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Author Wong, G.; Sakulneya, A. openurl 
  Title Promoting EAL nursing students' mastery of informal language Type Journal Article
  Year 2004 Publication Nursing Praxis in New Zealand Abbreviated Journal (up)  
  Volume 20 Issue 1 Pages 45-52  
  Keywords Communication; Asian peoples; Education; Nursing  
  Abstract This article describes the development, delivery and evaluation of a pilot programme designed to help nursing and midwifery students from Asian and non-English speaking backgrounds improve their conversational skills in practice settings. Many such students, although previously assessed as competent in English, find that communication with patients and their families, and other health professionals is difficult. The study was conducted in a large tertiary educational institution in a major metropolitan centre. Each week for a period of 11 weeks students participated in an interactive session. Content for these was based on areas highlighted by a needs assessment involving interviews with both students and lecturers, and was subject to ongoing modification in response to feedback from participants. Evaluation questionnaires completed at the conclusion of the series indicated that students perceived the impact as positive. Students who attended regularly and were actively involved in the practice activities described gains in communication skills. From this it was concluded that further development of the pilot scheme was warranted in order to benefit English as an additional language (EAL) students enrolled in nursing and midwifery courses  
  Call Number NRSNZNO @ research @ 564 Serial 550  
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Author Gallaher, L. openurl 
  Title Expert public health nursing practice: A complex tapestry Type Journal Article
  Year 1999 Publication Nursing Praxis in New Zealand Abbreviated Journal (up)  
  Volume 14 Issue 3 Pages 16-27  
  Keywords Public health; Community health nursing; Communication  
  Abstract The research outlined in this paper used Heideggerian phenomenology to examine the phenomenon of expert public health nursing practice within a New Zealand community health setting. Narrative interviews were conducted with eight identified expert practitioners who are currently practising in this speciality area. Data analysis led to the identification and description of themes which were supported by paradigm cases and exemplars. Four key themes were identified which describe the finely tuned recognition and assessment skills demonstrated by these nurses; their ability to form, sustain and close relationships with clients over time; the skilful coaching undertaken with clients; and the way in which they coped with the dark side of their work with integrity and courage.  
  Call Number NRSNZNO @ research @ 656 Serial 642  
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Author O'Shea, M.; Reddy, L. openurl 
  Title Action change in New Zealand mental health nursing: One team's perspective Type Journal Article
  Year 2007 Publication Practice Development in Health Care Abbreviated Journal (up)  
  Volume 6 Issue 2 Pages 137-142  
  Keywords Experiential learning; Psychiatric Nursing; Communication; Community health nursing  
  Abstract This paper describes an attempt at effecting change with specific relevance to the discharge planning of clients from a New Zealand inpatient mental health unit to a community setting. It explores how a team of community mental health nurses, practising in an urban/rural area, used the concepts of practice development to endeavour to bring about change while still retaining a client-centred focus. It describes how, in their enthusiasm, they embarked on the road to practice change without undertaking some of the essential ground work, Although they did not achieve all they set out to achieve, much was learnt in the process. In this paper, the authors outline their key learning points concerning the importance of engagement, communication, consistency and cooperation to the process and outcomes of practice change.  
  Call Number NRSNZNO @ research @ 897 Serial 881  
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Author Major, G.; Holmes, J. openurl 
  Title How do nurses describe health care procedures? Analysing nurse-patient interaction in a hospital ward Type Journal Article
  Year 2008 Publication Australian Journal of Advanced Nursing Abbreviated Journal (up)  
  Volume 25 Issue 4 Pages 58-70  
  Keywords Communication; Nursing; Nurse-patient relations  
  Abstract This study examines the communication strategies used by nurses on the ward in one aspect of the job, namely the ways that they describe health procedures to patients. The data used in this project was collected by nurses on a busy hospital ward as part of Victoria University's Language in the Workplace Project. Three nurses carried minidisc recorders as they went about their normal working day, recording their conversations with patients, visitors, and other staff. The data was collected in a women's hospital ward. All patients, nurses, cleaners and ward clerks were female; two doctors were female and two were male. Twenty three instances where nurses described procedures to patients were identified in the data set. The analysis identified several typical components; indicated there was no fixed order of components; and demonstrated that all except the core component of describing the procedure were optional rather than obligatory elements. The researchers note this is qualitative and exploratory research. The findings demonstrate the benefit of discourse analysis within a sociolinguistic framework for the analysis of nurse-patient interaction. The results indicate that health discourse is not one-sided, nor is it as straightforward as many nursing textbooks suggest.  
