| Records |
| Author |
Murphy, R. |
Title  |
A day in the life of an acute hospital psychiatric nurse |
Type |
Journal Article |
| Year |
2005 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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| Volume |
11 |
Issue |
9 |
Pages |
24-25 |
| Keywords |
Nursing; Psychiatric Nursing; Interprofessional relations; Mental health; Multidisciplinary care teams |
| Abstract |
A nurse presents a personal account of a typical day at Middlemore Hospital's 50-bed acute inpatient mental health unit Tiaho Mai. The article covers aspects of shift handover, working with multidisciplinary teams, developing care plans, working with families, and responding to emergencies. |
| Call Number |
NRSNZNO @ research @ |
Serial |
957 |
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| Author |
Lewer, D. |
| Title |
Analysing the Mental Health Act |
Type |
Journal Article |
| Year |
1999 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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| Volume |
5 |
Issue |
8 |
Pages |
14-16 |
| Keywords |
Psychiatric Nursing; Mental health; Law and legislation; Ethics |
| Abstract |
Changes brought by the Mental Health Act (MHA) to clinical practice, and some of the problems it has created for nurses, are examined in this article. Compulsory assessment and treatment orders (CATO) and the role of Duly Authorised Officers (DAO), and moral dilemmas that can arise as a consequence of CATOs used by DAOs are examined. The requirement for DAOs to act as patient advocates and to safeguard cultural beliefs are highlighted. The MHA promotes self responsibility and a treatment philosophy rather than detention of the mentally ill. |
| Call Number |
NRSNZNO @ research @ 1039 |
Serial |
1023 |
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| Author |
Macfie, B. |
| Title |
Assessing health needs and identifying risk factors |
Type |
Journal Article |
| Year |
2006 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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| Volume |
12 |
Issue |
6 |
Pages |
16-18 |
| Keywords |
Infants; Parents and caregivers; Clinical assessment; Risk factors; Plunket |
| Abstract |
In 2004, Plunket nurses from eight areas around New Zealand participated in collecting data for a research project on health needs assessment practices. This project aimed to examine risk factors identified by Plunket nurses, what areas of health need considered to be priorities; grading of health needs; and how closely the results of health need assessment aligned with the individual clients' deprivation score. The researchers examine the assessment of health needs against the use of the Deprivation Index, which indicates a specific population in a specific area, as a funding model. This study appeared to show there are two distinct groups of clients assessed as high needs: those with risk factors such as family violence and severe parental mental illness, and who may live in an area of 1-7 deprivation; and those with multiple risk factors which include poverty, low education, and/or reluctance to access services and support, and who usually live in dep 8-10 areas. This research supports the anecdotal evidence that significant health needs exist outside the lower deprivation areas. |
| Call Number |
NRSNZNO @ research @ |
Serial |
974 |
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| Author |
McCallum, C. |
| Title |
Balancing technology with the art of caring |
Type |
Journal Article |
| Year |
2002 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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| Volume |
8 |
Issue |
7 |
Pages |
21-23 |
| Keywords |
Technology; Nursing; Nurse-patient relations; Ethics |
| Abstract |
The author examines the role of technology in high dependency units, which can alienate nurses from patients. The ethical issues raised by technology are reviewed, particularly the allocation of expensive interventions, and the implications of life-sustaining technology on the application of informed consent. The author highlights the challenge facing nurses to bridge the gap between medical technology and humane caring. |
| Call Number |
NRSNZNO @ research @ 1017 |
Serial |
1001 |
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| Author |
McKenna, B. |
| Title |
Bridging the theory-practice gap |
Type |
Journal Article |
| Year |
1999 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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| Volume |
5 |
Issue |
2 |
Pages |
14-16 |
| Keywords |
Psychiatric nursing; Nursing; Education; Teaching methods |
| Abstract |
The author presents a case study of a joint appointment between a nurse lecturer and a staff nurse in an acute forensic psychiatry unit. He explores the advantages, disadvantages and reasons for success in relation to the findings of a survey of the literature on joint appointments. This technique is seen as a means of narrowing the gap between theory and practice which resulted when nurse training was transferred from hospitals to polytechnics. He highlights the need to develop research methodology to clarify potential benefits of this approach. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1024 |
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| Author |
Chenery, K. |
| Title |
Building child health nurses' confidence and competence |
Type |
Journal Article |
| Year |
2007 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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| Volume |
13 |
Issue |
5 |
Pages |
26-38 |
| Keywords |
Paediatric nursing; Nursing; Education; Evaluation |
| Abstract |
