for both nurses and patients.  
  Call Number NRSNZNO @ research @ Serial 618  
Permanent link to this record
 

 
Author (up) Farrow, T.; O'Brien, A.J. openurl 
  Title Discourse analysis of newspaper coverage of the 2001/2002 Canterbury, New Zealand mental health nurses' strike Type Journal Article
  Year 2005 Publication International Journal of Mental Health Nursing Abbreviated Journal  
  Volume 14 Issue 3 Pages 187-195  
  Keywords Mental health; Nursing specialties; Industrial relations  
  Abstract This paper reports on research into print media representations of industrial disputes in Canterbury in 2001, when mental health nurses undertook a variety of strike actions after stalled negotiations with the local district health board. One response to these actions was the temporary reduction of many of the regions' mental health services. The researchers identified themes of juxtaposed but largely deprecatory images of both mental health nursing and of consumers of services. Some professional nursing voices were given print space during the strike; however, these were largely incorporated into existing discourses rather than offering a nursing viewpoint on the strike. The researchers suggest organisational efforts to focus on ways of ensuring that mental health nurses are seen as a legitimate authority by the media.  
  Call Number NRSNZNO @ research @ Serial 692  
Permanent link to this record
 

 
Author (up) Hardy, D.J.; O'Brien, A.P.; Gaskin, C.J.; O'Brien, A.J.; Morrison-Ngatai, E.; Skews, G.; Ryan, T.; McNulty, N. openurl 
  Title Practical application of the Delphi technique in a bicultural mental health nursing study in New Zealand Type Journal Article
  Year 2004 Publication Journal of Advanced Nursing Abbreviated Journal  
  Volume 46 Issue 1 Pages 95-109  
  Keywords Clinical assessment; Biculturalism; Professional competence; Psychiatric Nursing; Maori  
  Abstract The aim of this paper is to detail the practical application of the Delphi technique as a culturally and clinically valid means of accessing expert opinion on the importance of clinical criteria. Reference is made to a bicultural New Zealand mental health nursing clinical indicator study that employed a three-round reactive Delphi survey. Equal proportions of Maori and non-Maori nurses (n = 20) and consumers (n = 10) rated the importance of 91 clinical indicator statements for the achievement of professional practice standards. Additional statements (n = 21) suggested by Delphi participants in round 1 were included in subsequent rounds. In round 2, participants explained the rating they applied to statements that had not reached consensus in round 1, and summarised responses were provided to participants in round 3. Consensus was considered to have been achieved if 85% of round 3 ratings lay within a 2-point bracket on the 5-point Likert-scale overall, or in one of the Maori nurse, non-Maori nurse, or consumer groups. A mean rating of 4.5 after round 3 was set as the importance threshold. Consensus occurred overall on 75 statements, and within groups on another 24. Most statements (n = 86) reached the importance benchmark. The authors conclude that when rigorous methods of participant selection, group composition, participant feedback, and determination of consensus and importance are employed, the Delphi technique is a reliable, cost-effective means of obtaining and prioritising experts' judgements.  
  Call Number NRSNZNO @ research @ Serial 1060  
Permanent link to this record
 

 
Author (up) McKenna, B.; O'Brien, A.J.; Dal Din, A.; Them, K. openurl 
  Title Responsible clinician role offers opportunities for nurses Type Journal Article
  Year 2006 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal  
  Volume 12 Issue 11 Pages 12-14  
  Keywords Psychiatric Nursing; Advanced nursing practice; Law and legislation; Mental health  
  Abstract The authors report on a recent study investigating the statutory role of responsible clinician. Statutory roles under mental health legislation offer mental health nurses a means of having advanced practice skills recognised, as well as contributing to improved access to services. There is a proliferation of roles intended to develop nursing readership, but in most cases they are not primarily clinical roles. The concept of “advanced practice” has become a means of developing clinical leadership roles in nursing. Research on responsible clinician role is presented along with the results of a survey of the 11 Registered Nurses practicing as responsible clinicians, five senior nurses from each of the 21 district health boards, and the Auckland Regional Forensic Psychiatry Services (n = 121). Respondents were asked whether the responsible clinician role was a legitimate one for nurses and whether they were motivated to attain or maintain that role. They were also asked which competencies for the role they believed they met, their perceptions of credentialing processes and the educational requirements needed to achieve the role. A clear majority of the respondents felt the role of the responsible clinician was a legitimate advanced practice role for mental health nurses. Despite this, some respondents expressed ambivalence about taking on the role. The research highlighted deficits in knowledge and skills that could become a focus of education for advanced practitioners seeking appointment as responsible clinicians. Deficits included some assessment skills, knowledge of a range of interventions and knowledge of other legislation affecting mental health legislation.  
  Call Number NRSNZNO @ research @ Serial 992  
Permanent link to this record
 

