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Author Budge, C.; Carryer, J.B.; Wood, S.
Title Health correlates of autonomy, control and professional relationships in the nursing work environment Type Journal Article
Year 2003 Publication Journal of Advanced Nursing Abbreviated Journal
Volume 42 Issue (down) 3 Pages 260-268
Keywords Workplace; Occupational health and safety; Registered nurses
Abstract The aim of this study was to examine nursing in New Zealand and to see whether aspects of the work environment are associated with health status. A total of 225 registered nurses in a general hospital completed the Revised Nursing Work Index (NWI-R) and Medical Outcomes Study (MOS) 36-Item Short-Form Health Survey (SF-36). Ratings indicated that the New Zealand hospital environment was characterized by less autonomy and control and better nurse-physician relations than in USA hospitals. Results of correlations demonstrated that more positive ratings of the three workplace attributes were associated with better health status amongst the nurses. The results of regression analyses were indicative either of a confounding relationship or of a mediating relationship such that nurses' relations with physicians, administration and other departments mediate the associations between autonomy, control and health status.
Call Number NRSNZNO @ research @ Serial 703
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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 (down) 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 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
Volume 47 Issue (down) 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 Madjar, D.I.
Title The experience of pain in surgical patients – a cross cultural study Type
Year 1981 Publication Australian Journal of Advanced Nursing Abbreviated Journal Massey University Library
Volume 2 Issue (down) 2 Pages 29-33
Keywords
Abstract A study of 33 adult patients – 20 Anglo – Australian, 13 Yugoslav- who were admitted for arranged abdominal surgery to three Australian hospitals between January and June 1980. Focusing on the role of cultural factors in the experience of post operative pain the study confirmed the existence of some behavioral differences between Anglo – Australian and Yugoslav patients in terms of their responses to pain. The greatest degree of difference between the two groups however was found in their underlying attitudes to pain
Call Number NRSNZNO @ research @ 112 Serial 112
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Author Clendon, J.; White, G.E.
Title The feasibility of a nurse practitioner-led primary health care clinic in a school setting: A community needs analysis Type Journal Article
Year 2001 Publication Journal of Advanced Nursing Abbreviated Journal
Volume 34 Issue (down) 2 Pages 171-178
Keywords Primary health care; Nurse managers; Advanced nursing practice; Community health nursing; School nursing
Abstract The aim of this study was to determine the feasibility of establishing a nurse practitioner-led, family focused, primary health care clinic within a New Zealand primary school environment as a means of addressing the health needs of children and families. A secondary aim was to ascertain whether public health nurses were the most appropriate nurses to lead such a clinic. Utilising a community needs analysis method, data were collected from demographic data, 17 key informant interviews and two focus group interviews. Analysis was exploratory and descriptive. Findings included the identification of a wide range of health issues. These included asthma management and control issues, the need to address poor parenting, and specific problems of the refugee and migrant population. Findings also demonstrated that participant understanding of the role of the public health nurse was less than anticipated and that community expectations were such that for a public health nurse to lead a primary health care clinic it would be likely that further skills would be required. Outcomes from investigating the practicalities of establishing a nurse practitioner-led clinic resulted in the preparation of a community-developed plan that would serve to address the health needs of children and families in the area the study was undertaken. Services that participants identified as being appropriate included health information, health education, health assessment and referral. The authors conclude that the establishment of a nurse practitioner-led, family focused, primary health care clinic in a primary school environment was feasible. While a public health nurse may fulfil the role of the nurse practitioner, it was established that preparation to an advanced level of practice would be required.
Call Number NRSNZNO @ research @ Serial 952
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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 (down) 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 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 (down) 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 Kinealy, T.; Arroll, B.; Kenealy, H.; Docherty, B.; Scott, D.; Scragg, R.; Simmons, D.
