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Author Wilson, S.C. url  openurl
  Title A qualitative exploration of emotional competence and its relevance to nursing relationships Type
  Year 2007 Publication Abbreviated Journal Massey Research Online  
  Volume Issue Pages  
  Keywords Nurse-patient relations; Nursing; Education; Students; Professional competence  
  Abstract This qualitative research project explored the experiences of nurse educators who sought to assess aspects, which could be related to facilitation of emotional competence, in nursing students. Focus groups were conducted in three different educational institutions, offering a Bachelor of nursing degree. Each of the participants had a teaching and assessment role within the school of nursing. The contributions of the nurse educators and their interactions were audio taped, transcribed and then later, analysed using thematic and focus group analysis practices. From the analysis of the experiences of the nurse educators, four predominant themes arose which capture the areas of importance to the participants. Student nurses can develop emotional competence by critically reflecting during classroom and clinical experiences. Continuous consideration must be made within each practicing area of nursing, of the environmental and relational challenges which inhibit or facilitate nurse's ability to practice with emotional competence. Educators and practicing nurses, who work alongside students, must uphold the expectation that emotional competence is a requisite ability and provide opportunities to foster emotional growth and skills to resolve conflict within the culture of nursing. A common view shared by the educators was that the profession of nursing needs to have a clear understanding of what constitutes emotional competence. Strategies to realistically incorporate emotional competence into the educational curriculum and competency based assessment opportunities within nursing education are required. Suggestions are presented from which undergraduate nursing education can facilitate development of emotional competence with those students working toward becoming a registered nurse. Emotional competence is suggested as an essential learning outcome in the movement toward transformative nursing education and a collaborative nursing profession.  
  Call Number (up) NRSNZNO @ research @ Serial 1144  
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Author Valette, D. url  openurl
  Title Nursing an adolescent in an adult inpatient mental health unit Type
  Year 2002 Publication Abbreviated Journal ResearchArchive@Victoria  
  Volume Issue Pages  
  Keywords Psychiatric Nursing; Adolescents; Nurse-patient relations; Professional competence; Mental health  
  Abstract This research paper reports on an exploration of the key elements nurses need to be aware of to effectively nurse adolescents in an adult inpatient unit. It describes the developmental needs and significant influences that affect this age-group, that when incorporated into nursing care, nurses can gain a therapeutic relationship with the adolescent. By means of a literature review, sharing the author's experience in nursing adolescents, and through vignettes of practice, an illustration of some common situations that may occur during the adolescent's inpatient stay are described. These situations are explored and a perspective is offered on how nurses may be effective in their nursing of an adolescent patient from the point of admission through to discharge. More research is needed on adolescent mental health nursing, however the author anticipates that nurses will be able to use this report as a helpful resource in their current practice.  
  Call Number (up) NRSNZNO @ research @ Serial 1148  
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Author Anderson, P.R. openurl 
  Title Determining competency for entry to nursing practice: A grounded theory study Type
  Year 2008 Publication Abbreviated Journal ResearchArchive@Victoria  
  Volume Issue Pages  
  Keywords Professional competence; Clinical supervision; Nursing; Education  
  Abstract Critical Comparative Nursing Assessment (CCNA) is a theory about how the competence of completing Bachelor of Nursing students in New Zealand is determined. Semi-structured, audio-taped interviews and field notes were used to collect data from twenty-seven nurses with experience in undertaking competency assessment. A Glaserian grounded theory approach was used to guide the data collection and analysis. This utilised the processes of constant comparative analysis, theoretical sampling and saturation to generate a middle range substantive grounded theory. This is presented as a model consisting of four emergent categories that explain how nurses formulate professional judgements about competence. These are a) gathering, which describes the processes used to collect evidence of practice to inform decisions; b) weighing up, which explains how evidence is analysed using the processes of benchmarking and comparative analysis; c) judging brings into focus the tensions inherent in making professional judgements about competence and how nurses formulated these, and d) moderating, which describes the processes nurses use to validate decisions and ensure that professional responsibilities and public safety are upheld. The basic social psychological process of comparing integrates these categories to explain how nurses resolve the tensions associated with making decisions about competence. This research presents a new way of viewing and understanding how nurses assess competence. It identifies where the challengers and tensions related to the assessment of competence lie and suggests strategies that if implemented, the author suggests could further enhance the validity and reliability of assessment outcomes.  
