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| Author | Horsburgh, M. | ||||
| Title | Graduate nurses' adjustment to initial employment | Type | |||
| Year | 1987 | Publication | Journal of Advanced Nursing | Abbreviated Journal | University of Auckland, Auckland Institute of Te |
| Volume | 14 | Issue  |
Pages | 610-617 | |
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| Abstract | An ethnographic study which attempts to understand what initial employment means to graduates from a comprehensive nursing course. The researcher participated in the first 3-4 months of the nurses' employment in general hospital settings. Five major themes emerge from the study indicating that the rhetoric practice of the school of nursing is different from the rhetoric and practice within general hospital settings. The reality of initial employment for the new graduated conflicts with the values and ideals of nursing promulgated by the comprehensive nursing course. The educational program stressed patient centred nursing, where nurses accepted responsibility for the continuing care of individuals. In contrast the hospital settings stress nursing as management of tasks across different patients. This conflict was a major source of frustration for the 'beginning' nurses. Ultimately they accept the reality of nursing as the management of tasks, but not without some personal cost. Orientation programs and the early employment period focus on 'fitting in to the system'. A significant determinant of the practice of new graduates are context effects such the time of their shift and the availability of experienced nurses. A number of management practices foster and maintain a beginning level of practice and new graduates have no opportunity to practice as autonomous nurses within a multi disciplinary health care team. Beginning practice is identified in new graduates through their difficulties in coping with unplanned or unexpected events. The initial employment period is dominated by shift work, resulting tiredness and adjustment to social activities.It is argued that management practices which support the ideals of comprehensive nursing courses and totally qualified nursing workforce have yet to occur. There are implications in this study for nursing education and nursing practice | ||||
| Call Number | NRSNZNO @ research @ 59 | Serial | 59 | ||
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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 | 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 | 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 |
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 |
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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| 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 |
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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| Author | Crowe, M.; Carlyle, D. | ||||
| Title | Deconstructing risk assessment and management in mental health nursing | Type | Journal Article | ||
| Year | 2003 | Publication | Journal of Advanced Nursing | Abbreviated Journal | |
| Volume | 43 | Issue |
1 | Pages | 19-27 |
| Keywords | Psychiatric Nursing; Risk management; Policy; Culture | ||||
| Abstract | The aims of the study were to provide a deconstructive analysis of the concepts of risk and risk management, and to explore the historical context of mental disorder and the concept of risk, the clinical context of risk assessment and management, the cultural, political and economic context of risk, and the impact on mental health nursing and consumers of mental health services. This is undertaken by providing a critical review of the history of mental illness and its relationship to risk, examination of government policy on clinical risk management, analysis of a risk assessment model and a discussion of the political and economic factors that have influenced the use of risk assessment and management in clinical practice. The concept of risk and its assessment and management have been employed in the delivery of mental health services as a form of contemporary governance. One consequence of this has been the positioning of social concerns over clinical judgement. The process employed to assess and manage risk could be regarded as a process of codification, commodification and aggregation. In the mental health care setting this can mean attempting to control the actions and behaviours of consumers and clinicians to best meet the fiscal needs of the organisation. The authors conclude that the mental health nursing profession needs to examine carefully its socially mandated role as guardians of those who pose a risk to others to ensure that its practice represents its espoused therapeutic responsibilities. | ||||
| Call Number | NRSNZNO @ research @ | Serial | 1069 | ||
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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 | Crowe, M.; O'Malley, J.; Gordon, S. | ||||
| Title | Meeting the needs of consumers in the community: A working partnership in mental health in New Zealand | Type | Journal Article | ||
| Year | 2001 | Publication | Journal of Advanced Nursing | Abbreviated Journal | |
| Volume | 35 | Issue |
1 | Pages | 88-96 |
| Keywords | Community health nursing; Psychiatric Nursing; Patient satisfaction; Mental health | ||||
| Abstract | The aim of this study was to evaluate whether the services that community mental health nurses provide are meeting the needs of consumers in the community. This was a joint project between nurses and consumers. It was a service-specific descriptive research project utilising qualitative methods of data collection and analysis that provides a model for working in partnership. The results of this research identify collaboration in planning care and sharing information as two areas of concern but generally the consumers were very satisfied with the care provided by community mental health nurses. The analysis of the data suggests that consumers value nursing care because nurses provide support in their own home; they help consumers develop strategies for coping with their illness and their life; they provide practical assistance when it is required; they are vigilant about any deterioration or improvement; and they are available and accessible. The results of this study have demonstrated that nurses will remain critical to the success of community-based care because of their ability and willingness to be flexible to the demands of their own organisation and the users of services. | ||||
| Call Number | NRSNZNO @ research @ | Serial | 1087 | ||
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| Author | Fitzgerald, S.; Tripp, H.; Halksworth-Smith, G. | ||||
| Title | Assessment and management of acute pain in older people: barriers and facilitators to nursing practice | Type | Journal Article | ||
| Year | 2017 | Publication | Australian Journal of Advanced Nursing | Abbreviated Journal | |
| Volume | 35 | Issue |
1 | Pages | 48-57 |
| Keywords | Pain assessment; Pain management; Aged patients; Acute care nurses | ||||
| Abstract | Examines the pain management practices of nurses, and identifies barriers and facilitators to the assessment and management of pain for older people, within the acute hospital setting. | ||||
| Call Number | NZNO @ research @ | Serial | 1788 | ||
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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 | 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 |
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 | 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 |
2 | Pages | 29-33 |
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| 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 |
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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