| Records |
| Author |
McBride-Henry, K.; Foureur, M. |
Title  |
A secondary care nursing perspective on medication administration safety |
Type |
Journal Article |
| Year |
2007 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
|
| Volume |
60 |
Issue |
1 |
Pages |
58-66 |
| Keywords |
Patient safety; Drug administration; Organisational culture; Nursing |
| Abstract |
This paper reports on a study to explore how nurses in a secondary care environment understand medication administration safety and the factors that contribute to, or undermine, safe practice during this process. Data were collected in 2005 using three focus groups of nurses that formed part of a larger study examining organisational safety and medication administration from a nursing perspective. A narrative approach was employed to analyse the transcripts. Participants had good understandings of organisational culture in relation to medication safety and recognised the importance of effective multi-disciplinary teams in maintaining a safe environment for patients. Despite this, they acknowledged that not all systems work well, and offered a variety of ways to improve current medication practices. These findings highlight the meaningful contribution nurses can make to patient safety and emphasise the importance of including the nursing voice in any quality improvement initiatives. |
| Call Number |
NRSNZNO @ research @ |
Serial |
648 |
| Permanent link to this record |
| |
|
| |
| Author |
Rowe, W. |
| Title |
An ethnography of the nursing handover |
Type |
|
| Year |
2001 |
Publication |
|
Abbreviated Journal |
Massey University Library |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Administration; Nursing; Organisational culture |
| Abstract |
|
| Call Number |
NRSNZNO @ research @ 1272 |
Serial |
1257 |
| Permanent link to this record |
| |
|
| |
| Author |
Wepa, D. |
| Title |
An exploration of the experiences of cultural safety educators in New Zealand: An action research approach |
Type |
Journal Article |
| Year |
2003 |
Publication |
Journal of Transcultural Nursing |
Abbreviated Journal |
|
| Volume |
14 |
Issue |
4 |
Pages |
339-348 |
| Keywords |
Cultural safety; Nursing; Education; Teaching methods; Organisational culture; Maori |
| Abstract |
This research is a study of the experiences of four cultural safety educators in nursing education in Aotearoa, New Zealand. Action research methods assisted the participants to implement change in their practice and gain positive personal involvement in the study. Reflective diaries provided the major tool in this process as participants were able to achieve at least one action research cycle by identifying issues, planning action, observing the action, and reflecting. The findings of the research revealed that the participants not only coped with everyday stressors of teaching but were also required to formulate knowledge for cultural safety. For the Maori participants, their stress was confounded with recruiting and retaining Maori students and macro issues such as commitment to their iwi (tribe). Lack of support to teach cultural safety was identified to be a key theme for all participants. An analysis of this theme revealed that many issues were organisational in nature and out of their control. Action research provided a change strategy for participants to have a sense of control of issues within their practice. Recommendations include the following: support for cultural safety educators to have a dialogue on a regular basis, the introduction of nurse educator programmes, paid leave provisions for educators to conduct and publish research so that a body of knowledge can be developed, and that Maori cultural safety educators be recognised for their professional and cultural strengths so that they do not fall victim to burnout. |
| Call Number |
NRSNZNO @ research @ |
Serial |
887 |
| Permanent link to this record |
| |
|
| |
| Author |
Kidd, J.D. |
| Title |
Aroha mai: Nurses, nursing and mental illness |
Type |
|
| Year |
2008 |
Publication |
|
Abbreviated Journal |
University of Auckland Library |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Mental health; Nursing; Culture |
| Abstract |
This research takes an autoethnographical approach to exploring the connections between being a nurse, doing nursing work, and experiencing a mental illness. Data is comprised of autoethnographical stories from 18 nurses. Drawing on Lyotard's (1988) postmodern philosophy of 'regimes of phrases' and 'genres of discourse,' the nurses' stories yielded three motifs: Nursing, Tangata Whaiora (people seeking wellness) and Bullying. Interpretation of the motifs was undertaken by identifying and exploring connected or dissenting aspects within and between the motifs. |
| Call Number |
NRSNZNO @ research @ 478 |
