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Author |
Sims, D.A. |
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Title |
The benefits and challenges of one New Zealand nursing undergraduate clinical education model: A case study |
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Year |
2004 |
Publication |
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Abbreviated Journal |
Victoria University of Wellington Library |
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Volume |
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Issue |
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Pages |
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Keywords  |
Clinical supervision; Preceptorship; Education; Students; Nursing |
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Abstract |
This research project utilised a case study approach to give ward managers a voice in the literature, by exploring and describing from their perspective the benefits and challenges of one particular nursing undergraduate clinical education model. The tertiary education provider contracts the health provider to provide Clinical Nurse Educators (CNEs) to support second and third year undergraduate nursing students during their clinical experiences. The CNEs are seconded from their respective wards to meet the organisation's contractual obligations. Data were gathered from two ward managers using semi-structured interviews. The findings elucidate the role of the undergraduate CNE, highlighting benefits such as the CNE being supernumerary to ward rosters and having time to teach, not only supervise students. CNEs are student-focused and easily accessible as they are based on site. The CNE was the one person who was 'there' for a student as a student's preceptor can change shift-by-shift and day-by-day. One significant challenge which emerged was the replacement of ward staff, not only of senior nurses who can leave their wards for up to 12 weeks to undertake the CNE role but also that of the student's preceptor if the student's preceptor was on annual, sick or study leave. Other challenges such as the inability of ward managers to pre-book casual staff; preceptor work-loads; skill-mix issues and fluctuating fulltime equivalents are also discussed. |
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Call Number |
NRSNZNO @ research @ |
Serial |
598 |
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Author |
Robertson, G. |
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Title |
Disquiet in the development of clinical supervision for professional development in nursing practice: A literature review |
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Year |
2000 |
Publication |
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Abbreviated Journal |
Victoria University of Wellington Library |
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Volume |
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Issue |
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Pages |
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Keywords |
Clinical supervision; Professional development; Nursing |
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Abstract |
Nursing literature reflects that nurses have been exploring and experiencing the process of clinical supervision for well over a decade. Nurses in the United States, United Kingdom, Scandinavia, and Australasia have written much over the past fifteen years. However, the author notes that nurses grapple with what clinical supervision is within nursing development and disquiet continues to emerge in the literature. This literature review expands on themes that surround this disquiet. These centre on continued confusion and lack of clear definition; whether psychotherapy is implemented under the guise of clinical supervision, who uses it, and the dearth of empirical evaluation of its effectiveness. The lack of significant empirical evidence of its ability to assist practitioners to deliver improved patient/client care continues despite claims of improved professional and personal development, therapeutic relationship, and occupational stress management. These claims come from both supervisees and supervisors. The manner in which clinical supervision is portrayed in nursing in that it is frequently referred to as a support system, rather than one of learning a complex set of communication skills is also highlighted. The continued debate on what model(s) best suit nurses, or whether line management should provide clinical supervision as a means to ensure quality standards and control over nursing practice and optimal patient care is discussed. Whether nursing should stop borrowing from other fields and develop their own model(s) is also raised. Two emerging stances focus on a process that is practice-based as identified by senior staff and management, or one that continues along the lines of what psychotherapy has developed with practitioner-identified developmental needs. These issues raise many questions for further development in nursing, one being are nurses developed enough in their self-awareness to understand what they are to adopt into their practice? Authentic voices from those nurses experienced in the practice of providing and receiving clinical supervision, are shaping therapeutic practice for nurses in the future, and continue to sharpen the debate. Some reference to unpublished data and local practice in the Wellington area have been included as a stimulus for further incorporation of clinical supervision in local practice development. |
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Call Number |
NRSNZNO @ research @ |
Serial |
794 |
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Author |
Jull, Andrew |
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Title |
Becoming a clinical triallist: challenges and opportunities for nursing research |
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Journal Article |
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Year |
2023 |
Publication |
Nursing Praxis in Aotearoa New Zealand |
Abbreviated Journal |
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Volume |
39 |
Issue |
2 |
Pages |
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Keywords |
Clinical trials; Nursing research; Systematic reviews; Evidence-based practice |
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Abstract |
