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Author Gardner, A.; Hase, S.; Gardner, G.; Dunn, S.; Carryer, J.B.
Title From competence to capability: A study of nurse practitioners in clinical practice Type Journal Article
Year 2008 Publication Journal of Clinical Nursing Abbreviated Journal Author copy available 12 months after publication from QUT ePrints
Volume 17 Issue 2 Pages (down) 250-258
Keywords Nurse practitioners; Professional competence; Advanced nursing practice; Evaluation
Abstract This research aimed to understand the level and scope of practice of the nurse practitioner in Australia and New Zealand further using a capability framework. The original study, from which the present paper was developed, sought to identify competency standards for the extended role of the nurse practitioner in Australia and New Zealand. In doing so the researchers became aware that while competencies described many of the characteristics of the nurse practitioner they did not manage to tell the whole story. In a search of the literature, the concept of capability appeared to provide a potentially useful construct to describe the attributes of the nurse practitioner that went beyond competence. A secondary analysis of data obtained from the interviews with 15 nurse practitioners working in Australia and New Zealand was undertaken. The analysis showed that capability and its dimensions is a useful model for describing the advanced level attributes of nurse practitioners. Thus, nurse practitioners described elements of their practice that involved: using their competences in novel and complex situations as well as the familiar; being creative and innovative; knowing how to learn; having a high level of self-efficacy; and working well in teams. This study suggests dimensions of capability need to be considered in the education and evaluation of nurse practitioners.
Call Number NRSNZNO @ research @ 945 Serial 929
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Author Ferguson, Katelyn Maye
Title The appropriation of cultural safety: A mixed methods analysis Type Book Whole
Year 2021 Publication Abbreviated Journal
Volume Issue Pages (down) 250 p.
Keywords Cultural safety; Nursing practice; Cross-cultural communication; Maori health care; Internationally Qualified Nurses (IQN)
Abstract Argues that the concept of cultural safety (CS) has been appropriated from an indigenous-led bicutural context to an inclusive cross-cultural framework for working with diverse patient populations. Investigates nurses' understanding of the 'Guidelines for Cultural Safety, the Treaty of Waitangi and Maori Health in Nursing Education and Practice' published in 2011 by the Nursing Council of NZ. Conducts a mixed-methods survey using both closed and open-ended questions to gauge nurses' confidence in applying the guidelines and their view of their relevance. Describes differences between NZ Registered Nurses (RN) and Internationally Qualified Nurses (IQN) in their understanding of CS. Argues that the CS model should be by Maori, for Maori.
Call Number NZNO @ research @ Serial 1763
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Author Davenport, Angela C.
Title Exploring nurses' documentation of their contribution to Traumatic Brain Injury rehabilitation in an Aotearoa-New Zealand Rehabilitation Unit Type Book Whole
Year 2020 Publication Abbreviated Journal
Volume Issue Pages (down) 244 p.
Keywords Traumatic brain injury; Documentation; Rehabilitation Nursing; Decision-making
Abstract Utilises a critical realist case study framework to explore how rehabilitation nurses documented their contribution for clients with traumatic brain injury (TBI), and the influences on that documentation. Administers a questionnaire, undertakes an audit and interviews the nurses about their contribution. Makes six recommendations in relation to organisational level decision-making and the practice of individual nurses.
Call Number NZNO @ research @ Serial 1744
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Author Joyce, Sophie
Title Running some tests: essays on doctors, nurses and hospital health care Type Book Whole
Year 2013 Publication Abbreviated Journal
Volume Issue Pages (down) 242 p.
Keywords Demographics; Decision-making; Nursing hours; Patient outcomes; Caesarean sections; Health economics
Abstract Comprises three essays on the economics of health-care delivery in hospitals: considers the relationship between gender and/or ethnic concordance between a doctor and patient, and the number of diagnostic tests ordered during a hospital stay; estimates the impact of doctor-patient demographic concordance (where doctor and patient share the same ethnic group and/or gender) on a doctor's decision-making for diagnostic resources and medical treatments; calculates the relationship between ward-level nursing hours and a patient's health outcome, e.g. mortality and length of ward stay. Uses a detailed nursing-staff dataset, a novel instrumental variable for nursing hours (the amount of sick and bereavement leave taken by nurses on a ward) and the separate effect of nursing and patient hours in a ward, on a patient's health outcome.
Call Number NZNO @ research @ Serial 1577
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Author Jonsdottir, H.; Litchfield, M.; Pharris, M.
