| Records |
| Author |
Major, G.; Holmes, J. |
| Title |
How do nurses describe health care procedures? Analysing nurse-patient interaction in a hospital ward |
Type |
Journal Article |
| Year |
2008 |
Publication |
Australian Journal of Advanced Nursing |
Abbreviated Journal |
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| Volume |
25 |
Issue |
4 |
Pages |
58-70 |
| Keywords |
Communication; Nursing; Nurse-patient relations |
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. |
| Call Number |
NRSNZNO @ research @ 975 |
Serial |
959 |
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| Author |
McBride-Henry, K.; Foureur, M. |
| Title |
A secondary care nursing perspective on medication administration safety |
Type |
Journal Article |
| Year |
2007 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
|
| Volume |
60 |
Issue |
1 |
Pages |
58-66 |
| Keywords |
Patient safety; Drug administration; Organisational culture; Nursing |
| Abstract |
This paper reports on a study to explore how nurses in a secondary care environment understand medication administration safety and the factors that contribute to, or undermine, safe practice during this process. Data were collected in 2005 using three focus groups of nurses that formed part of a larger study examining organisational safety and medication administration from a nursing perspective. A narrative approach was employed to analyse the transcripts. Participants had good understandings of organisational culture in relation to medication safety and recognised the importance of effective multi-disciplinary teams in maintaining a safe environment for patients. Despite this, they acknowledged that not all systems work well, and offered a variety of ways to improve current medication practices. These findings highlight the meaningful contribution nurses can make to patient safety and emphasise the importance of including the nursing voice in any quality improvement initiatives. |
| Call Number |
NRSNZNO @ research @ |
Serial |
648 |
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| Author |
Payne, D.; Goedeke, S. |
| Title |
Holding together: Caring for clients undergoing assisted reproductive technologies |
Type |
Journal Article |
| Year |
2007 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
|
| Volume |
60 |
Issue |
6 |
Pages |
645-653 |
| Keywords |
Nursing specialties; Sexual and reproductive health; Communication; Multidisciplinary care teams |
| Abstract |
This paper reports a study to investigate the roles and experiences of nurses caring for clients undergoing assisted reproductive technologies (ART). Nurses are in a potentially unique position in the assisted reproductive technology environment as they maintain a more constant contact with the client. A qualitative approach was taken and a convenience sample of 15 nurses from New Zealand was interviewed in 2005. Data were analysed using interpretive description. The overarching theme identified was that of the potential role of the nurse to 'hold together' multiple components of the assisted reproductive technology process: holding together clients' emotional and physical experiences of assisted reproductive technologies; holding together the roles of different specialist team members; and holding together personal own emotions. It encompasses practices such as information-giving, interpreting, supporting and advocating. The researchers note that recognition of and support for the complexity of the role of ART nurses may positively contribute to clients' experiences. |
| Call Number |
NRSNZNO @ research @ 985 |
Serial |
969 |
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| Author |
Polaschek, L.; Polaschek, N. |
| Title |
Solution-focused conversations: A new therapeutic strategy in Well Child health nursing telephone consultations |
Type |
Journal Article |
| Year |
2007 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
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| Volume |
59 |
Issue |
2 |
Pages |
111-119 |
| Keywords |
Telenursing; Communication; Evaluation |
| Abstract |
This paper reports a study to explore Well Child nurses' perceptions of outcomes resulting from the use of solution-focused conversations in their telephone consultations with clients. The standard problem-solving approach used to address physical issues is less effective for various non-physical concerns, where different communication strategies may be helpful. In this qualitative, action-oriented study, a small group of Well Child telenurses in New Zealand was introduced to a specific communication strategy, called 'solution-focused conversations', during 2005. They applied this approach in their practice and then reflected together on their experiences in focus groups. The nurses considered that the solution-focused conversations enabled clients to: recognise the nature of the parenting issue of concern that had motivated their call; identify more effective parenting practices to address specific issues with their child; increase their confidence in their own parenting capabilities. This study suggested the value of learning a specific communication strategy for the practice of a group of Well Child telenurses. |