  Call Number NRSNZNO @ research @ 975 Serial 959  
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Author Payne, D.; Goedeke, S. openurl 
  Title Holding together: Caring for clients undergoing assisted reproductive technologies Type Journal Article
  Year 2007 Publication Journal of Advanced Nursing Abbreviated Journal (up)  
  Volume 60 Issue 6 Pages 645-653  
  Keywords Nursing specialties; Sexual and reproductive health; Communication; Multidisciplinary care teams  
  Abstract This paper reports a study to investigate the roles and experiences of nurses caring for clients undergoing assisted reproductive technologies (ART). Nurses are in a potentially unique position in the assisted reproductive technology environment as they maintain a more constant contact with the client. A qualitative approach was taken and a convenience sample of 15 nurses from New Zealand was interviewed in 2005. Data were analysed using interpretive description. The overarching theme identified was that of the potential role of the nurse to 'hold together' multiple components of the assisted reproductive technology process: holding together clients' emotional and physical experiences of assisted reproductive technologies; holding together the roles of different specialist team members; and holding together personal own emotions. It encompasses practices such as information-giving, interpreting, supporting and advocating. The researchers note that recognition of and support for the complexity of the role of ART nurses may positively contribute to clients' experiences.  
  Call Number NRSNZNO @ research @ 985 Serial 969  
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Author Evans-Murray, A. openurl 
  Title Meeting the needs of grieving relatives Type Journal Article
  Year 2004 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal (up)  
  Volume 10 Issue 9 Pages 18-20  
  Keywords Intensive care nursing; Grief; Communication  
  Abstract This article examines the role of nurses working in intensive care units who may need to work with families as they face the death of a loved one. How the nurse communicates with relatives during these crucial hours prior to the death can have profound implications on their grief recovery. Universal needs for families in this situation have been identified in the literature, and include: hope; knowing that staff care about their loved one; and having honest information about their loved one's condition. A case study is used to illustrate key skills and techniques nurses can employ to help meet these universal needs. In the first stage of grief the bereaved is in shock and may feel a sense of numbness and denial. The bereaved may feel confused and will have difficulty concentrating and remembering instructions, and they may express strong emotions. Studies on families' needs show that honest answers to questions and information about their loved one are extremely important. It is often very difficult for the nurse to give honest information when the prognosis is poor. Good communication skills and techniques are discussed, in which hope is not offered at the expense of truthfulness, and the nurse facilitates the process of saying goodbye and expressing emotions. Practical techniques, such as including the family in basic care such as foot massaging and simple hygiene routines, may also be used to move the family from being bystanders to the impending death, to comforters.  
  Call Number NRSNZNO @ research @ 1004 Serial 988  
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Author Tritschler, E.; Yarwood, J. openurl 
  Title Relating to families through their seasons of life: An indigenous practice model Type Journal Article
  Year 2007 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal (up)  
  Volume 13 Issue 5 Pages 18-3  
  Keywords Parents and caregivers; Nursing models; Nurse-family relations; Communication  
  Abstract In this article the authors introduce an alternative way that nurses can be with families, using a relational process that can enhance nurses' responses when working with those transitioning to parenthood. Seasons of Life, a framework adapted from the Maori health model He Korowai Oranga, emerged from practice to offer a compassionate and encouraging stance, while at the same time respecting each family's realities and wishes. The model allows the exploration of the transition to parenthood within a wellness model, and takes a strengths-based approach to emotional distress. This approach provides a sense of “normality”, rather than of pathology, for the emotions experienced by new parents. The specific issues men may face are discussed, where despite recent culture change that allows men a more nurturing parental role, there is still no clear understanding of how men articulate their sense of pleasure or distress at this time. Practitioners are encouraged to examine their own assumptions, values and beliefs, and utilise tools such as reflective listening, respect, insight and understanding. The most significant aspect of relationship between nurse and parents is not the outcome, but how nurses engage with families. Examples from practice will demonstrate some of the differing ways this relational process framework has been effective.  
