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Author Kidd, J.D.
Title Aroha mai: Nurses, nursing and mental illness Type
Year 2008 Publication (up) 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
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Author Coupe, D.
Title How accountable is accountable for mental health nurses? Type
Year 2004 Publication (up) Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages
Keywords Accountability; Nursing; Mental health
Abstract Accountability has been described by nurses as an elusive concept or myth. The author suggests that this elusive concept or myth can partly be attributed to accountability becoming visible usually following a critical incident. The overall goal of this project is to provide nurses working within mental health with the incentive to raise their awareness and explore what their roles and responsibilities are within the accountability process in a more positive scenario. This research paper reports on an exploration of the key components of accountability within the New Zealand mental health environment. It describes significant influences that affect accountability. This is achieved by the means of a literature review, sharing of the author's experience of being involved in a national inquiry, and the adaptation of a who what and how framework, in conjunction with a diagram displaying accountability levels and lines for mental health nurses. The author points out that the domains of accountability for nurses will continue to evolve and expand but what remains important is that consumers have access to good quality mental health care.
Call Number NRSNZNO @ research @ 604 Serial 590
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Author McDonald, S.
Title Registered nurses' perceptions of their role in acute inpatient care in New Zealand: A qualitative descriptive study Type
Year 2004 Publication (up) Abbreviated Journal University of Auckland
Volume Issue Pages
Keywords Mental health; Psychiatric Nursing
Abstract
Call Number NRSNZNO @ research @ 620 Serial 606
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Author Topliss, J.
Title Nursing by telephone in mental health emergency settings: What underpins and informs clinical practice? Type Miscellaneous
Year 2005 Publication (up) Abbreviated Journal Bill Robertson Library, Otago Polytechnic
Volume Issue Pages
Keywords Mental health; Emergency nursing
Abstract This dissertation is an exploration of what underpins and informs clinical nursing practice by telephone in mental health emergency settings. A critical review of the literature provides the foundation for discussion. Points of reflection explore links between the literature and the author's own experience and thoughts about clinical practice. Findings are presented within three main sections. 'Historical Context' considers the development and function of mental health emergency service telephone work. Practical aspects are discussed under `Service Provision Context.' 'Nursing Context' explores the fundamental skills involved in clinical reasoning and the preparation of staff for telephone work. Whilst 'Best practice' in the area of nursing by telephone is yet to be well defined, this work aims to provide a foundation for further inquiry, research and dialogue.
Call Number NRSNZNO @ research @ 676 Serial 662
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Author Wilson, B.
Title Maintaining equilibrium: The community mental health nurse and job satisfaction Type
Year 2005 Publication (up) Abbreviated Journal University of Otago Library
Volume Issue Pages
Keywords Community health nursing; Mental health; Job satisfaction; Stress
Abstract
Call Number NRSNZNO @ research @ 681 Serial 667
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Author Goulding, M.T.
Title The influence of work-related stress on nurses' smoking: A comparison of perceived stress levels in smokers and non-smokers in a sample of mental health nurses Type
Year 2006 Publication (up) Abbreviated Journal University of Otago Library
Volume Issue Pages
Keywords Smoking; Psychiatric Nursing; Stress; Mental health
Abstract
Call Number NRSNZNO @ research @ 701 Serial 687
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Author Dal Din, A.
Title Accepting the challenge: Registered nurses' experiences of undertaking the statutory role of Responsible Clinician in New Zealand Type
Year 2006 Publication (up) Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages
Keywords Mental health; Registered nurses; Nursing specialties; Scope of practice
Abstract This aim of this thesis was to explore and describe registered nurses' experiences of undertaking the statutory role of Responsible Clinician under the Mental Health (Compulsory Assessment and Treatment) Act 1992. The role of Responsible Clinician has been available to nurses since 1992 yet to date there has been little research into nurses' experiences of undertaking this role. An exploratory descriptive approach was therefore used in this study. A convenience sample of four nurses who had been undertaking the role of Responsible Clinician was recruited. Their experiences were elicited through in-depth interviews. Analysis of the interview material revealed the themes of legitimacy, relationships, expanding practice, responsibility and accountability, approaches to care, nurses' responsiveness to the role and support of the role. The author points to this research being important to nurses who are working in the psychiatric mental health area so that they can understand the role more fully. In this way, more nurses may choose to undertake the role of Responsible Clinician.
Call Number NRSNZNO @ research @ 745 Serial 731
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Author Tuitea, I.
