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Author Pipi, Kataraina; Moss, Michelle; Were, Louise
Title Nga manukura o apopo: sustaining kaupapa Maori nurse and midwifery leadership Type Journal Article
Year 2021 Publication Kai Tiaki Nursing Research Abbreviated Journal (up)
Volume 12 Issue 1 Pages 16-24
Keywords Maori nursing leadership; Maori nurses; Kaupapa Maori; Workforce
Abstract Analyses and synthesises the evaluation reports of the clinical leadership training programmes of Nga Manukura o Apopo, the national Maori nursing and midwifery workforce development programme. Considers how the marae-based Kaupapa Maori training approach contributed to the outcomes. Examines clinical leadership, recruitment, professional development and governance.
Call Number NZNO @ research @ Serial 1714
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Author Miles, Aimee; Lesa, Raewyn; Ritchie, Lorraine
Title Nurses' experiences of providing care in an environment with decentralised nursing stations Type Journal Article
Year 2021 Publication Kai Tiaki Nursing Research Abbreviated Journal (up)
Volume 12 Issue 1 Pages 25-31
Keywords Decentralised nursing stations; Pod nursing; Hospital design; Collegiality
Abstract Evaluates nurses' experiences of working in decentralised work stations in NZ hospital wards, in order to explore the interesection between the physical environment and nursing care. Backgrounds the shift away from centralised nursing stations to satellite work stations within wards. Identifies the unintended challenges of the design for nurses. Conducts two focus groups of 7 nurses each about the benefits and disadvantages of such nursing stations.
Call Number NZNO @ research @ Serial 1715
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Author Stewart, A.; Thompson, R.
Title Exploring critical thinking: In conversation with a graduate Type Book Chapter
Year 2005 Publication J. McDrury (Ed.), Nursing matters: A reader for teaching and learning in the clinical setting (pp. 9-26) Abbreviated Journal (up)
Volume Issue Pages
Keywords Critical thinking; Nursing; Education; Students
Abstract This report presents selected aspects of an inquiry based on a conversation with Raeleen, a graduate of a post-graduate nursing programme. Raeleen talks about her experience of critical thinking during her post-graduate studies. The authors suggest that, through this conversation, it is possible to explore the nature of critical thinking and examine the important roles teachers can play in facilitating its development. Includes discussion questions prepared by Rebecca Hennephof that consider the relevance and impact of critical thinking on nursing practice.
Call Number NRSNZNO @ research @ Serial 495
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Author Lesa, Raewyn
Title The contribution of simulation in the development of clinical judgement: Students' perspectives Type Book Whole
Year 2019 Publication Abbreviated Journal (up)
Volume Issue Pages 181 p.
Keywords Simulation; Clinical judgement; Nursing students; Pre-registration; Surveys
Abstract Conducts an exploratory case study investigating the experiences of third-year undergraduate nursing students in simulations, collecting stories about their experiences in the clinical environment, and highlighting the potential use of simulation as an alternate learning environment to foster the development of clinical judgement in nursing students. Considers two research questions: how do nursing students experience simulation as an environment for learning, and how do nursing students' learning experiences in simulation and clinical practice influence their development of clinical judgement skills? Conducts one-to-one interviews and observes simulations in the course of an exploratory case study.
Call Number NZNO @ research @ Serial 1652
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Author Moke, Karen
Title Finding the balance: Family inclusive practice in adult community mental health Type Book Whole
Year 2019 Publication Abbreviated Journal (up)
Volume Issue Pages 110 p.
Keywords Mental health nurses; Clinical managers; Adult community mental health services; Family-inclusive practice; Surveys
Abstract Explores family-inclusive practice in Adult Community Mental Health in a District Health Board. Focuses on what adult community mental health nurses and clinical managers consider to be barriers and facilitators to family-inclusive practice. Explores community mental health nurses' and clinical managers' perspectives of family-inclusive practice through semi-structured interviews using a descriptive qualitative design.
Call Number NZNO @ research @ Serial 1653
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Author Hickson, E.K.
Title Developing clinical learning environment evaluation tools using an action research methodology Type
Year 2006 Publication Abbreviated Journal (up)
Volume Issue Pages
Keywords Education; Nursing; Teaching methods; Evaluation
Abstract The author notes that learning nurses require real clinical experiences in order to apply learnt theory to actual practice. Clinical learning environments have consistently been found to function variably and sub-optimally for both learners and teachers. In order to improve the quality of the clinical learning environment it is necessary to first evaluate how effectively a clinical learning environment is functioning. A number of different methodologies have been used to evaluate clinical learning environments, a recent and successful method being the use of questionnaires or clinical learning environment evaluation tools. The objective of the present study was to develop clinical learning environment evaluation tools for use in a New Zealand hospital health service. Four tools appropriate to evaluate the clinical learning environment from the different perspectives of any type of clinical learner, clinical teacher, clinical manager and programme co-ordinator or nurse lecturer were developed. Six newly graduated nurses, three senior nurses, and the researcher were involved in the development of the evaluation tools over a five month period. A participatory action research methodology was employed. The resultant tools had a unique local focus and were suitably similar to other internationally developed tools. After testing the clinical learning environment evaluation tools, it is hoped that the implementation of the tools will support all stakeholders to understand and consequently optimise the functionality of their clinical learning environment.
