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Author Jones, Sharon Anne Sarah
Title Understanding The Experience And Perceptions Of Managers And Preceptors Involved In Competency Assessment And Performance Management Of Nursing Staff Identified As Practicing Unsafely: An Evaluation Of The Effectiveness Of The Sip/Pip Framework Type (up) Book Chapter
Year 2016 Publication Abbreviated Journal
Volume Issue Pages 133 p.
Keywords Performance management; Competency; Preceptors; Insight; Feedback
Abstract Evaluates the SIP/PIP process to illuminate the views of the nurse managers and preceptors on the effectiveness of the SIP/PIP programme in ensuring competent practice and provides recommendations for improvement and strengthening of the framework. Uses a qualitative approach with data collected through individual semi-structured interviews with preceptors and nurse managers. Due to lack of participation in the quantitative arm a mixed-method study was not completed using an anonymous survey. Undertakes thematic data analysis utilising NVIVO 10 software. Draws four major themes from the qualitative data: (1) Feedback- insight loop, (2) Process clarity, (3) Relationships, commitment & reflective response to participation in the SIP/PIP process, (4) Barriers and enablers to the SIP/PIP process.
Call Number NZNO @ research @ Serial 1554
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Author Zwimpfer, Lucy Annabelle
Title Being with Babies: Vocal soothing for preterm infants during painful procedures in the Neonatal Intensive Care Unit Type (up) Book Whole
Year 2017 Publication Abbreviated Journal
Volume Issue Pages 290 p.
Keywords Pain management; Premture infants; Infant mental health; NICU; Vocal soothing
Abstract Investigates the neonatal intensive care unit (NICU) nurse-infant relationship, with a focus on vocal soothing. Undertakes two observational studies to record the use of voice by NICU nurses during painful and non-painful procedures. Develops a model of vocal soothing and tests it for its ability to provide comfort to pre-term infants undergoing painful procedures. Measures pain using the Premature Infant Pain Profile Revised.
Call Number NZNO @ research @ Serial 1562
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Author Harrington, Karen
Title Mental health nurses' understanding of the concept of self-management of borderline personality disorder Type (up) Book Whole
Year 2014 Publication Abbreviated Journal
Volume Issue Pages 159 p.
Keywords Borderline personality disorder; Mental health nurses; Self-management
Abstract Determines what mental health (MH) nurses understand the concept of self-management to mean in relation to patients with a diagnosis of Borderline Personality Disorder (BPD). Interviews 10 MH nurses using a semi-structured format and analyses data using the general inductive approach, resulting in 26 sub-themes organised into three over-arching themes: self management is self-responsibility, self-management is self-awareness, self-management is maintaining safety.
Call Number NZNO @ research @ Serial 1573
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Author Perkins, Zoe
Title The experiences of nurse managers navigating between two conceptual models of leadership in Aotearoa New Zealand Type (up) Book Whole
Year 2020 Publication Abbreviated Journal
Volume Issue Pages 95 p.
Keywords Leadership; Nurse managers; Professional Practice Model; Generic Management Model; Professional development
Abstract Confronts the inherent conflict for nurse managers (NM) in the dual nature of their leadership role, the Professional Practice Model (PPM) and the Generic Management Model (GMM). Examines the challenges for NMs in trying to balance the conflicting requirements of their roles. Surveys five NMs about their main challenges: role confusion, expectations, support, and professional development. Contributes to the ongoing evolution of the NM role.
Call Number NZNO @ research @ Serial 1765
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Author Smillie, A.
Title Historical investigations: Risk management in a New Zealand hospital, 1888-1904 Type (up) Journal Article
Year 2006 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 22 Issue 2 Pages 33-38
Keywords Risk management; History; Patient safety
Abstract This article examines historical events within one hospital and compares them with contemporary risk management practices. The examples involve a nurse sustaining injury in the course of her work, a fire in the hospital and two instances of patient complaints – one concerning nursing care and the other relating to a time lag between admission to hospital and receiving medical attention. Analysis of the processes followed in investigating these occurrences reveals that these historic investigations were small in scale and less bureaucratic than contemporary practice, and were based on a culture of blame. This is contrasted with modern risk management practices which are more focused on understanding what can be learned from the incident with respect to preventing recurrence.