 
Author (up) McKenna, B.; O'Brien, A.J.; Dal Din, T.; Thom, K. openurl 
  Title Registered nurses as responsible clinicians under the New Zealand Mental Health (Compulsory Assessment and Treatment) Act 1992 Type Journal Article
  Year 2006 Publication International Journal of Mental Health Nursing Abbreviated Journal  
  Volume 15 Issue 2 Pages 128-134  
  Keywords Advanced nursing practice; Psychiatric Nursing; Law and legislation  
  Abstract The objectives of this research were to determine how many registered nurses are working as 'responsible clinicians', under what phases of the legislation they are functioning, and to describe the enabling processes and barriers to nurses undertaking this statutory role. An anonymous descriptive survey was distributed to the 11 nurses who were currently responsible clinicians as well as five senior nurses selected from each of the 21 district health boards and the Auckland Regional Forensic Psychiatry Services (n=121). The response rate was 88.4% (n=107). The survey questioned respondents on statutory roles currently undertaken. Respondents were asked whether the responsible clinician role was a legitimate one for nurses and whether they were motivated to attain it. They were also asked which competencies of the role they believed they met, their perceptions of credentialing processes and the educational requirements needed to achieve the role. Of the approximately 395 responsible clinicians nationally, 11 (2.8%) are nurses. Most nurses viewed the role as legitimate. However, many were unaware of competencies for the role and credentialing processes, and were somewhat ambivalent about achieving the role due to current workload, role conflict and lack of remuneration. Competency deficits were highlighted. The authors conclude that there are grounds to encourage nurses as responsible clinicians given the intent of the legislation. This will require the promulgation of appropriate mental health policy, and a concerted effort by major stakeholders in mental health service delivery.  
  Call Number NRSNZNO @ research @ Serial 1044  
Permanent link to this record
 

 
Author (up) McKenna, B.; Thom, K.; O'Brien, A.J. openurl 
  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 (up) O'Brien, A.J. openurl 
  Title The therapeutic relationship: Historical development and contemporary significance Type Journal Article
  Year 2001 Publication Journal of Psychiatric & Mental Health Nursing Abbreviated Journal  
  Volume 8 Issue 2 Pages 129-137  
  Keywords Psychiatric Nursing; Nursing models; History of nursing; Nurse-patient relations  
  Abstract This article examines the therapeutic relationship, a concept held by many to be fundamental to the identity of mental health nurses. While the therapeutic relationship was given formal expression in nursing theory in the middle of the last century, its origins can be traced to attendants' interpersonal practices in the asylum era. The dominance of medical understandings of mental distress, and the working-class status of asylum attendants, prevented the development of an account of mental health nursing based on attendants' relationships with asylum inmates. It was left to Peplau and other nursing theorists to describe mental health nursing as a therapeutic relationship in the 1940s and later. Some distinctive features of colonial life in New Zealand suggest that the ideal of the attendant as the embodiment of bourgeoisie values seems particularly unlikely to have been realised in the New Zealand context. However, New Zealand literature from the 20th century shows that the therapeutic relationship, as part of a general development of a therapeutic discourse, came to assume a central place in conceptualisations of mental health nursing. While the therapeutic relationship is not by itself a sufficient basis for professional continuity, it continues to play a fundamental role in mental health nurses' professional identity. The way in which the therapeutic relationship is articulated in the future will determine the meaning of the therapeutic relationship for future generations of mental health nurses.  
  Call Number NRSNZNO @ research @ Serial 1088  
Permanent link to this record
 

 
Author (up) O'Brien, A.J. openurl 
  Title The therapeutic relationship: Perceptions of mental health nurses Type
  Year 2000 Publication Abbreviated Journal Massey University Library  
  Volume Issue Pages  
  Keywords Psychiatric Nursing; Mental health; Nurse-patient relations  
  Abstract  
  Call Number NRSNZNO @ research @ 914 Serial 898  
Permanent link to this record
 

 
Author (up) O'Brien, A.J. openurl 
  Title Negotiating the relationship: mental health nurses' perception of their practice Type
  Year 1998 Publication Australian & New Zealand Journal of Mental Health Nursing Abbreviated Journal Author  
  Volume Issue Pages  
  Keywords  
  Abstract This exploratory descriptive study used focus groups to investigate experienced mental health nurses' perceptions of expertise in relation to their practice. Two focus group discussions were conducted, one compiling 4 nurses working in in-patient care, and the other with 5 nurses working in community care. The nurse-patient relationship was the central theme for both groups. Three sub-themes were identified and are discussed. They are: involvement, individualising care & minimising visibility. The significance of these themes for the articulation of mental health nursing practice is discussed  
  Call Number NRSNZNO @ research @ 362 Serial 362  
Permanent link to this record
 

 
Author (up) O'Brien, A.J.; Hughes, F.; Kidd, J.D. openurl 
  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  
Permanent link to this record
 

