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Author Holloway, K. T.; Pearson, J.R. url  openurl
  Title Trailblazers: Primary health care programme evaluation Type Conference Article
  Year 2005 Publication Abbreviated Journal coda, An Institutional Repository for the New Zealand ITP Sector  
  Volume Paper presented June 2004 at Royal New Zealand Plu Issue Pages  
  Keywords New graduate nurses; Primary health care; Evaluation research; Professional development  
  Abstract This report is an evaluation of the academic journey undertaken by a group of newly graduated nurses who were sponsored by a New Zealand district health board to work in a variety of primary health care nursing settings. The impetus for this pilot employment option was the Ministry of Health's focus on primary health care nursing and workforce development for this sector and the Expert Advisory Committee for primary health care nursing's recommendations to district health boards regarding employment of graduate nurses and support for them to engage in post graduate study. Evaluation participants were primarily the graduate nurses who were interviewed at the end of their first year of practice which was following programme completion then again nine to ten months later. Findings include the nurses reflections on what supported them and what acted to impede as barriers to their learning success and practice development. The report concludes with five recommendations that can be used to ensure that the travels of future newly graduated nurses taking this pathway are supported, safe and successful.  
  Call Number NRSNZNO @ research @ Serial (down) 1200  
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Author Phillips, B.N. url  openurl
  Title An interpretation of four men's experiences of suicidality Type
  Year 2004 Publication Abbreviated Journal ResearchArchive@Victoria  
  Volume Issue Pages  
  Keywords Mental health; Psychiatric Nursing; Gender; Qualiltative research  
  Abstract This study draws upon Gadamer's philosophical hermeneutics to explore the understandings that four men have had of their past suicidal experiences. The interpretations developed in this study, as far as possible, make explicit use of the author's own particular horizon of meaning as researcher and mental health nurse. In addition, by consciously bringing an anti-essentialist perspective of masculinity to this process, he explores the way in which gender impacts on men's suicidality. The primary source of information for this study is in-depth, open-ended conversations with four men of European descent in their middle adult years who were asked to talk about their past experiences of suicidality. The interpretations developed here show that for these men, the hermeneutic fusion of history, language, and sociocultural context, provided limited possibilities with which they were able to construe themselves as 'fitting in' with normative standards. These constraints, that are otherwise taken-for-granted and invisible, became explicit through their experience of ongoing victimisation. Furthermore, early understandings of these experiences became a potent horizon of meaning from which they then came to understand later difficult experiences. Victimisation became constitutive of an understanding of self as fundamentally different and (hierarchically)'less-than' other men. Ultimately, suicidality emerged out of a background of ever-present psychological pain accompanying a construction of self as being unable to see themselves as ever 'fitting in'. These men did not regard themselves as having recovered from suicidality, but remain in a process of recovering. This process did not mean figuring out how to 'fit in', or become 'normal' men, but rather, to live meaningfully as men in spite of not 'fitting in' with the sociocultural ideal. Recovering was a continual and idiosyncratic process, rather than an outcome of a specific technique or knowledge. The position taken in this study is that mental health nursing seeks to engage with people and work with them in collaborative, respectful, human relationships. It is argued that mental health nurses work with an individual's situated understandings rather than delivering prescribed treatment determined by diagnosis. Hence, viewing suicidality as socioculturally situated and historically emergent suggests mental health nurses must closely attend to the way in which we bring ourselves into relationships with our clients so that we are then able to create opportunities for change.  