| Call Number |
NRSNZNO @ research @ |
Serial |
973 |
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| Author |
Neville, S.J.; Henderson, H.M. |
| Title |
Perceptions of lesbian, gay and bisexual people of primary healthcare services |
Type |
Journal Article |
| Year |
2006 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
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| Volume |
55 |
Issue |
4 |
Pages |
407-415 |
| Keywords |
Sexuality; Attitude of health personnel; Primary health care |
| Abstract |
This paper reports a study exploring people's perceptions of disclosure about lesbian, gay and bisexual identity to their primary healthcare providers. Disclosure of sexual identity to healthcare professionals is integral to attending to the health needs of lesbian, gay and bisexual populations, as non-disclosure has been shown to have a negative impact on the health of these people. From April to July 2004, a national survey of lesbian, gay and bisexual persons was carried out in New Zealand. Participants were recruited through mainstream and lesbian, gay and bisexual media and venues, and 2269 people completed the questionnaire, either electronically or via hard copy. The 133-item instrument included a range of closed-response questions in a variety of domains of interest. In this paper, we report results from the health and well-being domain. More women than men identified that the practitioner's attitude toward their non-heterosexual identity was important when choosing a primary healthcare provider. Statistically significantly more women than men reported that their healthcare provider usually or always presumed that they were heterosexual and in addition more women had disclosed their sexual identity to their healthcare provider. The authors advise that nurses reconsider their approach to all users of healthcare services by not assuming everyone is heterosexual, integrating questions about sexual identity into health interviews and ensuring that all other aspects of the assessment process are appropriate and safe for lesbian, gay and bisexual people. |
| Call Number |
NRSNZNO @ research @ 1059 |
Serial |
1043 |
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| Author |
Giddings, D.L.S.; Roy, D.E.; Predeger, E. |
| Title |
Women's experience of ageing with a chronic condition |
Type |
Journal Article |
| Year |
2007 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
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| Volume |
58 |
Issue |
6 |
Pages |
557-565 |
| Keywords |
Chronic diseases; Age factors; Gender; Nursing |
| Abstract |
This paper is a report of a study to explore the experiences of 'almost old' women as they grow older while living with a chronic condition. Little is known about the contextual effects of ageing and how it shapes and is shaped by a woman's chronic illness experience. Seven women aged between 50 and 58 years participated in this interpretive descriptive study that explored the issues of ageing with a chronic condition. Three focus groups were held between March 2003 and March 2004. Transcriptions were analysed after each focus group. Participants were given the opportunity to respond to the findings as the analysis progressed. The experience of living with a chronic illness foreshadowed what was to come with ageing and embodied the ageing process: it was just part of their lives. Alongside this, the women now felt less out of place. Their peers were catching up and beginning to experience aspects of participants' everyday reality. The women, however, experienced double jeopardy because ageing amplified the ongoing vulnerabilities of living with a chronic condition. The authors conclude that nurses who recognise the resourcefulness and expertise of women who live with a chronic condition can effectively be co-strategists in helping them to age well. |
| Call Number |
NRSNZNO @ research @ |
Serial |
880 |
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| Author |
Harding, T.S. |
| Title |
The construction of men who are nurses as gay |
Type |
Journal Article |
| Year |
2007 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
Coda: An institutional repository for the New Zealand ITP sector |
| Volume |
60 |
Issue |
6 |
Pages |
636-644 |
| Keywords |
Male nurses; Prejudice; Sexuality |
| Abstract |
This paper is a report of a study to determine the construction of male nurses as gay, and to describe how this discourse impacts on a group of New Zealand male nurses. This social constructionist study drew on data collected from existing texts on men, nursing and masculinity and interviews with 18 New Zealand men conducted in 2003-2004. Discourse analysis, informed by masculinity theory and queer theory, was used to analyse the data. Despite the participants' beliefs that the majority of male nurses are heterosexual, the stereotype persists. A paradox emerged between the 'homosexual' general nurse and the 'heterosexual' pyschiatric nurse. The stigma associated with homosexuality exposes male nurses to homophobia in the workplace. The heterosexual men employed strategies to avoid the presumption of homosexuality; these included: avoiding contact with gay colleagues and overt expression of their heterosexuality. These stigmatising discourses create a barrier to caring and, aligned with the presence of homophobia in the workplace, deter men's entry into the profession and may be important issues with respect to their retention. |
