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Author | Wilson, H.V. | ||||
Title | Power and partnership: A critical analysis of the surveillance discourses of child health nurses | Type | Journal Article | ||
Year | 2001 | Publication | Journal of Advanced Nursing | Abbreviated Journal | |
Volume | 36 | Issue | 2 | Pages | 294-301 |
Keywords | Paediatric nursing; Nurse-family relations; Nursing philosophy; Plunket | ||||
Abstract | The aim of this research was to explore surveillance discourses within New Zealand child health nursing and to identify whether surveillance practices have implications in this context for power relations. Five experienced and practising Plunket nurses were each interviewed twice. The texts generated by these semi-structured interviews were analysed using a Foucauldian approach to critical discourse analysis. In contrast with the conventional view of power as held and wielded by one party, this study revealed that, in the Plunket nursing context, power is exercised in various and unexpected ways. Although the relationship between the mother and the nurse cannot be said to operate as a partnership, it is constituted in the nurses' discourses as a dynamic relationship in which the mother is actively engaged on her own terms. The effect of this is that it is presented by the nurses as a precarious relationship that has significant implications for the success of their work. | ||||
Call Number | NRSNZNO @ research @ | Serial | 1085 | ||
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Author | van Wissen, K.A.; Woodman, K. | ||||
Title | Nurses' attitudes and concerns to HIV/AIDS: a focus group approach | Type | Journal Article | ||
Year | 1994 | Publication | Journal of Advanced Nursing | Abbreviated Journal | |
Volume | 20 | Issue | 6 | Pages | 1141-1147 |
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Abstract | An exploratory qualitative study was investigated to further identify nurses'' attitudes to the care of people with human immunodeficiency virus (HIV) and acquired immunodefiency syndrome (AIDS). This follows as a sequel to a study using questionnaire. Data collected from nine focus groups attended by a total of 29 nurses at a hospital within a new Zealand regional health authority. The principal findings suggest that nurses' attitudes to this patient group are varied and depend on social influences, personal experiences and the extent of knowledge regarding HIV/AIDS. Other concerns raised included nurses' rights to choose to care for HIV-positive patients and the issue of universal precautions. Theses findings may have implications for further educational initiatives and information of hospital policy | ||||
Call Number | NRSNZNO @ research @ 356 | Serial | 356 | ||
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Author | van Wissen, K.A.; Litchfield, M.; Maling, T. | ||||
Title | Living with high blood pressure | Type | Journal Article | ||
Year | 1998 | Publication | Journal of Advanced Nursing | Abbreviated Journal | |
Volume | 27 | Issue | 3 | Pages | 567-574 |
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Abstract | An interdisciplinary (nursing-medicine) collaboration in a qualitative descriptive research project undertaken in the Wellington School of Medicine with New Zealand Health Research Council funding. The purpose was to inform the practice of nursing and medical practitioners. A group of patients were interviewed in their homes. Their experience of having a diagnosis of hypertension and prescription of long-term treatment requiring adjustment in their lives and the lives of their families is presented as themes. | ||||
Call Number | NRSNZNO @ research @ | Serial | 360 | ||
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Author | Therkleson,T. | ||||
Title | Ginger compress therapy for adults with osteoarthritis | Type | Journal Article | ||
Year | 2010 | Publication | Journal of Advanced Nursing | Abbreviated Journal | |
Volume | 66 | Issue | 10 | Pages | 2225?2233 |
Keywords | Ginger compress therapy; Giorgi?s method; nursing; osteoarthritis | ||||
Abstract | Abstract Aim. This paper is a report of a study to explicate the phenomenon of ginger compresses for people with osteoarthritis. Background. Osteoarthritis is claimed to be the leading cause of musculoskeletal pain and disability in Western society. Management ideally combines non-pharmacological strategies, including complementary therapies and pain-relieving medication. Ginger has been applied externally for over a thousand years in China to manage arthritis symptoms. Method. Husserlian phenomenological methodology was used and the data were collected in 2007. Ten purposively selected adults who had suffered osteoarthritis for at least a year kept daily diaries and made drawings, and follow-up interviews and telephone conversations were conducted. Findings. Seven themes were identified in the data: (1) Meditative-like stillness and relaxation of thoughts; (2) Constant penetrating warmth throughout the body; (3) Positive change in outlook; (4) Increased energy and interest in the world; (5) Deeply relaxed state that progressed to a gradual shift in pain and increased interest in others; (6) Increased suppleness within the body and (7) More comfortable, flexible joint mobility. The essential experience of ginger compresses exposed the unique qualities of heat, stimulation, anti-inflammation and analgesia. Conclusion. Nurses could consider this therapy as part of a holistic treatment for people with osteoarthritis symptoms. Controlled research is needed with larger numbers of older people to explore further the effects of the ginger compress therapy. |