Call Number NRSNZNO @ research @ Serial 504
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Author Horsburgh, M.; Goodyear-Smith, F.; Yallop, J.; O'Connor, S.
Title Implementation of a nursing initiative in primary care: A case report, cardiovascular disease risk reduction Type Journal Article
Year 2008 Publication New Zealand Family Physician Abbreviated Journal (up)
Volume 35 Issue 3 Pages 183-186
Keywords Multidisciplinary care teams; Cardiovascular diseases; Case studies; Primary health care
Abstract The aim was to report on implementation of a nursing initiative of cardiovascular disease (CVD) screening risk assessment at the Mornington Health Centre, Dunedin, with initial outcomes after six months. The practice aim was 80% of their eligible population assessed within three to four years, particularly targeting high-risk groups. The audit indicates that in their first six months, Mornington Health Centre had screened 42% of their eligible patients. This is described as very successful progress towards their goal of 80%. A number of key organisational factors are identified that are likely to have contributed to the development and success of the nurse CVD risk assessment programme at Mornington Health Centre. The authors suggest that this case study demonstrates how organisational change, where the practice nurse role in the multidisciplinary team is clear, can facilitate a practice to meet a population-based goal.
Call Number NRSNZNO @ research @ Serial 514
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Author Morton, J.; Williams, Y.; Philpott, M.
Title New Zealand's Christchurch Hospital at night: An audit of medical activity from 2230 to 0800 hours Type Journal Article
Year 2006 Publication New Zealand Medical Journal Abbreviated Journal (up)
Volume 119 Issue 1231 Pages
Keywords Hospitals; Teamwork; Administration; Shiftwork; Organisational culture
Abstract The authors conduct an audit of medical activity at Christchurch Hospital, a 650 bed tertiary centre, between 2230 and 0800 hours. They measured the volumes of tasks requiring completion overnight and identified the competencies required for this as well as the level of teamwork that existed. They found several organisational areas of concern, that indicate new approaches are required to staff the “hospital at night,” and an Out of Hours Multidisciplinary Team is recommended. Specific issues included the lack of teamwork from the Resident Medical Officers (RMOs), with some overextended while others were inactive. House officer tasks were largely generic rather than specialty specific; there was no formal handover from the afternoon or day shifts and the level of hospital medical staffing did not reflect the activity levels over the time period studied. The researchers also recommend an urgent review of the beep policy. A third of the admissions were to General Medicine, and basic medical activities (including admitting, reviewing, and prescribing drugs and fluids) for patients admitted under all specialties represented the majority of the night workload. Medical registrars had reduced some of the traditional multiple clerking by admitting patients themselves.
Call Number NRSNZNO @ research @ Serial 528
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Author Vallant, S.R.; Neville, S.J.
Title The relationship between student nurse and nurse clinician: Impact on student learning Type Journal Article
Year 2006 Publication Nursing Praxis in New Zealand Abbreviated Journal (up)
Volume 22 Issue 3 Pages 23-33
Keywords Teaching methods; Students; Nursing
Abstract The purpose of this descriptive interpretive study was to explore relationships between student nurses and nurse clinicians. Eleven student nurses at the end of a three year Bachelor of Nursing programme in one institution participated in focus group interviews. Data gathered from the three focus groups were analysed using an inductive approach. Five categories, namely 'being invisible in the relationship', 'not stepping on toes', 'lost opportunities for learning', 'nurturance' and 'reciprocity' emerged from data analysis. These are presented with appropriate quotes to demonstrate the essence of participant experiences. Findings indicated that when students experienced relationships with clinicians as not being positive, this inhibited learning. Conversely, when students saw the clinician as participating actively and positively in the student/clinician relationship then student learning was enhanced. This evidence forms the basis for recommending further complementary research into the clinician's attitudes and perceptions related to their teaching role.
Call Number NRSNZNO @ research @ Serial 529
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Author Murrell-McMillan, K.A.
Title Why nurses in New Zealand stay working in rural areas Type Journal Article
Year 2006 Publication New Zealand Family Physician Abbreviated Journal (up)
Volume 33 Issue 3 Pages 173-175
Keywords Rural nursing; Recruitment and retention; Job satisfaction; Teamwork; Primary health care
Abstract The author investigates why nurses in New Zealand stay working in rural areas when their Australian counterparts and medical colleagues are leaving rural areas at alarming rates. She looks at international recruitment and retention issues, and particularly compares rural nursing in Australia with New Zealand. Local research shows that over 50% of rural nursing is in the practice environment. Practice nurses report high job satisfaction, specifically around working with diverse populations, autonomy, and working with GPs, the local community, and local iwi. The only perceived barrier identified in the New Zealand literature to job satisfaction and collaborative team behaviour has been the funding of nursing services in rural areas. This contrasts with many barriers to rural nursing in Australia, and the author suggests New Zealand policy makers may learn from Australia's retention issues.
