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Author (up) King, S.L.J.; Walsh, K.
Title 'I think PCA is great, but . . .'- Surgical nurses' perceptions of patient-controlled analgesia Type Journal Article
Year 2007 Publication International Journal of Nursing Practice Abbreviated Journal
Volume 13 Issue 5 Pages 276-283
Keywords Nurse-patient relations; Drug administration; Pain management
Abstract This qualitative study investigated surgical nurses' perceptions of patient-controlled analgesia as a strategy for managing acute pain in a tertiary care hospital. Patient-controlled analgesia is commonly used and nurses play an essential role in caring for patients prescribed it. The study was divided into two parts. First, audiotaped semi-structured interviews were conducted with 10 nurses. The interviews were followed by a postal questionnaire to 336 nurses with 171 returned. Thematic analysis was the chosen methodology. The audiotaped transcripts and questionnaires surfaced five themes, with the dominant one being `I think PCA is great, but . . .'. The paper outlines and explores these themes and addresses the implications arising from the research for both clinical practice and education.
Call Number NRSNZNO @ research @ Serial 972
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Author (up) Walsh, K.
Title Change and development of nusing practice: The challenges for the new century Type Journal Article
Year 2004 Publication Emergency Nurse New Zealand Abbreviated Journal
Volume 3 Issue 3 Pages 10-13
Keywords Nursing; Work
Abstract In light of the current challenges facing the nursing workforce, the author proposes a way forward to capture and utilise the challenges to bring about positive change.
Call Number NRSNZNO @ research @ 1112 Serial 1097
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Author (up) Walsh, K.; McAllister, M.; Morgan, A.; Thornhill, J.
Title Motivating change: Using motivational interviewing in practice development Type Journal Article
Year 2004 Publication Practice Development in Health Care Abbreviated Journal
Volume 3 Issue 2 Pages 92-100
Keywords Psychiatric Nursing; Hospitals; Motivation; Older people
Abstract The present paper draws on experiences and insights gained by a group of psychiatric nurse practice development facilitators whilst working with consumers, carers, clinicians and managers in the context of a practice development programme in a large metropolitan psychiatric hospital. The paper describes how the practice development facilitators were able to adapt techniques of motivational interviewing, commonly used in drug and alcohol treatment services, to help motivate change in an aged care setting. The lessons embedded within this experience are that people do want change, and that sustained change requires ownership and support. Practice development facilitators can assist in this process though the use of principles and strategies of motivational interviewing, which include increasing awareness of the need for change, supporting self-efficacy and managing resistance to change.
Call Number NRSNZNO @ research @ Serial 718
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Author (up) Walsh, K.; Moss, C.; Lawless, J.; McKelvie, R.; Duncan, L.
Title Puzzling practice: A strategy for working with clinical practice issues Type Journal Article
Year 2008 Publication International Journal of Law and Psychiatry Abbreviated Journal
Volume 14 Issue 2 Pages 94-100
Keywords Nursing philosophy; Clinical decision making; Problem solving
Abstract The authors share the evolution of innovative ways to explore, 'unpack' and re-frame clinical issues that exist in everyday practice. The elements of these processes, which they call 'puzzling practice', and the techniques associated with them, were delineated over a two year period by the authors using action theory based processes. The authors have evolved several different frameworks for 'puzzling practice' which they draw on and use in their practice development work and in research practice. This paper pays attention to a particular form of puzzling practice that they found to be useful in assisting individual clinicians and teams to explore and find workable solutions to practice issues. In this example 'puzzling practice' uses seven different elements; naming the issue; puzzling the issue; testing the puzzle; exploring the heart of out practice; formulating the puzzle question; visualising the future; and generating new strategies for action. Each of the elements is illustrated by the story and the key foundations and ideas behind each element is explored.
Call Number NRSNZNO @ research @ Serial 838
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