Serial |
465 |
| Permanent link to this record |
| |
|
| |
| Author |
Lindsay, L. |
| Title |
Atrocity tales: The language of terrorism in nursing |
Type |
|
| Year |
2004 |
Publication |
Whitireia Nursing Journal |
Abbreviated Journal |
|
| Volume |
11 |
Issue |
|
Pages |
27-35 |
| Keywords |
Gender; Male nurses; Culture |
| Abstract |
In this paper, the author explores the concept of 'professional terrorism'. He exposes discrimination against male nurses as being a form of professional terrorism, primarily as it is enacted through use of language. He presents the concept of horizontal violence as a way to understand why nurses, as a marginalised group, perform oppressive acts towards male nurses, who are similarly oppressed. He outlines the cost of such a culture on nursing practice and presents strategies for change. |
| Call Number |
NRSNZNO @ research @ 1310 |
Serial |
1294 |
| Permanent link to this record |
| |
|
| |
| Author |
Mortensen, A.; Young, N. |
| Title |
Caring for refugees in emergency departments in New Zealand |
Type |
Journal Article |
| Year |
2004 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
| Volume |
20 |
Issue |
2 |
Pages |
24-35 |
| Keywords |
Emergency nursing; Culture; Mental health; Health status |
| Abstract |
This paper outlines some of the special health needs of people from refugee backgrounds who present in the emergency department, and the role of emergency department nurses in improving care for refugee and migrant peoples. Refugees and asylum seekers represent a significant proportion of attendees in emergency departments in Auckland Hospitals. Culture and ethnicity are a major factor to be considered in addressing the health care needs of this population. Other factors such as the physical and psychological sequelae of the refugee experience, health care experience prior to arrival in New Zealand, poverty, language, and the trauma of resettlement also have a major impact on health care seeking behaviours. |
| Call Number |
NRSNZNO @ research @ 557 |
Serial |
543 |
| Permanent link to this record |
| |
|
| |
| Author |
Simon, V.N. |
| Title |
Characterising Maori nursing practice |
Type |
Journal Article |
| Year |
2006 |
Publication |
Contemporary Nurse |
Abbreviated Journal |
|
| Volume |
22 |
Issue |
2 |
Pages |
203-213 |
| Keywords |
Registered nurses; Maori; Nursing models; Culture |
| Abstract |
This paper summarises research which addresses the question What might constitute Maori nursing practice? The research design adopted was influenced by kaupapa Maori methodology and used a semi-structured, qualitative, in-depth interview process. It was found that by understanding the current experiences of Maori registered nurses, their reflections on their preparation for practice, and their current practice, it is possible to identify the present and future training and practice needs of Maori nurses. Maori nursing practice can be characterised as having five features: the promotion of cultural affirmation including cultural awareness and identity; the support of, and access to Maori networks; the adoption of Maori models of health; the enabling of visibility and pro-activity as Maori nurses; and, the validation of Maori nurses as effective health professionals. Three recommendations for promoting Maori nursing practice are made in relation to staff in the workplace and in nurse education programmes: all nursing staff need to be alert to: 1. the impact of western scientific models on Maori healthcare; 2. the (often passive) non-acceptance of Maori within mainstream institutions; and iii) the benefits of valuing indigenous nursing programmes. |
| Call Number |
NRSNZNO @ research @ |
Serial |
936 |
| Permanent link to this record |
| |
|
| |
| Author |
Simon, V.N. |
| Title |
Characterising Maori nursing practice |
Type |
|
| Year |
2000 |
Publication |
|
Abbreviated Journal |
University of Waikato Library |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Maori; Nursing; Culture |
| Abstract |
|
| Call Number |
NRSNZNO @ research @ 1134 |
Serial |
1119 |
| Permanent link to this record |
| |
|
| |
| Author |
Wilkinson, J.A. |
| Title |
Creating a culture of workplace safety |
Type |
Journal Article |
| Year |
2002 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
| Volume |
8 |
Issue |
6 |
Pages |
14-15 |
| Keywords |
Occupational health and safety; Workplace violence; District nursing; Organisational culture |
| Abstract |
This study investigated the safety of working environments of a group of urban district nurses. Six district nurses were interviewed and participated in a focus group. The findings focus on the risks associated with client behaviour and with the organisational structure in which district nurses work. Recommendations for primary, secondary and tertiary prevention of harm to nurses working in isolation in the community are presented. The author describes her personal background in district nursing, which prompted the study. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1002 |
