Records |
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 |
Keywords |
|
Abstract |
A study of 33 adult patients – 20 Anglo – Australian, 13 Yugoslav- who were admitted for arranged abdominal surgery to three Australian hospitals between January and June 1980. Focusing on the role of cultural factors in the experience of post operative pain the study confirmed the existence of some behavioral differences between Anglo – Australian and Yugoslav patients in terms of their responses to pain. The greatest degree of difference between the two groups however was found in their underlying attitudes to pain |
Call Number |
NRSNZNO @ research @ 112 |
Serial |
112 |
Permanent link to this record |
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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 |
Permanent link to this record |
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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 |
Permanent link to this record |
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Author |
van Wissen, K.A.; Woodman, K. |
Title |
Nurses' attitudes and concerns to HIV/AIDS: a focus group approach |
Type |
Journal Article |
Year |
1994 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
|
Volume |
20 |
Issue |
6 |
Pages |
1141-1147 |
Keywords |
|
Abstract |
An exploratory qualitative study was investigated to further identify nurses'' attitudes to the care of people with human immunodeficiency virus (HIV) and acquired immunodefiency syndrome (AIDS). This follows as a sequel to a study using questionnaire. Data collected from nine focus groups attended by a total of 29 nurses at a hospital within a new Zealand regional health authority. The principal findings suggest that nurses' attitudes to this patient group are varied and depend on social influences, personal experiences and the extent of knowledge regarding HIV/AIDS. Other concerns raised included nurses' rights to choose to care for HIV-positive patients and the issue of universal precautions. Theses findings may have implications for further educational initiatives and information of hospital policy |
Call Number |
NRSNZNO @ research @ 356 |
Serial |
356 |
Permanent link to this record |
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Author |
McBride-Henry, K.; Foureur, M. |
Title |
Medication administration errors: Understanding the issues |
Type |
Journal Article |
Year |
2006 |
Publication |
Australian Journal of Advanced Nursing |
Abbreviated Journal |
|
Volume |
23 |
Issue |
3 |
Pages |
33-41 |
Keywords |
Nursing; Patient safety; Medical errors; Drug administration; Quality assurance |
Abstract |
This literature review focused on research that primarily addresses the issues related to medications that arise in tertiary care facilities. It finds that investigations into medication errors have primarily focused on the role of nurses, and tended to identify the nurse as deliverer of unsafe practice. Over the past few years a shift in how medication errors are understood has led to the identification of systems-related issues that contribute to medication errors. The author suggests that nurses should contribute to initiatives such as the 'Quality and Safe Use of Medicines' and develop nursing led research, to address some of the safety related issues with a view to enhancing patient safety. |
Call Number |
NRSNZNO @ research @ |
Serial |
715 |
Permanent link to this record |
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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 |
Permanent link to this record |
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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 |
Permanent link to this record |
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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 |
|
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 |
Permanent link to this record |
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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 |
Permanent link to this record |
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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 |
Permanent link to this record |
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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 |
Permanent link to this record |
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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 |
Permanent link to this record |
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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 |
Permanent link to this record |
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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 |
Permanent link to this record |
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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 |
Permanent link to this record |