| Records |
| Author |
Bishop, D.; Ford-Bruins, I. |
| Title |
Nurses' perceptions of mental health assessment in an acute inpatient setting in New Zealand: A qualitative study |
Type |
Journal Article |
| Year |
2003 |
Publication |
International Journal of Mental Health Nursing |
Abbreviated Journal |
|
| Volume |
12 |
Issue |
3 |
Pages |
203-212 |
| Keywords |
Psychiatric Nursing; Clinical assessment; Attitude of health personnel; Nursing models |
| Abstract |
This qualitative study explores the perceptions of mental health nurses regarding assessment in an acute adult inpatient setting in Central Auckland. Fourteen mental health nurses took part in semi-structured interviews answering five open-ended questions. The analysis of data involved a general inductive approach, with key themes drawn out and grouped into four categories (roles, attitudes, skills and knowledge) in order to explore the meaning of information gathered. The outcome of the study acknowledged the importance of contextual factors such as the physical environment and bureaucratic systems, as well as values and beliefs present within the unit. The participants expressed concern that their input to assessment processes was limited, despite belief that 24-hour care and the nature of mental health nursing generally suggested that a crucial role should exist for nurses. In order for nurses to be established as central in the assessment process on the unit the study concludes that a nursing theoretical framework appropriate for this acute inpatient setting needs to be developed. |
| Call Number |
NRSNZNO @ research @ 1082 |
Serial |
1067 |
| Permanent link to this record |
| |
|
| |
| Author |
Bishop, J. |
| Title |
Motivation: An essential element of learning |
Type |
Book Chapter |
| Year |
2005 |
Publication |
J. McDrury (Ed.), Nursing matters: A reader for teaching and learning in the clinical setting (pp. 83-100) |
Abbreviated Journal |
|
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Motivation; Nursing models; Nursing; Education |
| Abstract |
The author defines extrinsic and intrinsic motivators, describes motivational theories, and introduces Wlodkowski's Motivational Framework, which is specifically developed for adult learners. She goes on to explore the implementation of this model within a nursing education context. At the end of the chapter, discussion questions are provided by Janice McDrury. |
| Call Number |
NRSNZNO @ research @ |
Serial |
768 |
| Permanent link to this record |
| |
|
| |
| Author |
Booher, J. |
| Title |
Professional practice models: Shared governance and magnet hospitals |
Type |
Journal Article |
| Year |
2003 |
Publication |
Vision: A Journal of Nursing |
Abbreviated Journal |
|
| Volume |
|
Issue |
June |
Pages |
|
| Keywords |
Nursing models; Intensive care nursing; Clinical governance |
| Abstract |
This article explores the application of professional practice models in nursing. Particular reference is made to the magnet hospital model and the concept of shared governance. Key principles from these models are explored in relation to the implementation of a professional practice model in an intensive care environment. Historical, cultural and professional factors that may be seen as barriers to the implementation of this professional practice model are also explored. In conclusion, the article identifies recommendations that may contribute to a successful implementation and duration of a model in practice. |
| Call Number |
NRSNZNO @ research @ |
Serial |
861 |
| Permanent link to this record |
| |
|
| |
| Author |
Carter, H.; MacLeod, R.; Brander, P.; McPherson, K. |
| Title |
Living with a terminal illness: Patients' priorities |
Type |
Journal Article |
| Year |
2004 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
|
| Volume |
45 |
Issue |
6 |
Pages |
611-620 |
| Keywords |
Terminal care; Quality of life; Nursing models; Cancer |
| Abstract |
The aim of this paper is to report on an exploratory, qualitative study exploring what people living with terminal illness considered were the areas of priority in their lives. Ten people living with terminal cancer were interviewed. Analysis of the interviews incorporated principles of narrative analysis and grounded theory. Over 30 categories were identified and collated into five inter-related themes (personal/intrinsic factors, external/extrinsic factors, future issues, perceptions of normality and taking charge) encompassing the issues of importance to all participants. Each theme focused on 'life and living' in relation to life as it was or would be without illness. Practical issues of daily living and the opportunity to address philosophical issues around the meaning of life emerged as important areas. The central theme, 'taking charge', concerned with people's levels of life engagement, was integrally connected to all other themes. The findings suggest that the way in which health professionals manage patients' involvement in matters such as symptom relief can impact on existential areas of concern. The findings challenge some aspects of traditional 'expert-defined' outcome measures. As this was an exploratory study, further work is needed to test and develop the model presented. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1061 |
| Permanent link to this record |
| |
|
| |
| Author |
Christensen, D.J.C. |
| Title |
Integrating the terminology and titles of nursing practice roles: Quality, particularity and levelling |
Type |
Journal Article |
| Year |
1999 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
| Volume |
14 |
Issue |
1 |
Pages |
4-11 |
| Keywords |
Advanced nursing practice; Nursing specialties; Nursing models |
| Abstract |
