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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 | 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 | 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 | 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 | 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 | ||
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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 | Clendon, J. | ||||
| Title | Nurse-managed clinics: Issues in evaluation | Type | Journal Article | ||
| Year | 2003 | Publication | Journal of Advanced Nursing | Abbreviated Journal | |
| 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 | 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 | 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 | 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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| 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 | 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 | 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 | |
| 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 | 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 | 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 |
| Keywords |
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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 | 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 | |
| Keywords |
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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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