Call Number NRSNZNO @ research @ 539 Serial 525
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Author Drake, M.; Stokes, G.
Title Managing pre-registration student risk: A professional and legislative minefield Type (up) Journal Article
Year 2004 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 20 Issue 1 Pages 15-27
Keywords Risk management; Education; Law and legislation; Nursing
Abstract This article reports data from 15 schools of nursing, surveyed to identify difficulties experienced by nurse educators with respect to entry, progression and programme completion of undergraduate nursing students. Risk assessment, along with a lack of clear policy and procedures were found to be the main problem areas. Difficulties were exacerbated for educators when there were challenges to their professional judgement, either from the Nursing Council of New Zealand or from within their own institution. The authors argue for more recognition of the dual role of nurse educators, and greater clarification of the Nursing Council of New Zealand role in regulating the student's programme entry and progression, and ultimate admission to the Register. It is suggested that the recently passed Health Practitioners Competence Assurance Act (2003) provides nursing with an opportunity to address some of these issues.
Call Number NRSNZNO @ research @ Serial 546
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Author McKenna, B.
Title Risk assessment of violence to others: Time for action Type (up) Journal Article
Year 2002 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 18 Issue 1 Pages 36-43
Keywords Mental health; Workplace violence; Risk management; Nursing; Nurse-patient relations; Psychiatric nursing
Abstract The author performs a literature search on the topics of risk assessment, dangerousness, aggression, and violence in order to determine an evidence-based approach to risk assessment of patient violence towards others. This is set in the context of possible expansion in the scope of practice of mental health nurses, and the prevalence of nurses being assaulted by patients. In the absence of reliable and valid nursing risk assessment measures, the approach suggested here focuses on the use of observation skills to detect behaviour antecedent to physical assault, and the ability to adapt evidence to specific clinical settings.
Call Number NRSNZNO @ research @ Serial 621
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Author Spence, D.; Wood, E.E.
Title Registered nurse participation in performance appraisal interviews Type (up) Journal Article
Year 2007 Publication Journal of Professional Nursing Abbreviated Journal
Volume 23 Issue 1 Pages 55-59
Keywords Registered nurses; Management; Professional development; Attitude of health personnel
Abstract This article presents the findings of an interpretive study that explored and documented the meaning and impact of nurse participation in performance appraisal interviews. Data gleaned from nine New Zealand registered nurses employed by a single district health board provide evidence that nurses are often disappointed by the process of performance appraisal. Although they believe in the potential value of performance appraisal interviews, they seldom experience the feedback, direction, and encouragement necessary for an effective appraisal process. It is suggested that changes to the current professional development program and its accompanying performance appraisal will require skilled commitment on the part of nurses, managers, and the employing organisation to improve and develop the assessment and promotion of nursing practice.
Call Number NRSNZNO @ research @ Serial 840
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Author Huntington, A.D.; Gilmour, J.A.
Title A life shaped by pain: Women and endometriosis Type (up) Journal Article
Year 2005 Publication Journal of Clinical Nursing Abbreviated Journal
Volume 14 Issue 9 Pages 1124-1132
Keywords Female; Diseases; Nurse practitioners; Pain management; Endometriosis; Feminist critique
Abstract The research aim was to explore women's perceptions of living with endometriosis, its effects on their lives and the strategies used to manage their disease. A qualitative research design informed by feminist research principles was chosen for this project. Eighteen women agreed to take part in the research. The individual, audio taped interviews were semi-structured and interactive. The interviews were analysed using a thematic analysis approach. The dominant feature of data from the interviews was the experience of severe and chronic pain impacting on all aspects of life. Analysis related to pain resulted in four themes: manifestations of pain, the pain trajectory, intractable pain and controlling pain. The diagnostic process typically took 5-10 years indicating that primary health care practitioners need higher levels of 'suspicion' for this condition. Case studies and problem-based scenarios focusing on endometriosis in health professional education programmes would enhance diagnostic skills and knowledge development. No formal pain management follow up after diagnosis and treatment meant women actively sought information from other sources as they made major lifestyle changes in the areas of activity and nutrition. Pain management services specifically for women with endometriosis would provide much needed support with this neglected aspect of the disease. The authors conclude this is an area for the development of the nurse practitioner role which, also drawing on the considerable collective expertise of women with endometriosis, could provide significant information and support for women as they manage this highly complex condition.