| Call Number |
NRSNZNO @ research @ |
Serial |
647 |
| Permanent link to this record |
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| Author |
McBride-Henry, K.; Foureur, M. |
| Title |
Medication administration errors: Understanding the issues |
Type |
Journal Article |
| Year |
2006 |
Publication |
Australian Journal of Advanced Nursing |
Abbreviated Journal |
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| Volume |
23 |
Issue |
3 |
Pages |
33-41 |
| Keywords |
Nursing; Patient safety; Medical errors; Drug administration; Quality assurance |
| Abstract |
This literature review focused on research that primarily addresses the issues related to medications that arise in tertiary care facilities. It finds that investigations into medication errors have primarily focused on the role of nurses, and tended to identify the nurse as deliverer of unsafe practice. Over the past few years a shift in how medication errors are understood has led to the identification of systems-related issues that contribute to medication errors. The author suggests that nurses should contribute to initiatives such as the 'Quality and Safe Use of Medicines' and develop nursing led research, to address some of the safety related issues with a view to enhancing patient safety. |
| Call Number |
NRSNZNO @ research @ |
Serial |
715 |
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| Author |
Polaschek, N. |
| Title |
Living on dialysis: Concerns of clients in a renal setting |
Type |
Journal Article |
| Year |
2003 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
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| Volume |
41 |
Issue |
1 |
Pages |
44-52 |
| Keywords |
Nurse-patient relations; Psychology; Attitude to health; Terminal care |
| Abstract |
This article reports a study that sought to understand the experience of a group of Caucasian men with end stage renal failure managing their own haemodialysis therapy in their homes. The study used a critical interpretive methodology. The renal setting was critically viewed as a specialised health care context constituted by several interrelated discourses. Although established by the dominant professional discourse, it also includes a number of others, in particular an obscure client discourse that is a response to the dominant discourse. Initially, participants' own interpretations of their individual experiences were outlined. These were then collectively reinterpreted by contextualising them in terms of the critical view of the renal setting, in order to discern their own views as renal clients that were obscured by the language and ideas of the dominant discourse with which they had been enculturated. From an analysis of the set of accounts derived from interviews with six participants, four concerns of the renal client discourse were identified. These concerns were: (1) suffering from continuing symptoms of end stage renal failure and dialysis; (2) limitations resulting from negotiating dialysis into their lifestyle; (3) ongoingness and uncertainty of life on dialysis; and (4) altered relationship between autonomy and dependence inherent in living on dialysis. One specific implication of this study is that the distinctive potential of the nursing role in renal settings lies beyond the performance of a range of technical tasks, in addressing the experience of people living on dialysis, described here as the concerns of the renal client discourse. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1072 |
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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 |
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| 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 |
Clendon, J. |
| Title |
Nurse-managed clinics: Issues in evaluation |
Type |
Journal Article |
| Year |
2003 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
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| Volume |
44 |
Issue |
6 |
Pages |
558-565 |
| Keywords |
Evaluation research; Nurse managers; Qualiltative research; Patient satisfaction |
| Abstract |
This article explores the importance of evaluation of nurse-managed clinics using the Mana Health Clinic in Auckland, as an example. Fourth generation evaluation is offered as an appropriate methodology for undertaking evaluation of nurse-managed clinics. Fourth generation evaluation actively seeks involvement of clients in the process and outcome of the evaluation, resulting in participation and empowerment of stakeholders in the service – a precept often forgotten in traditional evaluation strategies and of vital importance in understanding why people use nurse-managed clinics. The method proposed here also incorporates the need for quantitative data. The main argument is that a combination of qualitative and quantitative data sources is likely to give the greatest understanding of nurse-managed clinics' utilisation. |