Title The relational core of nursing practice as partnership Type Journal Article
Year Publication Journal of Advanced Nursing Abbreviated Journal
Volume 47 Issue 3 Pages (down) 241-250
Keywords Nurse-patient relations; Nursing philosophy; Nursing research
Abstract This article elaborates the meaning of partnership in practice for nurses practising in different and complementary way to nurses in specialist roles and medical practitioners. It positions partnership as the relational core of nursing practice. Partnership is presented as an evolving dialogue between nurse and patient, which is characterised by open, caring, mutually responsive and non-directive approaches. This partnership occurs within a health system that is dominated by technologically-driven, prescriptive, and outcome-oriented approaches. It is the second of a series of articles written as a partnership between nurse scholars from Iceland, NZ and USA.
Call Number NRSNZNO @ research @ 1188 Serial 1173
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Author Te Whata, Tracy Deborah
Title Determining the value of Maori nurses in Aotearoa Type Book Whole
Year 2020 Publication Abbreviated Journal
Volume Issue Pages (down) 236 p.
Keywords Maori nurses; Kaupapa Maori; Tikanga; Nursing discourse; Discrimination; Cultural safety
Abstract Offers an understanding of how nursing discourse is embedded within legislation, regulatory bodies, and nursing practice and its direct impact on the health and well-being of Maori nurses. Argues that nursing discourse marginalises and undervalues tikanga. Explores the experiences of Maori registered nurses (RN) using a kaupapa Maori, mixed-method approach. Surveys over 300 Maori RNs about career and professional development, use of tikanga, cultural identity, and racism/discrimination at work.
Call Number NZNO @ research @ Serial 1799
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Author MacGeorge, J.M.; Nelson, K.
Title The experience of the nurse at triage influences the timing of CPAP intervention Type Journal Article
Year 2003 Publication Accident & Emergency Nursing Abbreviated Journal
Volume 11 Issue 4 Pages (down) 234-238
Keywords Emergency nursing; Clinical decision making; Hospitals; Quality of health care
Abstract This study used a non-experimental correlational design to research the relationship between the experience of the nurse, with the application of continuous positive airway pressure therapy (CPAP) to patients presenting to a metropolitan emergency department with cardiogenic pulmonary oedema (CPO), and to establish what difference, if any, CPAP made to outcomes. A retrospective audit of records was used to extract data on all 54 patients that received CPAP over a 12-month period. The primary outcome measures were off CPAP within two hours, transfer to intensive care unit or cardiac care unit, and secondary outcome measures were length of hospital stay and death. There was a trend towards more experienced nurses attending patients who required immediate treatment or treatment within 10 minutes. These patients were more likely to be recognised at triage as requiring CPAP therapy. The early application of CPAP reduced hospital mortality, length of stay, and the need for intubation and ventilation. Attention needs to be given on how best to educate nurses so that more patients presenting with acute respiratory failure can benefit from nurses' decision-making regarding the commencement of CPAP.
Call Number NRSNZNO @ research @ Serial 847
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Author Framp, A.
Title Diffuse gastric cancer Type Journal Article
Year 2006 Publication Gastroenterology Nursing Abbreviated Journal
Volume 29 Issue 3 Pages (down) 232-238
Keywords Maori; Nursing; Diseases; Case studies; Cancer; Oncology
Abstract This article provides an overview of gastric cancer using a unique case study involving a Maori family genetically predisposed to diffuse gastric cancer. The pathophysiology of diffuse gastric cancer, including prognosis, diagnosis, and treatment, along with important patient considerations is highlighted.
Call Number NRSNZNO @ research @ Serial 691
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Author Wilson, D.
Title The nurse's role in improving indigenous health Type Journal Article
Year 2003 Publication Contemporary Nurse Abbreviated Journal
Volume 15 Issue 3 Pages (down) 232-240
Keywords Transcultural nursing; Maori; Health status
Abstract The health status of indigenous peoples is a global concern with mortality and hospitalisation data indicating that the health of indigenous groups falls below that of other ethnic groups within their countries. The preliminary findings of grounded theory research project undertaken with a group of 23 New Zealand Maori women about their health priorities and 'mainstream' health service needs provide the foundation for an exploration of issues impacting on the health status of indigenous people. The role that nursing and nurses have in improving access and use of health services by indigenous people is discussed. Strategies are suggested that nurses can utilise within their practice when working with local indigenous groups.
Call Number NRSNZNO @ research @ Serial 1065
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Author Lawless, J.; Moss, C.