  Call Number NRSNZNO @ research @ 1007 Serial 991  
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Author Wilson, S.; Carryer, J.B. openurl 
  Title Emotional competence and nursing education : A New Zealand study Type Journal Article
  Year 2008 Publication Nursing Praxis in New Zealand Abbreviated Journal (up)  
  Volume 24 Issue 1 (Mar) Pages 36-47  
  Keywords Teaching methods; Communication; Nursing; Education; Nursing models  
  Abstract Explores the challenges encountered by nurse educators who seek to assess aspects related to emotional competence in nursing students. This emotional competence includes nurses managing their own emotional life along with the skill to relate effectively to the multiple colleagues and agencies that nurses work alongside. The research was designed to explore the views of nurse educators about the challenges they encounter when seeking to assess a student's development of emotional competence during the three year bachelor of nursing degree. Focus groups were used to obtain from educators evidence of feeling and opinion as to how theory and practice environments influence student nurses' development of emotional competence. The process of thematic analysis was utilised and three key themes arose as areas of importance to the participants. These were personal and social competence collectively comprises emotional competence in nursing; emotional competence is a key component of fitness to practise; and transforming caring into practice. The findings of the study indicate a need for definition of what emotional competence is in nursing. It is argued that educators and practicing nurses, who work alongside students, must uphold the expectation that emotional competence is a requisite ability and should themselves be able to role model emotionally competent communication.  
  Call Number NRSNZNO @ research @ Serial 451  
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Author White, G.E.; Su, H.-R. openurl 
  Title Am I dying, nurse? Type Journal Article
  Year 2000 Publication Nursing Praxis in New Zealand Abbreviated Journal (up)  
  Volume 15 Issue 1 Pages 33-40  
  Keywords Communication; Ethics; Nursing; Palliative care  
  Abstract This paper addresses the concept of truth, and debates who should tell it and how it should be told. It explores the cultural aspects of knowing the truth about dying. The question of whether nurses have a moral obligation to tell the truth is explored, and suggests the lack of New Zealand research in this area should be addressed.  
  Call Number NRSNZNO @ research @ Serial 631  
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Author Powell, J. openurl 
  Title Caring for patients after an ICU admission Type Journal Article
  Year 2002 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal (up)  
  Volume 8 Issue 7 Pages 24-25  
  Keywords Intensive care nursing; Nurse-patient relations; Trauma; Communication  
  Abstract The author presents research on nursing strategies that reduce the psychological effects of critical illness and prevent the intensive care unit (ICU) atmosphere from adversely affecting the nurse-patient relationship. Post-traumatic stress disorder and other phobic anxiety syndromes are noted as a risk among former ICU patients. Four interventions to put in place for discharge are presented: patient-centred nursing, communication, multidisciplinary care, and patient/family education.  
  Call Number NRSNZNO @ research @ Serial 954  
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Author Polaschek, L.; Polaschek, N. openurl 
  Title Solution-focused conversations: A new therapeutic strategy in Well Child health nursing telephone consultations Type Journal Article
  Year 2007 Publication Journal of Advanced Nursing Abbreviated Journal (up)  
  Volume 59 Issue 2 Pages 111-119  
  Keywords Telenursing; Communication; Evaluation  
  Abstract This paper reports a study to explore Well Child nurses' perceptions of outcomes resulting from the use of solution-focused conversations in their telephone consultations with clients. The standard problem-solving approach used to address physical issues is less effective for various non-physical concerns, where different communication strategies may be helpful. In this qualitative, action-oriented study, a small group of Well Child telenurses in New Zealand was introduced to a specific communication strategy, called 'solution-focused conversations', during 2005. They applied this approach in their practice and then reflected together on their experiences in focus groups. The nurses considered that the solution-focused conversations enabled clients to: recognise the nature of the parenting issue of concern that had motivated their call; identify more effective parenting practices to address specific issues with their child; increase their confidence in their own parenting capabilities. This study suggested the value of learning a specific communication strategy for the practice of a group of Well Child telenurses.  