  Call Number (up) NRSNZNO @ research @ Serial 1182  
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Author McLauchlan, M.F. openurl 
  Title Mobile computing in a New Zealand Bachelor of nursing programme Type Book Chapter
  Year 2006 Publication Consumer-Centered Computer-Supported Care for Healthy People. Studies in health technology and informatics, 122 (pp. 605-608) Abbreviated Journal  
  Volume Issue Pages  
  Keywords Technology; Curriculum; Nursing; Education; Professional competence  
  Abstract Mobile computing is rapidly becoming a reality in New Zealand health care settings. Personal Digital Assistants (PDAs) are the most frequently used of these mobile technologies, giving nurses access to clinical learning resources, including drug references, medical encyclopaedias and diagnostic information. The implementation of mobile computing at Waikato Institute of Technology (Wintec) will ensure graduates of our Bachelor of Nursing Programme are able to meet health care service demands for knowledge in contemporary information technologies as well as the information technology requirements defined by the Nursing Council of New Zealand and the Health Practitioners Competency Assurance Act 2003 for registration as a nurse in New Zealand. This paper presents strategies for the implementation of mobile computing as a core element of the curriculum for the Bachelor of Nursing Programme at Wintec in Hamilton.  
  Call Number (up) NRSNZNO @ research @ Serial 1192  
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Author Tustin-Payne, W. url  openurl
  Title Self esteem, competence assessment and nurses ability to write reflectively: Is there any connection? Type
  Year 2008 Publication Abbreviated Journal Wintec Research Archive  
  Volume Issue Pages  
  Keywords Professional competence; Nursing; Psychology; Quality of health care; Feminist critique  
  Abstract The Health Practitioners Competence Assurance Act 2003 requires nurses to have evidence to support they are competent to practice. Many nurses have become distraught and / or angry at this prospect, and the researcher suggests that this response appears to be more commonly related to the expectation of undertaking reflective writing, which is a key component of the competence evidence. This study explores the predisposing factors relating to nursing, reflective writing and competence to determine how this may impact on a nurse's self esteem. Utilisation of Critical Social Theory informed by feminist framework allows for exploration of the historical, social, political and cultural factors that shape and form female nurses reality in practice. It is a theory that relates to oppression and power, with the primary intent being to raise consciousness in order to emancipate. Although no definitive findings were made, there are multiple factors relating to nurse's history, socialisation, political imperatives and cultural beliefs that have the potential to impact on their self esteem. Competence, competence assessment and reflective practice are complex, therefore presenting multiple challenges. In order for nurses to understand their contextual reality and opportunities for change there is a need for them to engage in critical reflection.  
  Call Number (up) NRSNZNO @ research @ 1198 Serial 1183  
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Author Peach, J.; Hall, B. openurl 
  Title Professional boundaries: Being in relationship 'with' yet remaining separate Type Journal Article
  Year 1999 Publication Professional Leader Abbreviated Journal  
  Volume 5 Issue 1 Pages 16-18  
  Keywords Nurse-patient relations; Professional competence  
  Abstract This article describes the management of the therapeutic relationship, that is set up between nurses or midwives and those in their care. It reviews the responsibilities of the health practitioner, and looks at issues around boundaries, confidentiality and accountability. It also looks at the role senior colleagues can play in ensuring this intentional relationship is managed professionally.  