  Call Number NRSNZNO @ research @ 1214 Serial (down) 1199  
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Author McEldowney, R.A. url  openurl
  Title Shape-shifting: Stories of teaching for social change in nursing Type
  Year 2002 Publication Abbreviated Journal ResearchArchive@Victoria  
  Volume Issue Pages  
  Keywords Nursing philosophy; Teaching methods; Feminist critique; Qualiltative research  
  Abstract This research explores why and how nurse educators teach for social change. Critical feminist educators provide a useful framework for theorising about teaching for change that addresses issues of hegemony, agency, praxis, individual voice, difference, justice and equity. Six women Pakeha/Tauiwi nurse educators from throughout New Zealand volunteered to participate in this research and share their lived experiences of teaching for social change. In-depth conversations over two years unfolded new and rich material about how and why these six women continue to teach the evaded subjects, like mental health, women's health, community development and cultural safety. All teach in counter-hegemonic ways, opening students' eyes to the unseen and unspoken. Among the significant things to emerge during the research was the metaphorical construct of shape-shifting as an active process in teaching for social change. It revealed the connectedness and integrity between life as lived and the moral imperative that motivates the participants to teach for difference. Shape-shifting was also reflected in other key findings of the study. As change agents, the participants have had significant shape-shifting experiences in their lives; they live and work as shape-shifters within complex social and political structures and processes to achieve social justice; and, they deal with areas of health practice where clients are socially and politically displaced. The research also generated new methods for gathering life-stories and new processes for analysis and interpretation of life-stories. It is hoped that this research will open pathways for other nurse educators to become shape-shifters teaching for social change.  
  Call Number NRSNZNO @ research @ Serial (down) 1193  
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Author Maher, J.M. url  openurl
  Title An exploration of the experience of Critical Incident Stress Debriefing on firefighters within a region of the New Zealand Fire Service Type
  Year 1999 Publication Abbreviated Journal ResearchArchive@Victoria  
  Volume Issue Pages  
  Keywords Stress; Occupational health and safety; Nursing research; Nursing specialties  
  Abstract This study originates from the author's practice experience working for the New Zealand Fire Service back in the late 1980's and early 1990's as an Occupational Health Nurse where she piloted a Critical Incident Stress Peer Support programme in the No.4 Region. The author identified work-related stress and related it to Critical Incident Stress (CIS) from firefighters exposure to critical incidents. This study explores four firefighters experience of Critical Incident Stress Debriefing (CISD) within a Region of the New Zealand Fire Service. It explores the application of CISD as one component of Critical Incident Stress Management (CISM), and the Nurse Researcher's philosophy of Clinical Nurse practice in relation to the application of CISD. The knowledge gained from the analysis of the data has the potential to influence professionals understanding of their experience and affect future practice and that of others working in the field of CISM. Much of the literature that supported CISD appeared to offer a rather superficial understanding of the firefighters experience in relation to CISD. A narrative approache was chosed as the methodology, utilising four individual case studies as a method of social inquiry in order to explore the experience of CISD. The narratives were able to creatively capture the complexity and the dynamic practice of CISD. An overall pattern of the formalised process was uncovered through the participants' narratives. Eight dominant themes were highlighted from the narratives which included safe environment; ventilating the stress reaction; similar feelings; getting the whole picture; peer support; bonding and resolution. While these themes were common to all the participants, each participant had a particular theme/s which was unique to their experience.  
  Call Number NRSNZNO @ research @ 1206 Serial (down) 1191  
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Author Litchfield, M.; Jonsdottir, H. openurl 
  Title A practice discipline that's here and now Type Journal Article
  Year 2008 Publication Advances in Nursing Science Abbreviated Journal  
  Volume 31 Issue 1 Pages 79-92  
  Keywords Nursing research; Policy; Nursing philosophy  
  Abstract The article is a collaborative writing venture drawing on research findings from New Zealand and Iceland to contribute to the international scholarship on the status and future direction of the nursing discipline. It takes an overview of the international historical trends in nursing knowledge development and proposes a framework for contemporary nursing research that accommodates the past efforts and paradigms of nurse scholars and reflects the changing thinking around the humanness of the health circumstance as the focus of the nursing discipline. It addresses contemporary challenges facing nurses as practitioners and researchers for advancement of practice and delivery of health services, and for influencing health policy.  