This article describes the development of the Generic Orientation Programme, Child Health Nursing and its perceived impact on practice after ten months, through two simultaneous evaluation surveys, seeking the views of programme participants and their nurse managers. The programme aims to equip the newly appointed RN in the child health cluster or the nurse working in a non-designated children's area with the knowledge and skills to safely care for children. These include basic anatomical and physiological differences; fluid and electrolyte management; safe administration of medication; pain management; recognition of the seriously ill child; and building partnerships with children and their families. A survey instrument eliciting qualitative and quantitative responses was used. The majority of nurse respondents believed they had gained new knowledge and described how they were incorporating it into everyday practice. Similarly, several nurse managers observed that nurses' clinical knowledge and skills had improved since attending the programme. In particular, responses from those working in non-designated children's areas suggested the programme had provided them with greater insight into the care of children. |
| Call Number |
NRSNZNO @ research @ |
Serial |
975 |
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| Author |
Manning, J. |
| Title |
Building trust with families in neonatal intensive care units |
Type |
Journal Article |
| Year |
2006 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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| Volume |
12 |
Issue |
6 |
Pages |
18-20 |
| Keywords |
Paediatric nursing; Neonatal nursing; Parents and caregivers; Communication |
| Abstract |
Establishing a trusting relationship is a key therapeutic intervention for nurses working with families of hospitalised children. This article is an exploration of the definition of trust. Specifically, it considers how parents come to trust (or not) nurses in neonatal intensive care unit (NICU) helps to reveal the meaning of parent-nurse trust and how this affects nursing practice. Understanding and meeting parental needs is important in developing and sustaining trust. The medical model of care often dominates in NICU. This is a deficit model that focuses on illness and treatment. However, the use of a nursing framework, such as developmentally supportive family centred care, focuses on recognising and building on the strengths of the family, by fostering trust to equip the family with the capacity to manage their infant's health care. |
| Call Number |
NRSNZNO @ research @ |
Serial |
976 |
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| Author |
Challis-Morrison, S. |
| Title |
Caring for a community wanderer |
Type |
Journal Article |
| Year |
2006 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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| Volume |
12 |
Issue |
11 |
Pages |
20-22 |
| Keywords |
Case studies; Older people; Community health nursing; Dementia |
| Abstract |
A community based registered nurse from Waikato District Health Board's Older Persons Assessment Team (OPAT) presents her experiences of working with older people with dementia. She uses a case study approach to highlight the issue of wandering, behaviour which can be difficult to modify and can cause carer distress. She outlines a team approach to the condition which requires good communication and co-ordination. Key aspects of management included a risk assessment plan, support for caregivers, and encouraging activity. |
| Call Number |
NRSNZNO @ research @ |
Serial |
977 |
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| Author |
Hughes, F.; Farrow, T. |
| Title |
Caring for obese patients in a culturally safe way |
Type |
Journal Article |
| Year |
2007 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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| Volume |
13 |
Issue |
4 |
Pages |
14-16 |
| Keywords |
Nursing models; Obesity; Cultural safety |
| Abstract |
The authors review the contemporary notion of obesity and suggest that the nursing approach, with an emphasis on treatment, are shaped by a culture located within “western” views of ideal body shape. The biomedical framework regards obesity as disease and obese people as the cause of their own health problems. The authors note varying cultural interpretations of obesity, and suggest that by viewing obesity as a disease, the cultural, social or economic determinants of obesity are not acknowledged. Nursing needs to broaden the concept of the categories of difference to respond in a culturally safe way to obesity. Cultural safety asks that nurses care for people “regardful” of difference. This means nurses must reflect on the care given, so that the biomedical model is not just replicated. Nurse-led clinics offer an opportunity for practices based on nursing values of care and cultural safety. Such clinics are based on nursing's social model of health, rather than a biomedical, disease-focused model. |
| Call Number |
NRSNZNO @ research @ 994 |
Serial |
978 |
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| Author |
Powell, J. |
| Title |
Caring for patients after an ICU admission |
Type |
Journal Article |
| Year |
2002 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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| Volume |
8 |
Issue |
7 |
Pages |
24-25 |
| Keywords |
Intensive care nursing; Nurse-patient relations; Trauma; Communication |
| Abstract |
The author presents research on nursing strategies that reduce the psychological effects of critical illness and prevent the intensive care unit (ICU) atmosphere from adversely affecting the nurse-patient relationship. Post-traumatic stress disorder and other phobic anxiety syndromes are noted as a risk among former ICU patients. Four interventions to put in place for discharge are presented: patient-centred nursing, communication, multidisciplinary care, and patient/family education. |
| Call Number |
NRSNZNO @ research @ |
Serial |
954 |
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| Author |
Bland, M.F. |
| Title |
Challenging the myths: the lived experience of chronic leg ulcers |
Type |
|
| Year |
1994 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
Massey University Library |
| Volume |
2 |
Issue |
3 |
Pages |
13-14 |
| Keywords |
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| Abstract |
This phenomenological study explored the experiences of five men and four women whose lives have been shaped by chronic leg ulcers. It reveals the suffering that accompanies these wounds, and challenges health professionals to move from a focus on wound management to understanding the realities of chronic illness experience |