Call Number NRSNZNO @ research @ Serial 530
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Author Phillips, B.N.
Title A survey of mental health nurses' opinion of barriers and supports for research Type Journal Article
Year 2005 Publication Nursing Praxis in New Zealand Abbreviated Journal (up)
Volume 21 Issue 1 Pages 24-32
Keywords Professional development; Mental health; Nursing research
Abstract This paper reports the findings of a preliminary survey of two district health boards, which shows that high workloads and lack of relief staffing appear as the greatest hurdles to mental health nurses participating in practice-based nursing research. A further constraint on their participation is lack of research expertise and experience. Consultative discussions with senior mental health nurses support these conclusions. In this paper, mentoring and flexible research designs are promoted as possible ways of overcoming these barriers.
Call Number NRSNZNO @ research @ Serial 532
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Author North, N.; Rasmussen, E.; Hughes, F.; Finlayson, M.
Title Turnover amongst nurses in New Zealand's district health boards: A national survey of nursing turnover and turnover costs Type Journal Article
Year 2005 Publication New Zealand Journal of Employment Relations Abbreviated Journal (up)
Volume 30 Issue 1 Pages 49-62
Keywords Recruitment and retention; Nursing; Economics; Cross-cultural comparison
Abstract This article reports on the New Zealand part of an international study, using agreed study design and instruments, to determine the direct and indirect costs of nursing turnover. These costs also include the systemic costs, estimated by determining the impacts of turnover on patient and nurse outcomes. It presents the findings from the pilot study conducted in six countries to test the availability of costs and suitability of the instrument. Reports the results from a survey of directors of nursing in 20 of the 21 district health boards on turnover and workplace practices.
Call Number NRSNZNO @ research @ Serial 533
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Author Richardson, S.
Title Incorporation of research into clinical practice: The development of a clinical nurse researcher position Type Journal Article
Year 2005 Publication Nursing Praxis in New Zealand Abbreviated Journal (up)
Volume 21 Issue 1 Pages 33-42
Keywords Emergency nursing; Nursing research; Hospitals
Abstract The author backgrounds the development of the role of an innovative Nurse Researcher (Emergency Medicine) role at Christchurch Hospital. She describes the emergency department and the factors leading to the creation of the role. Specific nursing research projects are reviewed, and the nature of nursing in relation to research is discussed. The author argues that the nurse researcher is integral to the expansion of evidence-based nursing, and that the role of Clinical Nurse Researcher in the emergency department has resulted in a higher profile for research, and the gradual integration of research as a clinical skill with direct practical relevance.
Call Number NRSNZNO @ research @ Serial 536
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Author Hughes, M.; Farrow, T.
Title Invisible borders: Sexual misconduct in nursing Type Journal Article
Year 2005 Publication Nursing Praxis in New Zealand Abbreviated Journal (up)
Volume 21 Issue 2 Pages 15-25
Keywords Patient safety; Nursing; Guidelines
Abstract This paper identifies the issue of sexual misconduct by nurses in New Zealand. There is evidence that some nurses have been involved in sexual misconduct, resulting in disciplinary proceedings against them. Despite this, there is an absence of guidelines and discussion for New Zealand nurses to prevent such occurrences. This article identifies difficulties in naming and defining sexual misconduct, and discusses sexual misconduct as an abuse of power by nurses. New Zealand and international literature about sexual misconduct by nurses and other health professionals is described, as are guidelines designed to prevent sexual misconduct. Finally, the authors make recommendations for actions needed to facilitate New Zealand nurses in identifying and avoiding sexual misconduct in practice.
Call Number NRSNZNO @ research @ Serial 537
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Author Lyford, S.; Cook, P.
Title The Whanaungatanga model of care Type Journal Article
Year 2005 Publication Nursing Praxis in New Zealand Abbreviated Journal (up)
Volume 21 Issue 2 Pages 26-36
Keywords Maori; Hospitals; Nursing models
Abstract The authors introduce the Kaupapa nursing service at Te Puna Hauora, Tauranga Hospital. It implements an indigenous health model, the Whanaungatanga Model of Care, to guide nursing practice. This paper describes the concept of care it applies to serving its Maori population and the role of the Kaiawhina Social Worker. The authors highlights the interface between primary and secondary care after patients are discharged. The authors address the shortfall of Maori practitioners in the nursing service and the aims of a year-long pre-entry Kaupapa Health Professional Programme.
Call Number NRSNZNO @ research @ Serial 538
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