| Records |
| Author |
Litchfield, M. |
| Title |
Professional development: Developing a new model of integrated care |
Type |
Journal Article |
| Year |
1998 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
| Volume |
4 |
Issue |
9 |
Pages |
23-25 |
| Keywords |
Nursing models; Nurse practitioners; Policy; Nurse-family relations |
| Abstract |
An overview of the model of nursing practice and nurse roles derived through a programme of nursing research in the context of the policy and strategies directing developments in the New Zealand health system. The emphsis was on the health service configuration model presented diagrammatically to show the position of a new role of family nurse with a distinct form of practice forming the hub. |
| Call Number |
NZNO @ research @ |
Serial  |
1324 |
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| Author |
Vernon, R.A.; Jacobs, S.; Papps, E. |
| Title |
An innovative initiative for advanced nursing practice roles |
Type |
Journal Article |
| Year |
2007 |
Publication |
Vision: A Journal of Nursing |
Abbreviated Journal |
Available online from Eastern Institute of Technology |
| Volume |
14 |
Issue |
2 |
Pages |
16-17 |
| Keywords |
Advanced nursing practice; Primary health care; Nurse practitioners; Nursing models |
| Abstract |
This paper reports an initiative which is an example of partnership between education and health organisations resulting in the implementation of a jointly funded advanced nursing practice role. The model is for community based Nurse Practitioner-managed health care for primary health and disease management. The key partners in this project are the Eastern Institute of Technology, Hawke's Bay District Health Board, and a Primary Health Organisation (Tu Meke – First Choice). This article summarises the objectives, implementation, evaluation and benefits of the programme. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1311 |
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| Author |
Turner, C.L.E. |
| Title |
A process evaluation of a shared leadership model in an intensive care unit |
Type |
|
| Year |
|
Publication |
|
Abbreviated Journal |
Massey University, Palmerston North, Library |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Leadership; Intensive care nursing; Nursing models |
| Abstract |
|
| Call Number |
NRSNZNO @ research @ 1277 |
Serial |
1262 |
| Permanent link to this record |
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| Author |
Polaschek, N. |
| Title |
Negotiated care: A model for nursing work in the renal setting |
Type |
Journal Article |
| Year |
2003 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
|
| 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 |
Joyce, M. |
| Title |
The Strengths Perspective: Relevance and application to mental health nursing and crisis resolution work |
Type |
|
| Year |
2004 |
Publication |
|
Abbreviated Journal |
ResearchArchive@Victoria |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Psychiatric Nursing; Nursing models; Evidence-based medicine |
| Abstract |
This research paper aims to explore the contribution of the Strengths Perspective to mental health nursing practice. The Strengths Perspective emerged from the area of social work and is primarily concerned with emphasising the strengths and resources of the person, as they define them. The premise is that if a person is able to identify and call on those strengths then he or she is able to improve the quality of their life. The paper outlines the historical, philosophical and moral foundations of the Strengths Perspective and discusses the humanistic approach to mental health nursing. The aim is to demonstrate that the Strengths Perspective and mental health nursing have a strong alignment, particularly with regard to a person-centred approach to care. The influence and constraints of the biomedical model on both mental health nursing and strengths based practice is a theme of the paper. The contention is that the biomedical or pathological approach to care can often disable, not enable consumers of health care, whereas an approach that centres on a person and their strengths is more likely to empower and liberate. The paper concludes with a discussion of themes that emerged from reflection on the literature and propositions are then made about how mental health nurses might orientate their thinking and practice to utilise the Strengths Perspective to augment their clinical work. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1185 |
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| Author |
Kingsbury, K. |
| Title |
The illlusion of separateness, a philosophical study of nursing and naturopathic practice: Healing connections between people |
Type |
|
| Year |
2000 |
Publication |
|
Abbreviated Journal |
ResearchArchive@Victoria |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Alternative therapies; Nurse practitioners; Nursing models |
| Abstract |
This thesis describes the journey of a practicing independent nurse practitioner and naturopath through the stories of five clients. The thesis is presented as a narrative and begins with an account of the events in the practitioner's life that lead to the specific study of natural therapies and the development of a cohesive practice using holistic health practices from a nursing perspective. The text essentially describes the process of establishing a private practice combining two disciplines of nursing and naturopathy in New Zealand. The study reveals how a nurse and naturopath's practice is based on the premise that it is crucial to recognise that the personal life and professional life of the nurse inform and influence each other and are always part of the process of care in such a practice. Three healing modalities that are central to the practice are described in detail. The description is informed by theory and research from nursing, the social sciences and the natural sciences. The study reveals the practical value of postmodern nurse theorists, Jean Watson and Margaret Newman to this practice. This study also briefly discusses the concepts from quantum theory, evolutionary theory and psychoneuroirnmunology that are used in the practice. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1181 |
| Permanent link to this record |
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| Author |
Litchfield, M. |
| Title |
Towards a people-pivotal paradigm for healthcare: Report of the Turangi primary health care nursing innovation 2003-2006 |
Type |
Manuscript |
| Year |
2006 |
Publication |
|
Abbreviated Journal |