| Call Number |
NRSNZNO @ research @ |
Serial |
949 |
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| Author |
Crowe, M. |
| Title |
Psychiatric diagnosis: Some implications for mental health nursing care |
Type |
Journal Article |
| Year |
2006 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
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| Volume |
53 |
Issue |
1 |
Pages |
125-131 |
| Keywords |
Psychiatric Nursing; Diagnosis; Culture; Gender; Socioeconomic factors; Nursing models |
| Abstract |
This article explores some of the functions of psychiatric diagnosis and the implications this has for mental health nursing care. It critiques the psychiatric diagnosis as a categorisation process that maintains oppressive power relations within society, by establishing and enforcing normality through gender, culture and class biases. The American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders is used to illustrate some of the inherent biases in the diagnostic process. The author argues that mental health nursing practice needs to demonstrate an awareness of the power relations inherent in any diagnostic process and make attempts to redress these at both the individual and sociopolitical levels. To create a true patient-centred partnership in mental health nursing, the nursing focus should be on the patient's experience rather than the psychiatric diagnosis with which the experience is attributed. NB this is a reprint of article first published in Journal of Advanced Nursing, 2000 Mar; 31(3), 583-9. |
| Call Number |
NRSNZNO @ research @ |
Serial |
837 |
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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 |
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| 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 |
1173 |
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| Author |
Day, W. |
| Title |
Relaxation: A nursing therapy to help relieve cardiac chest pain |
Type |
Journal Article |
| Year |
2000 |
Publication |
Australian Journal of Advanced Nursing |
Abbreviated Journal |
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| Volume |
18 |
Issue |
1 |
Pages |
40-44 |
| Keywords |
Alternative therapies; Nursing; Patient satisfaction; Cardiovascular diseases |
| Abstract |
This article discusses ways in which relaxation, when used as an adjunct to medical therapies, can be a useful nursing management tool for effectively relieving cardiac pain. The available literature suggests that although nurses place a lot of importance on cardiac patients being pain free, it is apparent this is often not achieved. Research and documented case studies suggest that relaxation can play an important role in the treatment and prevention of this distressing symptom. The author advocates for nurses to challenge nursing practice and help patients deal effectively with chest pain in a way that meets each individual's needs. |
| Call Number |
NRSNZNO @ research @ |
Serial |
841 |
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| Author |
Gardner, G.; Dunn, S.; Carryer, J.B.; Gardner, A. |
| Title |
Competency and capability: Imperative for nurse practitioner education |
Type |
Journal Article |
| Year |
2006 |
Publication |
Australian Journal of Advanced Nursing |
Abbreviated Journal |
The author-version of article, available online from Queensland University of Technology ePrints arc |
| Volume |
24 |
Issue |
1 |
Pages |
8-14 |
| Keywords |
Nursing; Education; Nurse practitioners; Curriculum |
| Abstract |
The objective of this study was to conduct research to inform the development of standards for nurse practitioner education in Australia and New Zealand and to contribute to the international debate on nurse practitioner practice. The research was conducted in all states of Australia where the nurse practitioner is authorised, and in New Zealand. The research was informed by multiple data sources including nurse practitioner programme curricula documents from relevant universities in Australia and New Zealand, interviews with academic convenors of these programmes and interviews with nurse practitioners. Findings include support for masters level of education as preparation for the nurse practitioner. These programs need to have a strong clinical learning component and in-depth education for the sciences of specialty practice. Additionally an important aspect of education for the nurse practitioner is the centrality of student directed and flexible learning models. This approach is well supported by the literature on capability. |
| Call Number |
NRSNZNO @ research @ |
Serial |
882 |
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