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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 | 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 | 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 | 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 | 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 | Teekman, B.; Stillwell, Y. | ||||
| Title |
Exploring reflective thinking in nursing practice | Type | Journal Article | ||
| Year | 2000 | Publication | Journal of Advanced Nursing | Abbreviated Journal | |
| Volume | 31 | Issue | 5 | Pages | 1125-1135 |
| Keywords | Nursing; Problem solving; Experiential learning | ||||
| Abstract | Sense-Making, a qualitative research method, was used to obtain and analyse data from interviews with 10 registered nurses, in order to study reflective thinking in actual nursing practice. Ten non-routine nursing situations were analysed for the presence of reflective thinking. Reflective thinking was extensively manifest, especially in moments of doubt and perplexity, and consisted of such cognitive activities as comparing and contrasting phenomena, recognising patterns, categorising perceptions, framing, and self-questioning in order to create meaning and understanding. Self-questioning was identified as a significant process within reflective thinking. By exploring and analysing the type of questions respondents were asking themselves, the study uncovered three hierarchical levels of reflective thinking, focussed on action, evaluation and critical enquiry. The findings of this study resulted in the development of a model of reflective thinking, which is discussed in terms of the implications for learning in nursing practice. | ||||
| Call Number | NRSNZNO @ research @ | Serial | 655 | ||
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| Author | 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 | 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 | |||||
| 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 | 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 | 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 | Spence, D. | ||||
| Title |
Hermeneutic notions illuminate cross-cultural nursing experiences | Type | Journal Article | ||
| Year | 2001 | Publication | Journal of Advanced Nursing | Abbreviated Journal | |
| Volume | 35 | Issue | 4 | Pages | 624-630 |
| Keywords | Transcultural nursing; Nursing | ||||
| Abstract | The aim of this paper was to articulate selected hermeneutic notions for the purpose of extending current understanding of cross-cultural nursing practice, and build on the author's work in this area. The project asserted that the notions of prejudice, paradox and possibility portray a nursing view of this phenomenon. The emphasis in this paper, rather than being methodological, is on showing how specific hermeneutic notions contribute to deeper understanding of the nature of cross-cultural practice. It is argued that contact with, and the capacity to explore, the play of conflicting prejudices and possibilities enhances understanding of the complex and paradoxical nature of cross-cultural nursing. | ||||
| Call Number | NRSNZNO @ research @ | Serial | 705 | ||
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| Author | 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 | 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 | 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 | 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 | 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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