Call Number NRSNZNO @ research @ Serial 940
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Author King, S.L.J.; Walsh, K.
Title 'I think PCA is great, but . . .'- Surgical nurses' perceptions of patient-controlled analgesia Type (up) 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 Richardson, S.
Title Coping with outbreaks of the norovirus Type (up) Journal Article
Year 2005 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 11 Issue 7 Pages
Keywords Infection control; Risk management; Occupational health and safety; Hospitals
Abstract The author presents an overview of the impact and management of novovirus infections in New Zealand. The impact of this highly contagious virus on hospital settings is serious. With staff shortages already a problem, any outbreak of contagious disease has the potential to result in unsafe staffing, either through low numbers or poor skill mix. A report from New Zealand Environmental Science and Research (ESR) showed 35 reported norovirus outbreaks in New Zealand in the first quarter of 2004, resulting in 890 cases of the disease. Norovirus outbreaks are characterised by a rapid spread of infection, high uptake rate, and a high proportion of cases presenting with projectile vomiting. The author provides a definition of the novovirus, and looks at transmission, the management of hospital outbreaks, and the impact on emergency departments and hospital wards. Procedures include in-patient isolation. She notes there are no simple answers or “quick fixes” to the problem of norovirus outbreaks. While ongoing surveillance, recognition and isolation are key elements, there are wider structural and political implications that need to be acknowledged. These issues include overcrowding and staff shortages.
Call Number NRSNZNO @ research @ Serial 981
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Author Gregory, R.; Kaplan, L.
Title Understanding residuals in Guillain-Barre Syndrome Type (up) Journal Article
Year 2008 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 10 Issue 7 Pages 16-18
Keywords Diseases; Nursing; Management
Abstract The authors review the literature on the residual effects of Guillain-Barre Syndrome (GBS), which can include fatigue, foot drop or numbness, reduced mobility and nerve tingling. In GBS the peripheral nerves are attacked by the body's defence system, an auto-immune attack, and as a result, the myelin sheath and axons of nerves are impaired. The pathophysiology of the illness and long term effects are presented, and implications for nursing care and rehabilitation are discussed. Two case studies are included which illustrate coping with the long-term effects of GBS, the effect of GBS residuals on extreme fatigue and depression.
Call Number NRSNZNO @ research @ 1013 Serial 997
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Author Crowe, M.; Carlyle, D.
Title Deconstructing risk assessment and management in mental health nursing Type (up) 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
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Author MacDonald, R.
Title Mammography screening for breast cancer: Does it reduce the mortality rate? Type (up) Journal Article
Year 2005 Publication Vision: A Journal of Nursing Abbreviated Journal Available online from Eastern Institute of Technology
Volume Issue Pages 8-12
Keywords Breast cancer; Screening; Risk management; Health education; Cancer
Abstract This paper critically examines the literature on mammography as a breast cancer screening modality. It looks at what the New Zealand consumer is being told about the scientific uncertainties about the effectiveness of mammography and the substantial risks involved with it. This literature review raises concerns about the lack of information available for healthy women to make a fully informed decision about mammography screening.
Call Number NRSNZNO @ research @ Serial 1304
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Author Winiata, W
Title Leadership Styles and Nursing in a Whanau Ora Context Type (up) Journal Article
Year 2012 Publication Whitireia Nursing Journal Abbreviated Journal Available through NZNO library
Volume Issue 19 Pages 43-50
Keywords Leadership; Management Styles; Nursing Leaders; Nursing Practice
Abstract This paper will focus on nursing leadership, in particular the place of whanau ora in nursing practice. It explores one Maori and one tauiwi leadership style in relation to nursing practice in a whanau ora context. A critical appraisal of the Maori leadership style is given alongside discussion of how it promotes positive shifts in the health status of Maori communities. Finally, the paper discusses how this Maori leadership style supports the learning and development of Maori student nurses preparing for registered practice.
Call Number NZNO @ research @ Serial 1383
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