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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 | 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 | 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 | 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 | 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 | 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.; 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 | Carter, H.; MacLeod, R.; Brander, P.; McPherson, K. | ||||
| Title | Living with a terminal illness: Patients' priorities | Type | Journal Article | ||
| Year | 2004 | Publication | Journal of Advanced Nursing | Abbreviated Journal | |
| Volume | 45 | Issue | 6 | Pages | 611-620 |
| Keywords | Terminal care; Quality of life; Nursing models; Cancer | ||||
| Abstract | The aim of this paper is to report on an exploratory, qualitative study exploring what people living with terminal illness considered were the areas of priority in their lives. Ten people living with terminal cancer were interviewed. Analysis of the interviews incorporated principles of narrative analysis and grounded theory. Over 30 categories were identified and collated into five inter-related themes (personal/intrinsic factors, external/extrinsic factors, future issues, perceptions of normality and taking charge) encompassing the issues of importance to all participants. Each theme focused on 'life and living' in relation to life as it was or would be without illness. Practical issues of daily living and the opportunity to address philosophical issues around the meaning of life emerged as important areas. The central theme, 'taking charge', concerned with people's levels of life engagement, was integrally connected to all other themes. The findings suggest that the way in which health professionals manage patients' involvement in matters such as symptom relief can impact on existential areas of concern. The findings challenge some aspects of traditional 'expert-defined' outcome measures. As this was an exploratory study, further work is needed to test and develop the model presented. | ||||
| Call Number | NRSNZNO @ research @ | Serial |
1061 | ||
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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 | 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 | 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 | 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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