The author reconsiders the meaning of expert, specialist and advanced practice. She proposes that they are distinctive and complementary aspects of every nursing role and suggests a set of attributes for each. Expertise is discussed in terms of the quality of performance, speciality in relation to particularity of performance, and advanced practice with regard to the level of performance. |
| Call Number |
NRSNZNO @ research @ 658 |
Serial |
644 |
| Permanent link to this record |
| |
|
| |
| Author |
Cook, N.; Phillips, B.N.; Sadler, D. |
| Title |
The Tidal Model as experienced by patients and nurses in a regional forensic unit |
Type |
Journal Article |
| Year |
2005 |
Publication |
Journal of Psychiatric & Mental Health Nursing |
Abbreviated Journal |
|
| Volume |
15 |
Issue |
5 |
Pages |
536-540 |
| Keywords |
Psychiatric Nursing; Nursing models; Evaluation; Nurse-patient relations |
| Abstract |
This study looks at the effect of implementing the Tidal Model at Rangipapa, a regional secure mental health forensic unit. A phenomenological study was undertaken to obtain reflective description of the nursing care experience from the perspective's of four registered nurses and four “special patients”. Five major themes were identified that appeared to capture the experiences of the participants. The themes show changes to the unit's unique culture and values following implementation of the model. These changes engendered a sense of hope, where nurses felt they were making a difference and patients were able to communicate in their own words their feelings of hope and optimism. Levelling was experienced as an effect emerging from individual and group processes whereby a shift in power enhanced a sense of self and connectedness in their relationships. These interpersonal transactions were noted by the special patients as being positive for their recovery. This enabled effective nurse-patient collaboration expressed simply as working together. The participants reported a feeling of humanity, so that there was a human face to a potentially objectifying forensic setting. Implications arising from this study are that the use of the model enables a synergistic interpersonal process wherein nurses are professionally satisfied and patients are validated in their experience supporting their recovery. |
| Call Number |
NRSNZNO @ research @ |
Serial |
941 |
| Permanent link to this record |
| |
|
| |
| Author |
Crowe, M. |
| Title |
Psychiatric diagnosis: Some implications for mental health nursing care |
Type |
Journal Article |
| Year |
2006 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
|
| Volume |
53 |
Issue |
1 |
Pages |
125-131 |
| Keywords |
Psychiatric Nursing; Diagnosis; Culture; Gender; Socioeconomic factors; Nursing models |
| Abstract |
This article explores some of the functions of psychiatric diagnosis and the implications this has for mental health nursing care. It critiques the psychiatric diagnosis as a categorisation process that maintains oppressive power relations within society, by establishing and enforcing normality through gender, culture and class biases. The American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders is used to illustrate some of the inherent biases in the diagnostic process. The author argues that mental health nursing practice needs to demonstrate an awareness of the power relations inherent in any diagnostic process and make attempts to redress these at both the individual and sociopolitical levels. To create a true patient-centred partnership in mental health nursing, the nursing focus should be on the patient's experience rather than the psychiatric diagnosis with which the experience is attributed. NB this is a reprint of article first published in Journal of Advanced Nursing, 2000 Mar; 31(3), 583-9. |
| Call Number |
NRSNZNO @ research @ |
Serial |
837 |
| Permanent link to this record |
| |
|
| |
| Author |
DeSouza, R. |
| Title |
Wellness for all: The possibilities of cultural safety and cultural competence in New Zealand |
Type |
Journal Article |
| Year |
2008 |
Publication |
Journal of Research in Nursing |
Abbreviated Journal |
|
| Volume |
13 |
Issue |
2 |
Pages |
125-135 |
| Keywords |
Cultural safety; Nursing models; Cross-cultural comparison; Maori |
| Abstract |
The author contends that responses to cultural diversity in nursing need to consider the theory and practice developments of the profession, whilst also responding to broader social and historical process that prevent marginalised groups from utilising universal health services. A combination of approaches is suggested in this paper to meet these two imperatives. Cultural safety is one indigenous New Zealand nursing approach derived in response to inequalities for Maori, whereas cultural competence is an imported paradigm derived from a multicultural context. Furthermore, research and dialogue are required to examine points of complementarity and tension. This paper offers a beginning for this process. |
| Call Number |
NRSNZNO @ research @ 943 |
Serial |
927 |
| Permanent link to this record |
| |
|
| |
| Author |
Elliott, M.M. |
| Title |
Model of care development: Moving between liaison and complex care coordination in the community health setting |
Type |
|
| Year |
2006 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Community health nursing; Nursing models |
| Abstract |