  Call Number NRSNZNO @ research @ Serial (down) 1174  
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Author Jonsdottir, H.; Litchfield, M.; Pharris, M. openurl 
  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 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 (down) 1173  
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Author Jonsdottir, H.; Litchfield, M.; Pharris, M. openurl 
  Title Partnership in practice Type Journal Article
  Year 2003 Publication Research & Theory for Nursing Practice Abbreviated Journal  
  Volume 17 Issue 1 Pages 51-63  
  Keywords Nurse-patient relations; Nursing philosophy; Nursing research  
  Abstract This article presents a reconsideration of partnership between nurse and client as the core of the nursing discipline. It points to the significance of the relational nature of partnership, differentiating its features and form from the prevalent understanding associated with prescriptive interventions to achieve predetermined goals and outcomes. The meaning of partnership is presented within the nursing process where the caring presence of the nurse becomes integral to the health experience of the client as the potential for action. Exemplars provide illustration of this emerging view in practice and research. This is the first of a series of articles written as a partnership between nurse scholars from Iceland, New Zealand and the USA. The series draws on research projects that explored the philosophical, theoretical, ethical and practical nature of nursing practice and its significance for health and healthcare in a world of changing need.  
  Call Number NRSNZNO @ research @ Serial (down) 1172  
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Author Litchfield, M. openurl 
  Title Practice wisdom Type Journal Article
  Year 1999 Publication Advances in Nursing Science Abbreviated Journal  
  Volume 22 Issue 2 Pages 62-73  
  Keywords Nursing research; Nursing; Health knowledge  
  Abstract The paper is the report of two cumulative research projects studying the nature of nursing knowledge and methodology to develop it. They were undertaken as theses for masters and doctoral degrees at the University of Minnesota, USA. Nursing knowledge is depicted as relational: an evolving participatory process of research-as-if-practice of which 'health' (its meaning), dialogue, partnership and pattern recognition are threads inter-related around personal values of vision and community.  
  Call Number NRSNZNO @ research @ 1186 Serial (down) 1171  
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Author Litchfield, M. openurl 
  Title The nursing praxis of family health Type Book Chapter
  Year 2005 Publication Picard, C & Jones, D., Giving voice to what we know (pp.73-82) Abbreviated Journal  
  Volume Issue Pages  
  Keywords Nursing research; Nursing philosophy; Nurse-family relations  
  Abstract The chapter explores the process of nursing practice and how it contributes to health, derived from research undertaken in New Zealand. It presents the nature of nursing research as if practice – the researcher as if practitioner – establishing a foundation for the development of nursing knowledge that would make a distinct contribution to health and health care. It includes the philosophy and practicalities of nursing through the use of a case study of nursing a family with complex health circumstances.  
  Call Number NRSNZNO @ research @ 1185 Serial (down) 1170  
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Author Thompson, L. url  openurl
  Title Suctioning adults with an artifical airway: A systematic review Type Book Whole
  Year 2000 Publication Abbreviated Journal Subscriber access at the Joanna Briggs Institute  
  Volume Issue Pages  
  Keywords Evidence-based medicine; Nursing research  
  Abstract This systematic review was conducted by the New Zealand Centre for Evidence Based Nursing, a collaborating centre of The Joanna Briggs Institute for Evidence Based Nursing and Midwifery. The aim was to present the best available evidence on interventions, which are effective in preventing or reducing the prevalence of complications associated with suctioning, in hospitalised adult patients with an artificial airway who are breathing spontaneously or are artificially ventilated and who require suctioning. The specific questions addressed were as follows: Which methods of suctioning reduce the prevalence of mucosal trauma or mucosal dysfunction, and promote the removal of respiratory secretions? Which techniques or methods are effective in reducing the occurrence of suctioning -induced hypoxaemia, during or following the suctioning procedure? Which techniques or methods are effective in minimising the haemodynamic or pulmonary complications associated with the suctioning procedure?  
  Call Number NRSNZNO @ research @ 1136 Serial (down) 1121  
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Author Kirkham, S.; Smye, V.; Tang, S.; Anderson, J.; Blue, C.; Browne, A.; Coles, R.; Dyck, I.; Henderson, A.; Lynam, M.J.; Perry, J.(see also C.); Semeniuk, P.; Shapera, L. openurl 
  Title Rethinking cultural safety while waiting to do fieldwork: Methodological implications for nursing research Type Journal Article
  Year 2002 Publication Research in Nursing & Health Abbreviated Journal  
  Volume 25 Issue 3 Pages 222-232  
  Keywords Cultural safety; Hospitals; Health behaviour; Culture; Nursing research  
  Abstract The authors trace a series of theoretical explorations, centered on the concept of cultural safety, with corresponding methodological implications, engaged in during preparation for an intensive period of fieldwork to study the hospitalisation and help-seeking experiences of diverse ethnocultural populations.  