| Permanent link to this record |
| |
|
| |
| Author |
Crowe, M.; Carlyle, D. |
| Title |
Deconstructing risk assessment and management in mental health nursing |
Type |
Journal Article |
| Year |
2003 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
|
| Volume |
43 |
Issue |
1 |
Pages |
19-27 |
| Keywords |
Psychiatric Nursing; Risk management; Policy; Culture |
| Abstract |
The aims of the study were to provide a deconstructive analysis of the concepts of risk and risk management, and to explore the historical context of mental disorder and the concept of risk, the clinical context of risk assessment and management, the cultural, political and economic context of risk, and the impact on mental health nursing and consumers of mental health services. This is undertaken by providing a critical review of the history of mental illness and its relationship to risk, examination of government policy on clinical risk management, analysis of a risk assessment model and a discussion of the political and economic factors that have influenced the use of risk assessment and management in clinical practice. The concept of risk and its assessment and management have been employed in the delivery of mental health services as a form of contemporary governance. One consequence of this has been the positioning of social concerns over clinical judgement. The process employed to assess and manage risk could be regarded as a process of codification, commodification and aggregation. In the mental health care setting this can mean attempting to control the actions and behaviours of consumers and clinicians to best meet the fiscal needs of the organisation. The authors conclude that the mental health nursing profession needs to examine carefully its socially mandated role as guardians of those who pose a risk to others to ensure that its practice represents its espoused therapeutic responsibilities. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1069 |
| Permanent link to this record |
| |
|
| |
| Author |
McArthur, J. |
| Title |
Discursive understanding of knowledge within advanced nursing practice roles: A co-operative inquiry in an acute health care organisation |
Type |
|
| Year |
|
Publication |
|
Abbreviated Journal |
Auckland University of Technology Library |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Advanced nursing practice; Organisational culture |
| Abstract |
|
| Call Number |
NRSNZNO @ research @ 1280 |
Serial |
1265 |
| Permanent link to this record |
| |
|
| |
| Author |
Were, Katie Jane |
| Title |
Early Career Nurses: The relationship between Organisational Climate and Job Satisfaction and Burnout |
Type |
Book Whole |
| Year |
2016 |
Publication |
|
Abbreviated Journal |
|
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Graduate nurses; Organisational culture; Job satisfaction; Burn-out; District health boards; Nurse Entry to Practice (NETP); Nurse Entry to Speciality Practice (NESP) |
| Abstract |
Identifies early-career nurses' perceptions of their first two years of clinical practice, and how the organisational climate at a District Health Board (DHB) within NZ impacts on their success in clinical practice. Determines the relationship between three aspects of organisational climate -- nursing relationships, charge-nurse manager leadership, and staff organisation -- and early-career nurses' perceptions of job satisfaction and burnout. Receives 91 responses to a mixed-method survey. Identifies significant themes that emerged from thematic analysis: supervisor support, emotional labour, workload and staffing relations. |
| Call Number |
NZNO @ research @ |
Serial |
1556 |
| Permanent link to this record |
| |
|
| |
| Author |
Fleck, K. |
| Title |
Finding the shadows in the mirror of experience: An ontological study of the global-co-worker |
Type |
|
| Year |
2008 |
Publication |
|
Abbreviated Journal |
ScholarlyCommons@Victoria |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Culture; Nursing philosophy |
| Abstract |