Healthcare systems in New Zealand and the western world are grappling with changes with an aging population; increased use of technology resulting in shorter inpatient stays, increasing chronic illness rates and people with complex health needs. Supporting people through the health system and meeting their needs is an aim of all services. Trying to support seamless transition and manage complex care requirements has become important for community health services. In the district health board, where the author works, the role of Liaison Nurse/Complex Coordinator was established to support this. This role has become important in reviewing what the best model of care for Community Health Services is and how to describe the current practices in this context in an appropriate way. The first section of the report reviews the literature and current practice in relation to liaison nursing. This section explores how to make the role clear and identify its clinical and organisational effectiveness, drawing out the key elements and aspects for this role that will contribute to a model of care. The second section progresses onto the clinical work related to managing patients with chronic illness and complex needs. Utilising literature to inform current practice when supporting patients through health transitions to achieve seamless care and identifying key aspects required to manage this and adding these aspects to the model of care. Following this, a review of current care models available and in use in the health care systems is undertaken. There are some elements and aspects similar in these models and those explicated in the previous sections. Finally a model of care is developed bringing all the key aspects and elements together. This model describes the practice of Liaison/Complex Coordination role in community health service in New Zealand and identifies the need for care, provision of care, outcomes of care provided and impact for the service and organisation. The author suggests that this model is relevant for any liaison or complex coordination role and could be a basis for other models of care to expand upon the specific needs for their services. |
| Call Number |
NRSNZNO @ research @ |
Serial |
684 |
| Permanent link to this record |
| |
|
| |
| Author |
Gallagher, P. |
| Title |
Rethinking the gap: Investigating the theory-practice relationship in nursing |
Type |
|
| Year |
2005 |
Publication |
|
Abbreviated Journal |
Coda |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Nursing; Education; Nursing models; Nursing philosophy |
| Abstract |
A Grounded Theory approach was taken to explore the concept of the gap between theory and practice, whereby they are seen to be discrete entitites. For this study, the first phase of data collection was a series of computer mediated group discussions, and the second a number of individual interviews. In both sets of interviews participants were asked to describe how they experienced and managed differences they perceived between theory and practice in nursing. The participants referred to different types of theory relevant and central to effective nursing practice. The first was private theory; the second was formal theory and third was situational theory. For the students it was a conflict that produced uncomfortable emotions, distrust of others and personal self doubt. In an effort to reduce this discomfort the students sought an explanation for the differences between theory and practice, some of which challenged their key personal values. However, the most emotionally neutral explanation that also preserved the integrity of their key values was that there was a gap between the theory and the practice of nursing. The theory Negotiating Different Experiences has implications for the education of nurses in that personal knowledge and experiences must be incorporated in a programme of study and the feelings evoked by learning must be acknowledged as a catalyst to enhance learning. Further, the different forms of theory to which students will be exposed must be made explicit and nursing educators who must involve the individual student as an active partner in the mapping of a personalised programme, which includes the creation of individual assessment methods. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1104 |
| Permanent link to this record |
| |
|
| |
| Author |
Garrod, A. |
| Title |
Cultural safety: Living with disability |
Type |
Journal Article |
| Year |
2002 |
Publication |
Whitireia Nursing Journal |
Abbreviated Journal |
|
| Volume |
9 |
Issue |
|
Pages |
14-19 |
| Keywords |
Cultural safety; People with disabilities; Nursing models |
| Abstract |
This article outlines some of the health experiences and concerns of people with physical and/or mental disabilities. These experiences and concerns are explored within the context of the practice of cultural safety. In 1996, the Nursing Council of New Zealand adopted its definition of cultural safety and defines 'culture', in the context of 'cultural safety', as involving all people who are not part of the culture of nursing. Each person with a disability is unique, and they may also be part of a larger disability culture, which has its own shared experiences, values, beliefs and lifestyles. People with disabilities are also a minority within the population. Therefore, any power they might have within their own culture is minimal, compared to the advantages enjoyed by the rest of the population. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1082 |
| Permanent link to this record |
| |
|
| |
| Author |
Giddings, D.L.S. |
| Title |
A theoretical model of social consciousness |
Type |
Journal Article |
| Year |
2005 |
Publication |
Advances in Nursing Science |
Abbreviated Journal |
|
| Volume |
28 |
Issue |
3 |
Pages |
224-239 |
| Keywords |
Attitude of health personnel; Feminist critique; Nursing models |
| Abstract |
The article presents a theoretical model of social consciousness developed from nurses' life histories. A 3-position dialectical framework (acquired, awakened, and expanded social consciousness) makes visible the way people respond to social injustice in their lives and in the lives of others. The positions coexist, are not hierarchical, and are contextually situated. A person's location influences her or his availability for social action. Nurses who could most contribute to challenging social injustices that underpin health disparities are relegated to the margins of mainstream nursing by internal processes of discrimination. The author suggests that more inclusive definitions of “a nurse” would open up possibilities for social change. |