  Call Number (up) NRSNZNO @ research @ 1288 Serial 1273  
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Author Ross, J. openurl 
  Title Perspectives on developing the advanced role of rural nursing in New Zealand Type Journal Article
  Year 2001 Publication Health Manager Abbreviated Journal  
  Volume 8 Issue 1 Pages 19-21  
  Keywords Rural nursing; Advanced nursing practice; School nursing; Professional competence  
  Abstract The author traces the development of rural nursing, which began as an assistant role for general practitioners, to the present role which incorporates advanced nursing practice. She reports the results of two surveys of nurses' roles and skills, from 1996 and 1999-2000. Specific rural competencies are identified, in managing isolation, professionalism in a small community, nurse/patient relationships in a small community, and independence.  
  Call Number (up) NRSNZNO @ research @ 1313 Serial 1297  
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Author Carryer, J.B.; Russell, L. openurl 
  Title Nurses' understandings of the Professional Development Recognition Programme Type Journal Article
  Year 2007 Publication Nursing Praxis in New Zealand Abbreviated Journal  
  Volume 23 Issue 2 Pages 5-13  
  Keywords Professional development; Professional competence  
  Abstract Professional Development and Recognition Programmes (PDRP) for nurses have developed out of the Clinical Career Pathways (CCP) of the 1990s. The Health Practitioners Competence Assurance Act (2003) has now required all health professionals to provide evidence that their practice meets criteria set by the individual regulatory body, which, for nursing, is the Nursing Council of New Zealand. In 2002 a tool was developed to measure knowledge and attitudes of the then CCP which was tested with 239 nurses. This paper is a report on the second application of the tool in the same hospital in New Zealand. Results show that knowledge and attitudes of the PDRP are similar to those found in the previous study. It also suggests that greater understanding of the PDRP and the implementation process increases the likelihood of a positive response to the programme.  
  Call Number (up) NRSNZNO @ research @ 476 Serial 463  
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Author McPherson, G.; Horsburgh, M.; Tracy, C. openurl 
  Title A clinical audit of a nurse colposcopist: Colposcopy, cytology, histology correlation Type Journal Article
  Year 2005 Publication Nursing Praxis in New Zealand Abbreviated Journal  
  Volume 21 Issue 3 Pages 13-23  
  Keywords Nurse practitioners; Professional competence; Diagnosis; Advanced nursing practice  
  Abstract A clinical audit was undertaken to assess the diagnostic skills of the nurse colposcopist measuring colposcopy: histology: cytology correlation. At National Women's Health the first New Zealand nurse colposcopist training programme was developed in 2000. A retrospective audit of the colposcopy clinical records was performed during the nurse's training programme between July 2000 and March 2002. An 82% (82/100) histology: cytology: colposcopy correlation was achieved by the nurse in the third phase of her training programme. The results are comparable with other reported studies involving medical and nurse colposcopists. Expertise in colposcopy examination can be incorporated into the broader role of a Nurse Practitioner working in the area of women's health.  
  Call Number (up) NRSNZNO @ research @ 548 Serial 534  
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Author Roud, D.; Giddings, D.L.S.; Koziol-McLain, J. openurl 
  Title A longitudinal survey of nurses' self-reported performance during an entry-to-practice programme Type Journal Article
  Year 2005 Publication Nursing Praxis in New Zealand Abbreviated Journal  
  Volume 21 Issue 2 Pages 37-46  
  Keywords New graduate nurses; Methodology; Professional competence; Training  
  Abstract The researchers conducted a study to compare self-reported changes in both frequency and quality of performance of nursing behaviours in a cohort of recently graduated nurses undertaking a one year entry to practice programme. Thirty-three nurses were surveyed, seven weeks after beginning the programme and again seven months later, using a modified version of Schwirian's (1978) Six-Dimension Scale of Nursing Performance (6-DSNP). Over the study period participants reported significant increases in frequency of performance for the domains of leadership, critical care, teaching/collaboration, and planning/evaluation. Significant increases in the quality of nurse behaviours in the domains of critical care, planning/evaluation and interpersonal relations/communication were also reported. The modified Schwirian 6-DSNP was found to be a useful instrument for measuring nurses' self reporting of performance during periods of transition.  