| Call Number |
NRSNZNO @ research @ 160 |
Serial |
160 |
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| Author |
Russell, D. |
| Title |
Changing public health nursing practice |
Type |
Journal Article |
| Year |
1999 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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| Volume |
5 |
Issue |
11 |
Pages |
18-19 |
| Keywords |
Public health; Community health nursing; Nursing models; Teamwork |
| Abstract |
A new approach to public health nursing in the Otago region is described, which comprises of 3 distinct groups of nurses working in early childhood centres, primary schools and high schools. A family nursing assessment approach is used. The philosophical underpinnings of this approach are examined, which seeks to empower patients and engage them in their health care. Two public health nurses are interviewed about the new partnership model of nursing. |
| Call Number |
NRSNZNO @ research @ 1041 |
Serial |
1025 |
| Permanent link to this record |
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| Author |
Shaw, S. |
| Title |
Constructing media images of nursing: How does the media represent nurses when reporting on nurse prescribing? |
Type |
Journal Article |
| Year |
2007 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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| Volume |
13 |
Issue |
1 |
Pages |
16-18 |
| Keywords |
Drug administration; Interprofessional relations; Professional competence; Nursing; Eucation; Quality of health care |
| Abstract |
This research presents a discourse analysis of articles published in the New Zealand Herald between October 1999 and September 2005. The terms “nurse prescribing” and “prescribing fights” identified seven articles published which referred specifically to this issue. They were predominantly editorial comments and statements attributed to senior doctors. Examples of comments from these articles are presented and discussed in this article, and three inter-related themes are identified – competence, responsibility and competition. Discussion on competence centred on education, skill and experience level of nurses, as described by editorial comment and senior doctors. Positive international research and experience of nurse prescribing did not feature. A number of comments in the articles analysed could be seen to represent concerns about competition between medicine and nursing. One interpretation of the comments contained in these articles is to see medical practitioner groups defending their status and desire to define and control nursing practice. The media has the power to select the information conveyed and, in these instances, appears to have demonstrated a bias towards the medical community's perspective. |
| Call Number |
NRSNZNO @ research @ |
Serial |
979 |
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| Author |
Dellagiacoma, T. |
| Title |
Contracting as a career option for nurses |
Type |
Journal Article |
| Year |
2007 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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| Volume |
13 |
Issue |
1 |
Pages |
20-22 |
| Keywords |
Professional development; Nursing; Work |
| Abstract |
A nurse presents research and her own experiences of contracting. Contracting, as defined in this article, refers to a nurse not employed permanently on a wage. It covers agency nursing, short and long fixed-term contracts and secondments. The author identifies the need to continue to develop professionally, which is now a mandatory requirement under the Health Practitioners Competence Assurance (HPCA) Act. Contractors have little, if any financial support to develop professionally, and time taken to do courses is not paid. Taking study leave within a contract may also not be an option. Options for managing professional development in these conditions are offered, including goal setting, investing in education or training, and considering some longer contracts. Practical financial advice and examples are given, including managing accounts and consideration of employment law. The author recommends that skilled nurses looking for interesting ways to develop their careers and to branch out in an entrepreneurial way should seriously consider taking up contract work. |
| Call Number |
NRSNZNO @ research @ 996 |
Serial |
980 |
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| Author |
Richardson, S. |
| Title |
Coping with outbreaks of the norovirus |
Type |
Journal Article |
| Year |
2005 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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| Volume |
11 |
Issue |
7 |
Pages |
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| Keywords |
Infection control; Risk management; Occupational health and safety; Hospitals |
| Abstract |
The author presents an overview of the impact and management of novovirus infections in New Zealand. The impact of this highly contagious virus on hospital settings is serious. With staff shortages already a problem, any outbreak of contagious disease has the potential to result in unsafe staffing, either through low numbers or poor skill mix. A report from New Zealand Environmental Science and Research (ESR) showed 35 reported norovirus outbreaks in New Zealand in the first quarter of 2004, resulting in 890 cases of the disease. Norovirus outbreaks are characterised by a rapid spread of infection, high uptake rate, and a high proportion of cases presenting with projectile vomiting. The author provides a definition of the novovirus, and looks at transmission, the management of hospital outbreaks, and the impact on emergency departments and hospital wards. Procedures include in-patient isolation. She notes there are no simple answers or “quick fixes” to the problem of norovirus outbreaks. While ongoing surveillance, recognition and isolation are key elements, there are wider structural and political implications that need to be acknowledged. These issues include overcrowding and staff shortages. |
| Call Number |
NRSNZNO @ research @ |
Serial |
981 |
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