 
Author (up) O'Brien, A.J.; Kar, A. openurl 
  Title The role of second health professionals under New Zealand mental health legislation Type Journal Article
  Year 2006 Publication Journal of Psychiatric & Mental Health Nursing Abbreviated Journal  
  Volume 13 Issue 3 Pages 356-363  
  Keywords Scope of practice; Psychiatric Nursing; Nurse-patient relations  
  Abstract The development of generic statutory roles in mental health care has been the subject of discussion by New Zealand nurses for the past decade. One such role is that of second health professional in judicial reviews of civil commitment. Issues identified by New Zealand nurses have also been raised in England, where it seems that nurses are likely to assume the role of Approved Mental Health Worker under English mental health law. A survey of mental health nurses found that few had received any preparation for the role of second health professional and 45% did not feel adequately prepared for the role. Some of these issues are reflected in a New Zealand inquiry which resulted in the Ministry of Health developing a written report form for second health professionals. However, the form has the potential to reduce the mental health nursing role to a narrow legal role. Statutory roles such as that of second health professional challenge mental health nurses to critically reflect on the conceptual and ethical basis of their practice. While traditional concepts such as therapeutic relationships and advocacy need to be reviewed in light of these changes, nurses need to be vigilant in articulating the moral and clinical basis of their roles. The development of guidelines for the second health professional role is suggested as a way of supporting clinical practice in this area.  
  Call Number NRSNZNO @ research @ Serial 1045  
Permanent link to this record
 

 
Author (up) O'Brien, A.P.; Boddy, J.M.; Hardy, D.J.; O'Brien, A.J. openurl 
  Title Clinical indicators as measures of mental health nursing standards of practice in New Zealand Type Journal Article
  Year 2004 Publication International Journal of Mental Health Nursing Abbreviated Journal  
  Volume 13 Issue 2 Pages 778-788  
  Keywords Psychiatric Nursing; Professional competence; Administration; Quality of health care; Mental ealth  
  Abstract This paper discusses the utility of Consumer Notes Clinical Indicators (CNCI) as a means to monitor mental health nursing clinical practice against the Australian and New Zealand College of Mental Health Nurses' (ANZCMHN) Standards of Practice for mental health nursing in New Zealand. CNCI are statements describing pivotal mental health nursing behaviours for which evidence can be found in the nurses' case notes. This paper presents 25 valid and reliable CNCI that can be used to monitor mental health nursing practice against the ANZCMHN's Standards of Practice for mental health nursing in New Zealand. The bicultural clinical indicators were generated in focus groups of Maori and non-Maori mental health nurses, prioritised in a three-round reactive Delphi survey of expert mental health nurses and consumers, pilot tested, and applied in a national field study. This paper reports the development and validation of the CNCI, for which achievement is assessed by an audit of the nursing documentation in consumer case notes. The CNCI were tested in a national field study of 327 sets of consumer case notes at 11 district health board sites. The results of the national field study show wide variation in occurrence of individual indicators, particularly in the areas of informed consent, information about legal rights, and provision of culturally safe and recovery-focused care. The authors discuss the implications of using the CNCI to assess the professional accountability of mental health nurses to provide quality care. Recommendations are made regarding the application of the clinical indicators and future research required, determining appropriate benchmarks for quality practice. The CNCI could be adapted for application in other mental health nursing and other mental health professional clinical settings.  
  Call Number NRSNZNO @ research @ Serial 1059  
Permanent link to this record
 

 
Author (up) O'Brien, A.P.; O'Brien, A.J.; Hardy, D.J.; Morrison-Ngatai, E.; Gaskin, C.J.; Boddy, J.M.; McNulty, N.; Ryan, T.; Skews, G. openurl 
  Title The New Zealand development and trial of mental health nursing clinical indicators: A bicultural study Type Journal Article
  Year 2003 Publication International Journal of Nursing Studies Abbreviated Journal  
  Volume 40 Issue 8 Pages 853-861  
  Keywords Biculturalism; Psychiatric Nursing; Professional competence; Evaluation  
  Abstract This paper describes the development and validation of bicultural clinical indicators that measure achievement of mental health nursing practice standards in New Zealand (ANZMCHN, 1995, Standards of practice for mental health nursing in New Zealand). A four-stage research design was utilised including focus groups, Delphi surveys, a pilot, and a national field study, with mental health nurses and consumers as participants. Results revealed a variation in the mean occurrence of the clinical indicators in consumer case notes of 18.5-89.9%. Five factors with good internal consistency, encompassing domains of mental health nursing required for best practice, were derived from analysis of the questionnaire. This study presents a research framework for developing culturally and clinically valid, reliable measures of clinical practice.  
  Call Number NRSNZNO @ research @ Serial 956  
Permanent link to this record
Select All    Deselect All
 |   | 
Details
   print