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Call Number | NZNO @ research @ | Serial | 1346 | ||
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Author | Teekman, B.; Stillwell, Y. | ||||
Title | Exploring reflective thinking in nursing practice | Type | Journal Article | ||
Year | 2000 | Publication | Journal of Advanced Nursing | Abbreviated Journal | |
Volume | 31 | Issue | 5 | Pages | 1125-1135 |
Keywords | Nursing; Problem solving; Experiential learning | ||||
Abstract | Sense-Making, a qualitative research method, was used to obtain and analyse data from interviews with 10 registered nurses, in order to study reflective thinking in actual nursing practice. Ten non-routine nursing situations were analysed for the presence of reflective thinking. Reflective thinking was extensively manifest, especially in moments of doubt and perplexity, and consisted of such cognitive activities as comparing and contrasting phenomena, recognising patterns, categorising perceptions, framing, and self-questioning in order to create meaning and understanding. Self-questioning was identified as a significant process within reflective thinking. By exploring and analysing the type of questions respondents were asking themselves, the study uncovered three hierarchical levels of reflective thinking, focussed on action, evaluation and critical enquiry. The findings of this study resulted in the development of a model of reflective thinking, which is discussed in terms of the implications for learning in nursing practice. | ||||
Call Number | NRSNZNO @ research @ | Serial | 655 | ||
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Author | Spence, D. | ||||
Title | Hermeneutic notions illuminate cross-cultural nursing experiences | Type | Journal Article | ||
Year | 2001 | Publication | Journal of Advanced Nursing | Abbreviated Journal | |
Volume | 35 | Issue | 4 | Pages | 624-630 |
Keywords | Transcultural nursing; Nursing | ||||
Abstract | The aim of this paper was to articulate selected hermeneutic notions for the purpose of extending current understanding of cross-cultural nursing practice, and build on the author's work in this area. The project asserted that the notions of prejudice, paradox and possibility portray a nursing view of this phenomenon. The emphasis in this paper, rather than being methodological, is on showing how specific hermeneutic notions contribute to deeper understanding of the nature of cross-cultural practice. It is argued that contact with, and the capacity to explore, the play of conflicting prejudices and possibilities enhances understanding of the complex and paradoxical nature of cross-cultural nursing. | ||||
Call Number | NRSNZNO @ research @ | Serial | 705 | ||
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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 | |
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 | |
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 | 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 | |
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 | 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 | 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 | |
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 | McKenna, B.; Smith, N.A.; Poole, S.; Coverdale, J. | ||||
Title | Horizontal violence: Experiences of registered nurses in their first year of practice | Type | Journal Article | ||
Year | 2003 | Publication | Journal of Advanced Nursing | Abbreviated Journal | |
Volume | 42 | Issue | 1 | Pages | 90-96 |
Keywords | New graduate nurses; Workplace violence; Occupational health and safety | ||||
Abstract | The aims of this study were to determine the prevalence of horizontal violence, or bullying, experienced by nurses in their first year of practice; to describe the characteristics of the most distressing incidents experienced; to determine the consequences, and measure the psychological impact, of such events; and to determine the adequacy of training received to manage horizontal violence. An anonymous survey was mailed to 1169 nurses in New Zealand who had registered in the year prior to November 2000 with a response rate of 47%. Many new graduates experienced horizontal violence across all clinical settings. Absenteeism from work, the high number of respondents who considered leaving nursing, and scores on the Impact of Event Scale all indicated the serious impact of interpersonal conflict. Nearly half of the events described were not reported, only 12% of those who described a distressing incident received formal debriefing, and the majority of respondents had no training to manage the behaviour. | ||||
Call Number | NRSNZNO @ research @ | Serial | 706 | ||
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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 | 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 | |
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 | 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 | |
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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