| Call Number |
NRSNZNO @ research @ |
Serial |
944 |
| Permanent link to this record |
| |
|
| |
| Author |
Gillard, D. |
| Title |
When I am nursing |
Type |
|
| Year |
2002 |
Publication |
|
Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Nursing models; Mental health; Adolescents; Psychiatric nursing |
| Abstract |
Over the last century the nursing profession has drawn from numerous theories and disciplines to construct its own theoretical foundations. While this diversity and flexibility may be one of the nursing profession's strengths it may have contributed to nurses' difficulty in explaining the complexities of their every day clinical work. This is a particular challenge for the domain of mental health nursing. This dissertation discusses how nursing models that have credibility at a clinical level can contribute to informing and advancing nursing practice. Models can achieve this by assisting nurses to conceptualise and articulate what it is they do that makes a difference to patient outcomes. Through this process nurses can maintain a distinct professional identity and establish themselves as effective members of multidisciplinary health team. Specifically, the application and limitations of Godkin's (2001) proposed model of a 'healing presence' to the author's own practice in a one-to-one nurse-adolescent client relationship in the mental health nursing is examined. It is claimed that a 'healing presence' provides a meaningful way to understanding the author's own practice. The proposed model of a 'healing presence' embraces the diversity of her background, and allows the author to maintain a nursing identity by providing a nursing framework to critique her practice, furthering her understanding of what it is that 'expert' nurses do and how this impacts on patient outcomes. Also suggested is that a 'healing presence' can contribute to the author's own and other nurses advanced nursing practice by making nursing visible to the multidisciplinary health team and to articulate “what it is that I do 'when I am nursing'”. Through presenting this dissertation, the author wishes to inspire other nurses to examine and understand their own practice. |
| Call Number |
NRSNZNO @ research @ |
Serial |
914 |
| Permanent link to this record |
| |
|
| |
| Author |
Green, M. |
| Title |
Psychiatric consultation liaison nurse: A model for practice |
Type |
|
| Year |
2005 |
Publication |
|
Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Nursing models; Psychiatric Nursing |
| Abstract |
Psychiatric consultation liaison (PCL) nursing is an evolving specialist area of mental health nursing in the USA, UK, Australia and New Zealand. The aim of this dissertation is to explore models of PCL nursing practice in order to develop and discuss a PCL nursing model applicable to the New Zealand context. The role of the PCL nurse was of particular interest to the author as a new practitioner in this specialist area. While there have been PCL nurses in practice for over 50 years, the literature does not offer much clarity about models of PCL nursing. From a review of the literature, four themes were recurrent in the work of PCL nurses. These themes represent four functions which are vital to the role of the PCL nurse: partnership, expertise of the PCL nurse, therapeutic relationship and organisational consultation. The needs of the patient are the core of this model and the primary objective is to improve the quality of care of patients in the general hospital with co-existing physical and psychological problems. It is imperative that PCL nurses evaluate their practice and embark on research to investigate clinical outcomes, cost effectiveness and the impact of PCL nurse practice on patients and staff. This PCL nursing model provides a beginning for this process. It also clarifies and articulates the role of the PCL nurse which enables the service to be promoted to colleagues. This PCL nursing model represents a critique of the author's understanding of the role of the PCL nurse. As expertise develops, the model will continue to be tested and refined. |
| Call Number |
NRSNZNO @ research @ |
Serial |
608 |
| Permanent link to this record |
| |
|
| |
| Author |
Hoare, K.; Fairhurst-Winstanley, W.; Horsburgh, M.; McCormack, R. |
| Title |
Nurse employment in primary care: UK and New Zealand |
Type |
Journal Article |
| Year |
2008 |
Publication |
New Zealand Family Physician |
Abbreviated Journal |
The Royal New Zealand College of General Practitioners website |
| Volume |
35 |
Issue |
1 |
Pages |
4-10 |
| Keywords |
Primary health care; Scope of practice; Nursing models |
| Abstract |
The researchers evaluate and compare the organisation of general practice in the UK and New Zealand. A key aim of the Primary Health Care Strategy is a reduction in health inequalities. Locally, some nurse leaders suggest that changing nurse practice employment from general practitioners to Primary Health Organisations will achieve this aim. The authors take lessons from the UK and suggest that nurses organising themselves into peer groups, remuneration of general practices for the attainment of positive patient outcomes, and a statutory duty of clinical governance, all contributed to the development of practice nurses' roles and expansion of numbers of nurse practitioners in general practice. Nurses have become partners with general practitioners in general practice in the UK, which the authors suggest is a much preferable alternative for some than employment by a Primary Health Organisation. |
| Call Number |
NRSNZNO @ research @ |
Serial |
453 |
| Permanent link to this record |