Title Solution focused nursing: An alternative model for assessing psychosis and mai aitu in mental health Type
Year 2006 Publication (up) Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages
Keywords Pacific peoples; Mental health; Psychiatric Nursing; Culture
Abstract The objective of this paper is to establish if there is any documented research and literature evidence that describe what the presenting clinical symptoms of Mai Aitu is, and also to explore an alternative frame-work to assess Pacific Islanders who present to mental health in crisis. As a community mental health nurse in the Crisis Assessment and Treatment Team (CATT), the author reports being confronted almost every day with an increasing number of Pacific Islanders presenting in crisis with symptoms consistent with the well documented signs of psychosis. For instance, symptoms like hallucinations, delusion and paranoid ideation which are also well known for describing schizophrenia. Her concern is that mental health nurses may be compromising their practice, the safety of the Pacific Island population and possibly the credibility of the profession with what appears like a lack of knowledge and awareness regarding the clinical symptoms of some Pacific Island mental illness. In Tonga it is called Avea Avanga, in Fiji it is referred to as Lialia, in Samoa it is known as Mai Aitu. The author notes that the issue becomes apparent when Samoan clients present in crisis with what appears to be psychosis but the fanau believe their love one is not mentally unwell, that he or she is simply suffering a traditional Samoan illness. Therefore they insist he or she be treated at home, instead of through admission to the psychiatric hospital, and also that they be seen by a Samoan healer instead of a psychiatrist.
Call Number NRSNZNO @ research @ 753 Serial 739
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Author McLean, J.M.
Title Pushing the boundaries: Relationships with adolescents Type
Year 2007 Publication (up) Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages
Keywords Psychiatric Nursing; Mental health; Adolescents; Nurse-patient relations
Abstract Therapeutic relationships are central to mental health nursing. The nurse's role in maintaining professional yet therapeutic boundaries within this relationship can be challenging. When therapeutic boundaries are breeched within the nurse adolescent relationship the adolescent's safety within this relationship is compromised. There is currently limited literature on how nurses are managing professional boundaries in relationships with adolescents in this setting. The adolescent's nature is to push boundaries; therefore the nurse needs to be acutely aware of this boundary pushing in everyday practice settings. For the safety of the adolescent and the nurse it is vital the nurse understands her role in managing the professional boundary. This thesis explores, through the use of narrative inquiry, four adolescent mental health nurses' experiences of assessing, understanding and maintaining therapeutic boundaries with adolescents in a mental health setting in New Zealand. The unique and specific implications for adolescent mental health nursing are discussed. Three key themes emerged from the analysis and findings: the importance of the nurse clarifying his/her role; the learning that occurs throughout the practice journey; and the role of the nurse in keeping the adolescent and the nurse safe. These findings highlight the importance of clinical supervision and open communication with senior nurses and mentors, which assist the nurse in monitoring practice. When nurses do not have sufficient knowledge of the fundamental principles of adolescent mental health nursing; such as knowledge and skills in both adolescent development and psychodynamic nursing, they are at risk of boundary crossings. Recommendations from this research include more emphasis on psychodynamic nursing principles in nursing education and nursing practice. There is a need for specialised education for nurses in child and adolescent mental health nursing. Nursing entry to practice programmes for new graduate nurses working in mental health, could assist in providing this. There is a call for further research into therapeutic relationships and professional boundaries in this complex nursing specialty.
Call Number NRSNZNO @ research @ 762 Serial 748
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Author Prebble, K.