Asks what is the value of randomised ccontrolled trials (RCT), and argues that different trial designs are appropriate for different types of question, e.g. intervention, aetiology, diagnosis, prognosis, therapy, and experience. Backgrounds the formation of the Cochrane Collaboration. Relates the author's own experience in becoming a clinical triallist and considers the barriers to nurses running RCTs. Explains the need and intent of the Australasian Nursing and Midwifery Clinical Trials Network (ANMCTN) |
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Call Number |
NZNO @ research @ |
Serial |
1855 |
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Author |
Marshall, Dianne; Finlayson, Mary |
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Title |
Applied cognitive task analysis methodology: Fundamental cognitive skills surgical nurses require to manage patient deterioration |
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Journal Article |
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Year |
2022 |
Publication |
Nursing Praxis in Aotearoa New Zealand |
Abbreviated Journal |
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Volume |
38 |
Issue |
1 |
Pages |
25-37 |
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Keywords |
Cognitive task methodology; Surgical nursing; Patient deterioration; Decision-making |
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Abstract |
Aims to identify the cognitive skills required of surgical nurses to rescue the deteriorating patient, and to elicit insight into the potential errors in decision-making inexperienced nurses commonly make in the same situation. Conducts three sequential in-depth interviews with six experienced surgical nurses to identify five cognitive demands required of nurses to ascertain deterioration and the cognitive skills necessary to respond to these cognitive demands: the task diagram interview, the knowledge audit interview and the simulation interview. |
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Call Number |
NZNO @ research @ |
Serial |
1795 |
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Author |
Stewart, J.; Floyd, S.; Thompson, S. |
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Title |
The way we were : collegiality in nursing in the '70s and '80s |
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Journal Article |
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Year |
2015 |
Publication |
Kai Tiaki Nursing Research |
Abbreviated Journal |
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Volume |
6 |
Issue |
1 |
Pages |
4-8 |
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Keywords |
Collegiality; Oral history; Focus Groups; History of Nursing; Nursing Training |
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Abstract |
Reports the findings of oral history research into nurses' experiences of training and working in hospitals in NZ during the 1970s and 1980s and their accounts of early collegiality forged as a result of residential living and training in hierarchical hospitals. Conducts two focus group discussions among 10 long-serving nurses from two district health boards (DHBs). |
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Call Number |
NZNO @ research @ |
Serial |
1405 |
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Author |
Levien, J. |
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Title |
Maori health: One area of risk |
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Journal Article |
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Year |
2007 |
Publication |
Nursing Journal Northland Polytechnic |
Abbreviated Journal |
Available online at coda, An Institutional Repository for the New Zealand ITP Sector |
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Volume |
11 |
Issue |
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Pages |
17-21 |
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Keywords |
Colonisation; Maori; Health status; Nursing |
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Abstract |
This essay explores the social and historical context of the continued incidence of rheumatic fever amongst Maori. This communicable disease is associated with poverty, inadequate housing and overcrowding. These risk factors are all higher for indigenous populations. The article traces the effects of colonisation on Maori health, and presents the Te Whare Tapa Wha health model, which is grounded in a Maori world view, and provides a framework to examine this issue. The implications for nursing practice are explored. |
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Call Number |
NRSNZNO @ research @ 1316 |
Serial |
1300 |
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Author |
Brunton, Margaret; Cook, Catherine; Walker, Leonie; Clendon, Jill |
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Title |
Where are we?: workplace communication between RNs in culturally-diverse healthcare organisations; Analysis of a 2-phase, mixed-method study: a report prepared for the New Zealand Nursing Education and Research Foundation |
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Report |
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Year |
2017 |
Publication |
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Abbreviated Journal |
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Volume |
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Issue |
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Pages |
82 p. |
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Keywords |
Communication in nursing; Registered nurses; Surveys |
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Abstract |
Examines cultural influences on perceptions and practices of cross-cultural communication among registered nursing staff from diverse ethnicities in NZ. Employs an exploratory approach to obtain qualitative feedback by means of semi-structured interviews with 36 Internationally Qualified Nurses (IQN) and 17 NZ Registered Nurses (NZRN). Uses data from the interviews to construct a questionnaire survey to seek responses from a random national sample of RNs. |
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Call Number |
NZNO @ research @ |
Serial |
1543 |
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Author |
Moir, Chris; Baby, Maria |
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Title |
Managing violence and aggression: graduate-entry nursing students' responses to pre-emptive communication skills education |
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Journal Article |