  Call Number NRSNZNO @ research @ Serial 973  
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Author Manning, J. openurl 
  Title Building trust with families in neonatal intensive care units Type Journal Article
  Year 2006 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal (up)  
  Volume 12 Issue 6 Pages 18-20  
  Keywords Paediatric nursing; Neonatal nursing; Parents and caregivers; Communication  
  Abstract Establishing a trusting relationship is a key therapeutic intervention for nurses working with families of hospitalised children. This article is an exploration of the definition of trust. Specifically, it considers how parents come to trust (or not) nurses in neonatal intensive care unit (NICU) helps to reveal the meaning of parent-nurse trust and how this affects nursing practice. Understanding and meeting parental needs is important in developing and sustaining trust. The medical model of care often dominates in NICU. This is a deficit model that focuses on illness and treatment. However, the use of a nursing framework, such as developmentally supportive family centred care, focuses on recognising and building on the strengths of the family, by fostering trust to equip the family with the capacity to manage their infant's health care.  
  Call Number NRSNZNO @ research @ Serial 976  
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Author Polaschek, N. openurl 
  Title Negotiated care: A model for nursing work in the renal setting Type Journal Article
  Year 2003 Publication Journal of Advanced Nursing Abbreviated Journal (up)  
  Volume 42 Issue 4 Pages 355-363  
  Keywords Chronically ill; Nursing models; Nurse-patient relations; Communication  
  Abstract This article outlines a model for the nursing role in the chronic health care context of renal replacement therapy. Materials from several streams of literature are used to conceptualise the potential for nursing work in the renal setting as negotiated care. In order to present the role of the renal nurse in this way it is contextualised by viewing the renal setting as a specialised social context constituted by a dominant professional discourse and a contrasting client discourse. While performing specific therapeutic activities in accord with the dominant discourse, renal nurses can develop a relationship with the person living on dialysis, based on responsiveness to their subjective experience reflecting the renal client discourse. In contrast to the language of noncompliance prevalent in the renal setting, nurses can, through their relationship with renal clients, facilitate their attempts to negotiate the requirements of the therapeutic regime into their own personal life situation. Nurses can mediate between the dominant and client discourses for the person living on dialysis. Care describes the quality that nurses actively seek to create in their relationships with clients, through negotiation, in order to support them to live as fully as possible while using renal replacement therapy. The author concludes that within chronic health care contexts, shaped by the acute curative paradigm of biomedicine, the model of nursing work as negotiated care has the potential to humanise contemporary medical technologies by responding to clients' experiences of illness and therapy.  
  Call Number NRSNZNO @ research @ Serial 1186  
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Author Lu, Hongyan; Maithus, Caroline openurl 
  Title Experiences of clinical tutors with English as an additional language (EAL) students Type Journal Article
  Year 2012 Publication Nursing Praxis in New Zealand Abbreviated Journal (up)  
  Volume 28 Issue 3 Pages 4-12  
  Keywords Clinical tutors; Clinical practice; English as an additional language (EAL); Spoken language; Communication skills  
  Abstract Conducts a study of the perceptions of new nursing graduates, with English as an additional language (EAL), on how they developed spoken language skills for the clinical workplace. Interviews 4 clinical tutors to elicit their views on the language development of EAL students. Outlines the themes that emerged from the tutor interviews.  
  Call Number NZNO @ research @ Serial 1476  
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Author Cook, Catherine; Brunton, Margaret openurl 
  Title The influence of the Cartwright Report on gynaecological examinations and nurses' communication Type Journal Article
  Year 2014 Publication Nursing Praxis in New Zealand Abbreviated Journal (up)  
  Volume 30 Issue 2 Pages 28-38  
  Keywords Cartwright Report; Communication; Sexual health; Women's health; Cervical screening  
  Abstract Reports findings from semi-structured interviews with 6 nurses and 7 women patients at a sexual health clinic where the women reported positive experiences of speculum examinations. Combines data with that from interviews with 16 patients and 16 clinicians regarding positive examinations, and analyses data to identify which clinical communication strategies were used, and how the women responded. Highlights the legacy of the Cartwright Report of the Cervical Cancer Inquiry of 1987/88.  
  Call Number NZNO @ research @ Serial 1494  
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