  Call Number (up) NRSNZNO @ research @ 553 Serial 539  
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Author Noble-Adams, R. openurl 
  Title 'Exemplary' nurses: An exploration of the phenomenon Type Journal Article
  Year 2001 Publication Nursing Praxis in New Zealand Abbreviated Journal  
  Volume 17 Issue 1 Pages 24-33  
  Keywords Nurse-patient relations; Nursing; Professional competence  
  Abstract This paper examines the phenomenon of exemplary nursing. It includes a literature review to identify the characteristics of good nurses. These include particular personality traits, altruism, caring, expert practice, vocation, commitment and attitude. Aspects of the nurse-patient relationship with such nurses is described.  
  Call Number (up) NRSNZNO @ research @ 640 Serial 626  
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Author Dillon, D.R. url  openurl
  Title Rural contexts: Islands Type Book Chapter
  Year 2008 Publication Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 19-30) Abbreviated Journal Ministry of Health publications page  
  Volume Issue Pages  
  Keywords Rural nursing; Identity; Advanced nursing practice; Professional competence  
  Abstract This chapter explores the concept of islands particularly in relation to rurality, individual and community identities, and nursing. The author argues that all New Zealanders are islanders, and considers the implications of this on personal and community values, when they are shaped by geographic isolation and structural separateness. She explores commonalities between islanders and rural peoples in areas such as identity, isolation, and health, and outlines the impacts this has on rural nursing practice and competencies. A case study of a nurse on Stewart Island is briefly discussed.  
  Call Number (up) NRSNZNO @ research @ 765 Serial 461  
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Author Farrell, E. openurl 
  Title A lamp to light the way: Public health nurses' perceptions and experiences of professional/clinical supervision Type
  Year 2003 Publication Abbreviated Journal Auckland University of Technology  
  Volume Issue Pages  
  Keywords Public health; Nursing; Clinical supervision; Professional competence  
  Abstract  
  Call Number (up) NRSNZNO @ research @ 887 Serial 871  
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Author Gardner, A.; Hase, S.; Gardner, G.; Dunn, S.; Carryer, J.B. url  openurl
  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 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 (up) NRSNZNO @ research @ 945 Serial 929  
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Author Brinkman, A.; Wilson-Salt, R.; Walker, L. openurl 
  Title Education survey report: Implications for practice Type Report
  Year 2008 Publication Abbreviated Journal http://www.nzno.org.nz  
  Volume Issue Pages  
  Keywords Professional development; Professional Competence; Nursing  
  Abstract Professional development is an ongoing requirement of nurses as a result of the Health Practitioners Competence Assurance Act. The Act?s principal purpose is to protect the health and safety of the public by ensuring health practitioners are fit and competent to practise. This survey was designed to explore the avenues nurses have taken, and would prefer to take, for their professional development. The questionnaire was sent to a random sample of the New Zealand Nurses Organisation's registered and enrolled nurse members. Nurses overwhelmingly favoured professional development in the workplace. More than half the respondents reported a conflict with other time commitments, while a number of respondents wrote of their desire for work-life balance. The cost of fees, ability to take time off work, and time and travelling distance were all hurdles to professional development. Nurses cited information technology, conflict resolution, managing challenging behaviour, and dealing with rostered & rotating shifts as aspects of their current work for which their nursing education (pre and post) had not adequately prepared them. Nurses also indicated that their pre-registration education in health systems and political processes was inadequate for their current work. As nurses aged, their interest in professional development increased, though many still preferred workplace options. The authors conclude that, in order for professional development opportunities to be accessible and relevant, resources and time must be made available. This is vital to achieve ongoing education of nurses and improved patient outcomes. Management support, combined with effective assessment of learning needs guiding professional development opportunities, are fundamental to ensuring nurse competence.  
  Call Number (up) NZNO @ research @ Serial 1329  
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