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Year |
2022 |
Publication |
Kai Tiaki Nursing Research |
Abbreviated Journal |
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Volume |
13 |
Issue |
1 |
Pages |
9-18 |
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Keywords |
Communication skills; Workplace violence; Nursing students; Nursing curriculum |
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Abstract |
Argues that teaching de-escalation skills early in the nursing programme is vital for student safety and later retention in the nursing workforce. Sets out to determine the efficacy of communication training to teach nursing students agression-management skills while on clinical placement. Designs a quasi-experimental design using pre- and post-tests of communication competence following an education module delivered as part of the curriculum. |
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Call Number |
NZNO @ research @ |
Serial |
1816 |
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Author |
Wong, G.; Sakulneya, A. |
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Title |
Promoting EAL nursing students' mastery of informal language |
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Journal Article |
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Year |
2004 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
20 |
Issue |
1 |
Pages |
45-52 |
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Keywords |
Communication; Asian peoples; Education; Nursing |
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Abstract |
This article describes the development, delivery and evaluation of a pilot programme designed to help nursing and midwifery students from Asian and non-English speaking backgrounds improve their conversational skills in practice settings. Many such students, although previously assessed as competent in English, find that communication with patients and their families, and other health professionals is difficult. The study was conducted in a large tertiary educational institution in a major metropolitan centre. Each week for a period of 11 weeks students participated in an interactive session. Content for these was based on areas highlighted by a needs assessment involving interviews with both students and lecturers, and was subject to ongoing modification in response to feedback from participants. Evaluation questionnaires completed at the conclusion of the series indicated that students perceived the impact as positive. Students who attended regularly and were actively involved in the practice activities described gains in communication skills. From this it was concluded that further development of the pilot scheme was warranted in order to benefit English as an additional language (EAL) students enrolled in nursing and midwifery courses |
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Call Number |
NRSNZNO @ research @ 564 |
Serial |
550 |
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Author |
Macfarlane, K. |
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Title |
Communicating changes in a patient's condition: A critical incident approach |
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Year |
2006 |
Publication |
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Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
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Volume |
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Issue |
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Pages |
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Keywords |
Communication; Clinical assessment; Physicians; Nursing; Relationships |
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Abstract |
This study explores how registered nurses working within the acute surgical ward environment of a New Zealand hospital communicate changes in a patient's condition. The purpose of this research study was to examine the processes, communication techniques and behaviours that nurses use, in order to determine the critical requirements for registered nurses to effectively communicate changes in patients' conditions to doctors. The critical incident technique developed by Flanagan (1954) was adapted and used to explore incidents that occurred when six registered nurses working in acute surgical wards communicated a change in a patient's condition to a doctor. Communication is an integral part of everyday activity. This study has shown an assessment process occurs before communication can take place. A nurse's concern for a patient's condition initiates the assessment process. A judgement is formed from the nurse's concern that a patient's condition has changed. Judgements take into account multiple ways of knowing including pattern recognition, empirical knowing and intuition. Institutional protocols also affect judgements and the ability of a nurse to ensure support is received for the patient's well being. The communication process is initiated for two reasons, to support the patient, and to support the nurse in providing care for the patient. Significant in determining the need for support is the action required that might be outside the nurse's scope of practice. The response should address the nurse's concern and take into account the importance of the relationship, trust between all parties, respect of each other's positions and knowing team members and their capabilities. Understanding these aspects of the communication process should enhance nurses and doctors abilities to effectively communicate regarding a change in a patient's condition. |
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Call Number |
NRSNZNO @ research @ |
Serial |
724 |
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Author |
White, G.E.; Su, H.-R. |
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Title |
Am I dying, nurse? |
Type |
Journal Article |
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Year |
2000 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
15 |
Issue |
1 |
Pages |
33-40 |
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Keywords |
Communication; Ethics; Nursing; Palliative care |
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Abstract |
This paper addresses the concept of truth, and debates who should tell it and how it should be told. It explores the cultural aspects of knowing the truth about dying. The question of whether nurses have a moral obligation to tell the truth is explored, and suggests the lack of New Zealand research in this area should be addressed. |