Title Exploring the value of dignity in the work-life of nurses Type Journal Article
Year 2007 Publication Contemporary Nurse Abbreviated Journal
Volume 23 Issue 2 Pages (down) 225-236
Keywords Work; Nursing philosophy; Job satisfaction; Ethics
Abstract In this paper the authors draw attention to the value and understandings of nurse dignity in the work-life of nurses. A review of nursing literature and a theoretical lens on worker dignity derived from recent work by Hodson (2001) was used to explore these questions. In the context of current and international workforce issues associated with recruitment and retention, analysis of the construct of worker dignity within the profession takes on a strong imperative. Findings of this inquiry reveal that while there is a degree of coherence between the nursing research and elements of Hodson's (2001) research on worker dignity, the dignity of nurses, as a specific construct and as an intrinsic human and worker right has received little explicit attention. Reasons for this may lie partly in approaches that privilege patient dignity over nurse dignity and which rely on the altruism and self-sacrifice of nurses to sustain patient care in environments dominated by cost-control agendas. The value of dignity in the work-life of nurses has been under-explored and there is a critical need for further theoretical work and research. This agenda goes beyond acceptance of dignity in the workplace as a human right towards the recognition that worker dignity may be a critical factor in sustaining development of healthy workplaces and healthy workforces. Directing explicit attention to nurse dignity may benefit the attainment of both nurse and organisational goals. Hodson's (2001) framework offers a new perspective on dignity in the workplace.
Call Number NRSNZNO @ research @ Serial 1031
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Author Hamer, H.P.; McCallin, A.
Title Cardiac pain or panic disorder? Managing uncertainty in the emergency department Type Journal Article
Year 2006 Publication Nursing & Health Sciences Abbreviated Journal
Volume 8 Issue 4 Pages (down) 224-230
Keywords Emergency nursing; Clinical assessment; Diagnosis
Abstract This paper presents research findings from a New Zealand study that explored emergency nurses' differentiation of non-cardiac chest pain from panic disorder and raised significant issues in the nursing assessment and management of such clients. The data were gathered from focus group interviews and were analysed thematically. Three themes, prioritising time, managing uncertainty and ambiguity, and the life-threatening lens, were identified. The findings confirm that a panic disorder is not always diagnosed when biomedical assessment is used in isolation from a psychosocial assessment. Emergency nurses are pivotal in reversing the cycle of repeat presenters with non-cardiac chest pain. Recommendations for assessing and managing this complex condition are presented.
Call Number NRSNZNO @ research @ Serial 689
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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 (down) 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
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Author Haji Vahabzadeh, Ali
Title Optimal Allocation of Intensive Care Unit nurses to Patient-At-Risk-Team Type Book Whole
Year 2018 Publication Abbreviated Journal
Volume Issue Pages (down) 224 p.
Keywords Intensive Care Units; Intensive care nursing; Patients; Mortality; Health economics
Abstract Explains the need for nurse-led Patient-at-Risk-Teams(PART) to prevent unnecessary ICU admissions. Investigates which nurse allocation policy between PART and ICU would result in the best outcomes for patients and hospitals. Provides econometric models to estimate the impact of critical care nurses on hospital length of stay. Proposes queueing and simulation models to obtain the optimal nurse allocation policy for minimising the ICU mortality rate. Validates proposed models at Middlemore Hospital from 2015 to 2016. Estimates the financial and mortality impact of allocating another nurse to PART per shift.
Call Number NZNO @ research @ Serial 1647
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Author Spence, D.; Fielding, S.
Title Win-win-win: Collaboration advances critical care practice Type Journal Article
Year 2002 Publication Contemporary Nurse Abbreviated Journal
Volume 13 Issue 2/3 Pages (down) 223-228
Keywords Nursing specialties; Rural nursing; Nursing; Education; Curriculum
Abstract This paper provides an overview of the structure and processes of an eighteen month, distance education course focused on developing advanced practice in the context of critical care nursing. Within the framework of a Master of Health Science, the postgraduate certificate (critical care nursing) was developed as a collaboration between Auckland University of Technology and two regional health providers. Students enrol in science and knowledge papers concurrently then, in the second half of the course, are supported within their practice environment to acquire advanced clinical skills and to analyse, critique and develop practice within their specialty. This course is set against a background of increasing interest in education post registration. The acquisition of highly developed clinical capabilities requires a combination of nursing experience and education. This requires collaboration between clinicians and nurse educators, and approaches to address accessibility of relevant educational opportunities for nurses outside the country's main centres.
Call Number NRSNZNO @ research @ Serial 878
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Author Spence, D.
Title Nursing people from cultures other than one's own: A perspective from New Zealand Type Journal Article
Year 2003 Publication Contemporary Nurse Abbreviated Journal
Volume 15 Issue 3 Pages (down) 222-231
Keywords Transcultural nursing; Maori; Psychiatric Nursing
Abstract This paper provides an overview of the evolving meaning of 'culture' in New Zealand nursing. Then, drawing upon the findings of research that used hermeneutic phenomenology to explore the experience of nursing people from cultures other than one's own, a description of the constituent parts is of this phenomenon is briefly outlined and followed by an exemplar that describes the coalescent and contradictory nature of the phenomenon as a whole. As New Zealand nurses negotiate the conflicts essential for ongoing development of their practice, interplay of the notions of prejudice, paradox and possibility is evident at intrapersonal and interpersonal levels as well as in relation to professional and other discourses.
Call Number NRSNZNO @ research @ 798 Serial 782
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