Held by the Ministry of Health, publication pending |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Evaluation; Community health nursing; Nursing models; Interprofessional relations |
| Abstract |
This report presents the findings of the developmental evaluation programme for the three-year innovation project. It includes the model of the integrative nursing service scheme with mobile whanau/family nurses as the hub of healthcare provision for a new paradigm of service design and delivery spanning primary-secondary-tertiary sectors. The form of healthcare the local people received, the nature of the nursing practice and role, service delivery and employment parameters required to support the nurses in practice are presented. The service configuration model subsequently gave the structure to Lake Taupo Primary Health Organisation with the hub of family nurses with a mobile comprehensive practice. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1178 |
| Permanent link to this record |
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| Author |
Litchfield, M. |
| Title |
A framework of complementary models of nursing practice: A study of nursing roles and practice for a new era of healthcare provision in New Zealand |
Type |
Report |
| Year |
2001 |
Publication |
|
Abbreviated Journal |
Online on the Ministry of Health's Centre for Rural Health pages |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Nursing models; Rural nursing; Policy; Scope of practice |
| Abstract |
This is the second of a series of research projects undertaken to present the contemporary picture of the nurse workforce and their work in rural settings to inform policy for development of rural healthcare. The document presents the findings of telephone interviews with nurses in different work rural work settings around the country discussing their practice. The analysis identified a framework of four models of nursing practice: two traditional models defined by the institutions employing nurses, and two emerging models defined by the new positions requiring nurses to respond directly to health need. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1176 |
| Permanent link to this record |
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| Author |
Litchfield, M. |
| Title |
Achieving health in a rural community: A case study of nurse – community partnership |
Type |
Book Whole |
| Year |
2004 |
Publication |
|
Abbreviated Journal |
University and Polytechnic Libraries, NZNO Library |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Rural health services; Nursing models; Advanced nursing practice; Health promotion; Organisational change |
| Abstract |
This study describes rural, nurse-led health services provided by the Takapau Health Centre (Central Hawkes Bay) and its outreach, Norsewood & District Health Centre. The study looks at its model of service delivery through to 2002. It examines the establishment, development, funding and management of the service, along with the nursing practice and the healthcare people received. The book is a snapshot of nursing initiative and survival through a decade of change in health policy and service funding and delivery. The information was subsequently used to move the health centre service into the new paradigm of primary health care launched in the New Zealand Health Strategy. |
| Call Number |
NRSNZNO @ research @ 1183 |
Serial |
1168 |
| Permanent link to this record |
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| 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 |
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| Author |
O'Brien, A.J. |
| Title |
The therapeutic relationship: Historical development and contemporary significance |
Type |
Journal Article |
| Year |
2001 |
Publication |
Journal of Psychiatric & Mental Health Nursing |
Abbreviated Journal |
|
| Volume |
8 |
Issue |
2 |
Pages |
129-137 |
| Keywords |
Psychiatric Nursing; Nursing models; History of nursing; Nurse-patient relations |
| Abstract |
This article examines the therapeutic relationship, a concept held by many to be fundamental to the identity of mental health nurses. While the therapeutic relationship was given formal expression in nursing theory in the middle of the last century, its origins can be traced to attendants' interpersonal practices in the asylum era. The dominance of medical understandings of mental distress, and the working-class status of asylum attendants, prevented the development of an account of mental health nursing based on attendants' relationships with asylum inmates. It was left to Peplau and other nursing theorists to describe mental health nursing as a therapeutic relationship in the 1940s and later. Some distinctive features of colonial life in New Zealand suggest that the ideal of the attendant as the embodiment of bourgeoisie values seems particularly unlikely to have been realised in the New Zealand context. However, New Zealand literature from the 20th century shows that the therapeutic relationship, as part of a general development of a therapeutic discourse, came to assume a central place in conceptualisations of mental health nursing. While the therapeutic relationship is not by itself a sufficient basis for professional continuity, it continues to play a fundamental role in mental health nurses' professional identity. The way in which the therapeutic relationship is articulated in the future will determine the meaning of the therapeutic relationship for future generations of mental health nurses. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1088 |
| Permanent link to this record |
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| 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 |
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| 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 |
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| 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 |
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| Author |
Webby, A. |
| Title |
Developing safe nursing practice for Maori |
Type |
Journal Article |
| Year |
2001 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
| Volume |
7 |
Issue |
1 |
Pages |
16-17 |
| Keywords |
Maori; Psychiatric Nursing; Nursing models |
| Abstract |
A safe mental health nursing practice for Maori is defined as one that includes Maori ways of knowing. The author also notes that Maori mental health nurses must be given the ability to create their own practice to best meet their clients' needs. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1028 |
| Permanent link to this record |