Title Ordinary men and uncommon women: A history of psychiatric nursing in New Zealand public mental hospitals, 1939-1972 Type
Year 2007 Publication (up) Abbreviated Journal University of Auckland Library
Volume Issue Pages
Keywords Psychiatric Nursing; Mental health; History; Gender
Abstract This social-cultural history explores the changing context, culture, and identity of psychiatric nurses working in New Zealand public mental hospitals between 1939 and 1972. Primary documentary sources and oral history interviews provided the data for analysis. The thesis is divided into two periods: 1939 to 1959 when asylum-type conditions shaped the culture of the institutional workforce, and 1960 to 1972 when mental health reform and nursing professionalisation challenged the isolation and distinct identity of mental hospital nurses. Between 1939 and 1959 the introduction of somatic treatments did not substantially change nursing practice in mental hospitals. Overcrowding, understaffing and poor resources necessitated the continuance of custodial care. The asylum-type institutions were dependent on a male attendant workforce to ensure the safety of disturbed male patients, and the maintenance of hospital farms, gardens, and buildings. Although female nurses provided all the care and domestic work on the female side, the belief that psychiatric nursing was physically demanding, potentially dangerous, and morally questionable, characterised the work as generally unsuitable for women. Introduction of psychiatric nursing registration which was a move toward professionalisation did little to change the dominance of a male, working-class culture. From 1960 to 1972 psychiatric nurses' identity was contested. New therapeutic roles created the possibility of the nurses becoming health professionals. Their economic security and occupational power, however, was tied to an identity as unionised, male workers. As psychiatric nurses were drawn closer to the female-dominated nursing profession through health service changes and nursing education reform, both men and women acted to protect both their working conditions and their patients' welfare. To achieve these ends, they employed working-class means of industrial action. By accepting the notion that psychiatric nurses' identity was socially constructed, this thesis provides an interpretation that goes beyond the assumption that nursing is a woman's profession. Instead, it presents psychiatric nursing as a changing phenomenon shaped by contested discourses of gender, class and professionalisation. Nursing in public mental hospitals attracted ordinary men and uncommon women whose collective identity was forged from the experience of working in a stigmatised role.
Call Number NRSNZNO @ research @ 763 Serial 749
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Author Sadler, D.
Title Stigma, discrimination and a model for psychiatric mental health nursing practice Type
Year 2000 Publication (up) Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages
Keywords Mental health; Psychiatric Nursing; Psychology
Abstract This paper seeks to understand the aetiology of stigma. The word stigma comes from the Greek language and refers to a brand, a mark of shame. Society has used this phenomenon to mark those who do not fit with the stereotypical virtual identity expected by a group. Stigma has persisted throughout the ages to enforce norms and sanction rules. Stigma is a term used to broadly define an attitude to negative attributes. It is a way of treating people that indicates to the individual, they are different from the norm. Research indicates the general population has discriminatory attitudes to those who have experienced mental illness. This discrimination impacts on the lives of those people. Their stories tell of shame, sadness and anguish. Families too, feel the ongoing effects of stigma. Psychiatric mental health professionals are said to perpetuate the discrimination arising from the stigma of mental illness. This is shown in the literature to persist through labelling and disempowering practices. The attitude of nurses in particular is critical to promoting healing environments. It is thought that a humanistic altruistic approach to nursing practice will help to eliminate discriminatory practice by nurses. It is hoped that this approach will create collaborative care that gives the individual the respect, response, choice and support they need to assist in recovering from mental illness.
Call Number NRSNZNO @ research @ 815 Serial 799
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Author Saba, W.
Title Walking in two worlds: A Kaupapa Maori research project examining the experiences of Maori nurses working in district health boards, Maori mental health services Type
Year 2007 Publication (up) Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages
Keywords Mental health; Psychiatric Nursing; District Health Boards; Maori
Abstract
Call Number NRSNZNO @ research @ 817 Serial 801
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Author Rydon, S.E.
Title Attitudes, skills and knowledge of mental health nurses: The perception of users of mental health services Type
Year 2001 Publication (up) Abbreviated Journal Massey University Library
Volume Issue Pages
Keywords Mental health; Psychiatric Nursing; Patient satisfaction; Attitude of health personnel
Abstract
Call Number NRSNZNO @ research @ 819 Serial 803
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Author Bigwood, S.
Title Got to be a soldier: Mental health nurses experiences of physically restraining patients Type
Year 2007 Publication (up) Abbreviated Journal University of Otago Library
Volume Issue Pages
Keywords Psychiatric Nursing; Workplace violence; Mental health; Stress
Abstract
Call Number NRSNZNO @ research @ 829 Serial 813
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Author Smith, P.A.
Title Mad bad or sad: Caring for the mentally disordered offender in the court environment from a nurse's perspective Type
Year 2004 Publication (up) Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages
Keywords Mental health; Psychiatric Nursing
Abstract This paper examines the difficulties health professionals face daily when providing care for the mentally disordered offender in the court environment. The role of the court nurse is to provide care for people with mental health needs in the court and health professionals can find this a restrictive environment to work in. This is mainly due to the court's legal processes which are designed to punish rather than offer therapeutic alternatives. By advocating for the mentally disordered offender, the court nurse ensures the court is aware of an individual's mental health needs, thus reducing the prospect of inappropriate sentencing, and the associated stigmatisation that may occur as a result of a criminal conviction.
Call Number NRSNZNO @ research @ 843 Serial 827
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