This study explores the phenomenon of a personal exploratory field visit to HIV programmes in Malawi and how that informs the author's future plans to work cross-culturally with HIV. He uses hermeneutic phenomenology with the guidance of Heidegger and Gadamer, and draw on Ackermann, Hill, Maluleke, Moltmann, and Thielicke for theological direction. This study analyses how personal formation takes place and how the meaning of that experience can inform future cross-cultural interaction. The data of this study is drawn from a range of people interviewing 'me'. This includes a pre and post interview in relation to the author's three week exploratory visit to Malawi, and recorded daily reflections during the visit. Upon return he was interviewed about the experience by ten people from the following areas: nursing, counselling, development, theology, business, medicine, clergy, an Expatriate Malawian, and a women working from a Maori paradigm. These interviews focused on the author's experience with questions framed from the interviewer's specialty area. The transcripts become further data for this study. The findings of this thesis suggest that people wishing to work cross-culturally need to understand their motivation for their work, and understand who they are before entering a foreign land. This transformative journey also needs to continue as part of the process of working with people because we can only be effective with change if we are listening and hearing the other's perspective. It is in being open to this difference between persons that we continue to find ourselves. While perhaps we have a tendency to want to make everybody like us, we can only grow into our full potential in relationship with truly different others. Tensions experienced demonstrate that there is a complex need to understand how the context controls how HIV is perceived. This requires uncovering some of the deeper issues of HIV and culture, and knowing how to conceptualise these in both positive and informative ways. This thesis asks four key questions for the global-co-worker to work through before embarking on cross-cultural mission: 1. How do you know you should go?; 2. How are you going to make a difference?; 3. Who are you going to be?; and 4. What will sustain your involvement? The author's own experience has drawn me into a deeper awareness of the need for a vital connectedness of faith, hope and love underpinning the everydayness of such an experience. |
| Call Number |
NRSNZNO @ research @ 1250 |
Serial |
1235 |
| Permanent link to this record |
| |
|
| |
| Author |
Horrocks, T. |
| Title |
Implementing change combining Maori and Western knowledge in health delivery |
Type |
Journal Article |
| Year |
2001 |
Publication |
Vision: A Journal of Nursing |
Abbreviated Journal |
|
| Volume |
7 |
Issue |
13 |
Pages |
37-41 |
| Keywords |
Maori; Cross-cultural comparison; Organisational culture; Quality assurance |
| Abstract |
This article explores the incorporation of western knowledge with kaupapa Maori in the delivery of health care. It presents a fictional kaupapa Maori service, as a tool to explore the change process and influence that organisational culture and leadership styles have on a process of integrating a kaupapa Maori nursing service. The importance of continual evaluation through quality assurance measures was also conveyed. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1280 |
| Permanent link to this record |
| |
|
| |
| Author |
Rose, A. |
| Title |
Is case management an efficient and effective model of care for complex patients in an acute medical setting? |
Type |
|
| Year |
2000 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Clinical decision making; Culture; Nursing; Quality assurance |
| Abstract |
This thesis looks at the prospect of developing and implementing case management as a model of care for complex patients in an acute medical setting. An extensive literature review was conducted to explore the concept of case management and to identify the role of the case manager, including the qualities and qualifications required for the position. Clinical pathways are a tool used in case management so these are also included in the literature review. As the author had been involved in the development of the first clinical pathway for Hutt Valley Health, this is used as an example to clarify how case management and clinical pathways can be used in conjunction. A discussion chapter examines the advantages and disadvantages of case management which shows that it can be an effective and efficient model of care through the development of clinical pathways. The ethical implications of case management are also considered. The thesis concludes with recommendations for the continued development of case management as a model of care to improve the quality of care for both patients and the organisation. During the course of the thesis, other areas that are worth further investigation have also been identified, such as the relevance of case management to different cultures. The thesis suggests that a proposal for case management for complex patients in the acute care setting is developed along with a job description for the role of the case manager. |
| Call Number |
NRSNZNO @ research @ |
Serial |
908 |
| Permanent link to this record |