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Call Number |
NRSNZNO @ research @ |
Serial |
631 |
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Author |
Van der Krogt, Shelley; Coombs, Maureen; Rook, Helen |
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Title |
Humour: a purposeful and therapeutic tool in surgical nursing practice |
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Journal Article |
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Year |
2020 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
36 |
Issue |
2 |
Pages |
20-30 |
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Keywords |
Communication; Humour; Surgical nursing; Person-centred care |
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Abstract |
Notes the lack of evidence-based guidance for use of humour by nurses. Uses a qualitative descriptive methodology to explore how surgical nurses determine when and how to employ humour with patients. Enrols 9 RNs working in a surgical ward within a tertiary hospital in semi-strutured interviews to discuss how they assess patient receptiveness, build connections with patients and protect their vulnerability. |
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Call Number |
NZNO @ research @ |
Serial |
1677 |
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Author |
MacDonald, L.M. |
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Title |
Nurse talk: Features of effective verbal communication used by expert district nurses |
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Year |
2003 |
Publication |
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Abbreviated Journal |
ResearchArchive@Victoria |
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Volume |
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Issue |
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Pages |
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Keywords |
Communication; Nurse-patient relations; District nursing |
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Abstract |
This thesis represents an appreciative enquiry to identify features of effective verbal communication between nurses and patients. Using a method developed by the Language in the Workplace Project (Stubbe 1998) two nurse participants recorded a small sample of their conversations with patients as they occurred naturally in clinical practice. These six conversations constitute the main body of raw data for the study. The data was analysed using a combination of discourse and ethnographic analysis. Experience in nursing, particularly insider knowledge of the context of district nursing, helped me to uncover the richness of meaning in the conversations. The subtle interconnections and nuances could easily have been missed by an outside observer. The study has shown that in their interactions with patients, expert nurses follow a pattern in terms of the structure and content of the conversations and it is possible to identify specific features of effective nurse-patient communication within these conversations. The most significant of these are the repertoire of linguistic skills available to nurses, the importance of small talk and the attention paid by nurses to building a working relationship with patients, in part, through conversation. The findings have implications for nursing education and professional development. |
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Call Number |
NRSNZNO @ research @ 1180 |
Serial |
1165 |
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Author |
Major, G.; Holmes, J. |
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Title |
How do nurses describe health care procedures? Analysing nurse-patient interaction in a hospital ward |
Type |
Journal Article |
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Year |
2008 |
Publication |
Australian Journal of Advanced Nursing |
Abbreviated Journal |
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Volume |
25 |
Issue |
4 |
Pages |
58-70 |
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Keywords |
Communication; Nursing; Nurse-patient relations |
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Abstract |
This study examines the communication strategies used by nurses on the ward in one aspect of the job, namely the ways that they describe health procedures to patients. The data used in this project was collected by nurses on a busy hospital ward as part of Victoria University's Language in the Workplace Project. Three nurses carried minidisc recorders as they went about their normal working day, recording their conversations with patients, visitors, and other staff. The data was collected in a women's hospital ward. All patients, nurses, cleaners and ward clerks were female; two doctors were female and two were male. Twenty three instances where nurses described procedures to patients were identified in the data set. The analysis identified several typical components; indicated there was no fixed order of components; and demonstrated that all except the core component of describing the procedure were optional rather than obligatory elements. The researchers note this is qualitative and exploratory research. The findings demonstrate the benefit of discourse analysis within a sociolinguistic framework for the analysis of nurse-patient interaction. The results indicate that health discourse is not one-sided, nor is it as straightforward as many nursing textbooks suggest. |
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Call Number |
NRSNZNO @ research @ 975 |
Serial |
959 |
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Author |
Trout, F. |
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Title |
Health needs assessment within the ecology of caring |
Type |
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Year |
1999 |
Publication |
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Abbreviated Journal |
Massey University Library |
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Volume |
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Issue |
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Pages |
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Keywords |
Community health nursing |
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Abstract |
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Call Number |
NRSNZNO @ research @ 1137 |
Serial |
1122 |
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