Title Diabetes care: Practice nurse roles, attitudes and concerns Type Journal Article
Year 2004 Publication Journal of Advanced Nursing Abbreviated Journal
Volume 48 Issue (down) 11 Pages 68-75
Keywords Diabetes Type 2; Practice nurses; Attitude of health personnel; Primary health care
Abstract The aim of this paper is to report a study to compare the diabetes-related work roles, training and attitudes of practice nurses in New Zealand surveyed in 1990 and 1999, to consider whether barriers to practice nurse diabetes care changed through that decade, and whether ongoing barriers will be addressed by current changes in primary care. Questionnaires were mailed to all 146 practice nurses in South Auckland in 1990 and to all 180 in 1999, asking about personal and practice descriptions, practice organisation, time spent with patients with diabetes, screening practices, components of care undertaken by practice nurses, difficulties and barriers to good practice, training in diabetes and need for further education. The 1999 questionnaire also asked about nurse prescribing and influence on patient quality of life. More nurses surveyed in 1999 had post-registration diabetes training than those in 1990, although most of those surveyed in both years wanted further training. In 1999, nurses looked after more patients with diabetes, without spending more time on diabetes care than nurses in 1990. Nevertheless, they reported increased involvement in the more complex areas of diabetes care. Respondents in 1999 were no more likely than those in 1990 to adjust treatment, and gave a full range of opinion for and against proposals to allow nurse prescribing. The relatively low response rate to the 1990 survey may lead to an underestimate of changes between 1990 and 1999. Developments in New Zealand primary care are likely to increase the role of primary health care nurses in diabetes. Research and evaluation is required to ascertain whether this increasing role translates into improved outcomes for patients.
Call Number NRSNZNO @ research @ Serial 1100
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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 (down) 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.
Call Number NZNO @ research @ Serial 1346
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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 (down) 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 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 (down) 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 Crowe, M.
Title Psychiatric diagnosis: Some implications for mental health nursing care Type Journal Article
Year 2006 Publication Journal of Advanced Nursing Abbreviated Journal
Volume 53 Issue (down) 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 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
Volume 18 Issue (down) 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 (down) 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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Author Hardy, D.J.; O'Brien, A.P.; Gaskin, C.J.; O'Brien, A.J.; Morrison-Ngatai, E.; Skews, G.; Ryan, T.; McNulty, N.
Title Practical application of the Delphi technique in a bicultural mental health nursing study in New Zealand Type Journal Article
Year 2004 Publication Journal of Advanced Nursing Abbreviated Journal
Volume 46 Issue (down) 1 Pages 95-109
Keywords Clinical assessment; Biculturalism; Professional competence; Psychiatric Nursing; Maori
Abstract The aim of this paper is to detail the practical application of the Delphi technique as a culturally and clinically valid means of accessing expert opinion on the importance of clinical criteria. Reference is made to a bicultural New Zealand mental health nursing clinical indicator study that employed a three-round reactive Delphi survey. Equal proportions of Maori and non-Maori nurses (n = 20) and consumers (n = 10) rated the importance of 91 clinical indicator statements for the achievement of professional practice standards. Additional statements (n = 21) suggested by Delphi participants in round 1 were included in subsequent rounds. In round 2, participants explained the rating they applied to statements that had not reached consensus in round 1, and summarised responses were provided to participants in round 3. Consensus was considered to have been achieved if 85% of round 3 ratings lay within a 2-point bracket on the 5-point Likert-scale overall, or in one of the Maori nurse, non-Maori nurse, or consumer groups. A mean rating of 4.5 after round 3 was set as the importance threshold. Consensus occurred overall on 75 statements, and within groups on another 24. Most statements (n = 86) reached the importance benchmark. The authors conclude that when rigorous methods of participant selection, group composition, participant feedback, and determination of consensus and importance are employed, the Delphi technique is a reliable, cost-effective means of obtaining and prioritising experts' judgements.
Call Number NRSNZNO @ research @ Serial 1060
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