  Call Number NRSNZNO @ research @ Serial (down) 1078  
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Author Gaskin, C.J.; O'Brien, A.P.; Hardy, D.J. openurl 
  Title The development of a professional practice audit questionnaire for mental health nursing in Aotearoa/New Zealand Type Journal Article
  Year 2003 Publication International Journal of Mental Health Nursing Abbreviated Journal  
  Volume 12 Issue 4 Pages 259-270  
  Keywords Professional competence; Psychiatric Nursing; Clinical decision making; Nursing research  
  Abstract This paper reports the three-stage development of a professional practice audit questionnaire for mental health nursing in Aotearoa/New Zealand. In Study 1, clinical indicator statements (n = 99) generated from focus group data, which were considered to be unobservable in the nursing documentation in consumer case notes, were included in a three-round Delphi process. Consensus of ratings occurred for the mental health nurse and academic participants (n = 7) on 83 clinical indicator statements. In Study 2, the clinical indicator statements (n = 67) that met importance and consensus criteria were incorporated into a questionnaire, which was piloted at a New Zealand mental health service. The questionnaire was then modified for use in a national field study. In Study 3, the national field study, registered mental health nurses (n = 422) from 11 New Zealand district health board mental health services completed the questionnaire. Five categories of nursing practice were identified: professional and evidence-based practice; consumer focus and reflective practice; professional development and integration; ethically and legally safe practice; and culturally safe practice. Analyses revealed little difference in the perceptions of nurses from different backgrounds regarding the regularity of the nursing practices. Further research is needed to calibrate the scores on each clinical indicator statement with behaviour in clinical practice.  
  Call Number NRSNZNO @ research @ Serial (down) 1064  
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Author Webby, A. openurl 
  Title Should non-Maori research and write about Maori? Type Journal Article
  Year 2008 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal  
  Volume 14 Issue 5 Pages 20-21  
  Keywords Maori; Nursing research  
  Abstract The author examines the complexities surrounding non-Maori nurse researchers working on Maori issues. She suggests that as long as respect and observation of Maori processes is shown, and work is undertaken collaboratively with Maori, then such a role is appropriate.  
  Call Number NRSNZNO @ research @ 1046 Serial (down) 1030  
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Author Spence, D. openurl 
  Title Experiencing difference in nursing Type Journal Article
  Year 2001 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal  
  Volume 7 Issue 5 Pages 13-15  
  Keywords Transcultural nursing; Nursing research  
  Abstract Draws on the author's doctoral thesis to examine the prejudices, paradoxes and possibilities inherent in nursing a person from a culture other than one's own.  
  Call Number NRSNZNO @ research @ 1045 Serial (down) 1029  
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Author Smith, M.C. openurl 
  Title Reviewing the role of a mental health nurse practitioner Type Journal Article
  Year 2008 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal  
  Volume 14 Issue 3 Pages 20-22  
  Keywords Psychiatric Nursing; Nurse practitioners; Evaluation research; Professional competence  
  Abstract The author describes his experience of five years as a nurse practitioner in mental health at Waikato District Health Board. A recent review of the role gave him the opportunity to reflect on the learning associated with assuming the nurse practitioner role. A key area of learning has been in negotiating the shifting responsibilities and changing relationships associated with his role as an nurse practitioner and also as a Responsible Clinician, a role traditionally held by psychiatrists. The Responsible Clinician role is a statutory one under the Mental Health Act (1992), generally performed by psychiatrists but open to other suitably qualified professionals. He reports the results of a review based on feedback from fellow professionals, clients and their families, along with quantitative data from basic statistics connected to the role, such as a time and motion study. The review asked fellow professionals to rate the performance of the nurse practitioner against the Nursing Council competencies. These results indicate the nurse practitioner role is of some value and that other professionals and clients seem satisfied with the role. There is some evidence it is delivering outcomes acceptable to clients and other professionals. The study has many limitations which are discussed, such as a poor response rate and short time frame. Further research is planned to evaluate this role.  
  Call Number NRSNZNO @ research @ Serial (down) 993  
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