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Author Latta, L.
Title Reflective storytelling to enhance learning from practice experience Type Book Chapter
Year 2005 Publication J. McDrury (Ed.), Nursing matters: A reader for teaching and learning in the clinical setting (pp.67-82). Abbreviated Journal (up)
Volume Issue Pages
Keywords Terminal care; Palliative care; Teaching methods; Nursing
Abstract The author looks at the value of using reflective storytelling as a teaching/learning tool in the hospice setting and examines constructs that provide a theoretical underpinning. She also outlines processes that support the implementation of storytelling practice and the creation of a safe space for storytelling. At the end of the chapter, discussion questions are provided by Janice McDrury.
Call Number NRSNZNO @ research @ Serial 767
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Author Bishop, J.
Title Motivation: An essential element of learning Type Book Chapter
Year 2005 Publication J. McDrury (Ed.), Nursing matters: A reader for teaching and learning in the clinical setting (pp. 83-100) Abbreviated Journal (up)
Volume Issue Pages
Keywords Motivation; Nursing models; Nursing; Education
Abstract The author defines extrinsic and intrinsic motivators, describes motivational theories, and introduces Wlodkowski's Motivational Framework, which is specifically developed for adult learners. She goes on to explore the implementation of this model within a nursing education context. At the end of the chapter, discussion questions are provided by Janice McDrury.
Call Number NRSNZNO @ research @ Serial 768
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Author Harding, T.S.
Title New strategies in evidence based practice Type Journal Article
Year 2006 Publication Klinisk sygepleje Abbreviated Journal (up)
Volume 20 Issue 3 Pages 4-11
Keywords Evidence-based medicine; Nursing; Education; Curriculum
Abstract This article considers wider organisational issues that impact on the implementation of evidence based practice. It describes the strategies adopted by the Auckland Area Health Board and Unitec New Zealand to implement the principles of evidence based practice in New Zealand. This has resulted in a collaboration with Auckland University and the Joanna Briggs Institute for Evidence Based Nursing and Midwifery to form the Centre for Evidence Based Nursing – Aotearoa. Evidence based nursing is a vital part of nursing education. Unitec New Zealand has developed and incorporated evidence based nursing into all courses in their undergraduate programme. Central to this is the use of evidence based practice in patient care and the integration of technology with evidence based nursing in clinical practice.
Call Number NRSNZNO @ research @ Serial 778
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Author Farrow, T.
Title 'No suicide contracts' in community crisis situations: A conceptual analysis Type Journal Article
Year 2003 Publication Journal of Psychiatric & Mental Health Nursing Abbreviated Journal (up)
Volume 10 Issue 2 Pages 199-202
Keywords Mental health; Community health nursing; Psychology; Suicide
Abstract 'No suicide contracts' take the form of a 'guarantee of safety', along with a 'promise' to call specified persons if the suicidal ideation becomes unmanageable for the person concerned. They are commonly used in community crisis situations with suicidal people in New Zealand. This article describes and analyses the use of 'no suicide contracts' in these settings. It is argued that the theoretical base (transactional analysis) of the 'no suicide contract' is likely to be deleterious in the community crisis situation.
Call Number NRSNZNO @ research @ Serial 779
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Author McBride-Henry, K.; Foureur, M.
Title Organisational culture, medication administration and the role of nurses Type Journal Article
Year 2006 Publication Practice Development in Health Care Abbreviated Journal (up)
Volume 5 Issue 2 Pages 208-222
Keywords Patient safety; Medical errors; Organisational culture; Nursing; Drug administration
Abstract This research study was designed to identify ways of enhancing patient safety during the administration of medications within the New Zealand context. The researchers employed a multi-method approach that included a survey using the Safety Climate Survey tool, focus groups and three clinical practice development groups. The authors conclude that the outcomes of this study indicate that practice development initiatives, such as the ones outlined in this project, can have a positive effect on nurses' perceptions of organisational safety, which in turn has been demonstrated to have a positive impact on patient safety.
Call Number NRSNZNO @ research @ Serial 784
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Author Farrow, T.
Title Owning their expertise: Why nurses use 'no suicide contracts' rather than their own assessments Type Journal Article
Year 2002 Publication International Journal of Mental Health Nursing Abbreviated Journal (up)
Volume 11 Issue 4 Pages 214-219
Keywords Interprofessional relations; Psychiatric Nursing; Community health nursing; Qualiltative research; Suicide
Abstract 'No suicide contracts' are a tool commonly used by nurses in community crisis situations. At times this tool is utilised because the clinician believes that it is beneficial. However, there are other occasions when 'No suicide contracts' are introduced in a manner that runs counter to the clinical judgement of the crisis nurse. This paper discusses the results of a qualitative study that addressed the question of why nurses use 'No suicide contracts' in such situations, rather than relying on their own expertise. This analysis suggests that underlying concerns of clinicians can determentally affect decision-making in such circumstances, and recommends that rather than subjugating nursing expertise, underlying issues be addressed directly.
Call Number NRSNZNO @ research @ Serial 785
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Author Lesa, R.; Dixon, D.A.
Title Physical assessment: Implications for nurse educators and nursing practice Type Journal Article
Year 2007 Publication International Nursing Review Abbreviated Journal (up)
Volume 54 Issue 2 Pages 166-172
Keywords Advanced nursing practice; Clinical assessment; Cardiovascular diseases; Nursing; Education
Abstract In New Zealand, the physical assessment of a patient has traditionally been the domain of the medical profession. Recent implementation of advanced practice roles has expanded the scope of practice and nurse practitioners may now be expected to perform physical assessments. The aim of this literature review was to discover what could be learnt from the experiences of Western countries. Nurses from the USA, Canada and Australia readily incorporate physical assessment skills into their nursing practice as a component of health assessment. The international literature identified that any change to the nurse's role in health assessment, to include physical assessment skills, requires strategies that involve the regulatory, educational and practice components of nursing.
Call Number NRSNZNO @ research @ Serial 786
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Author Primary Health Care Nurse Innovation Evaluation Team,
Title The evaluation of the eleven primary health care nursing innovation projects: A report to the Ministry of Health Type Report
Year 2007 Publication Abbreviated Journal (up)
Volume Issue Pages
Keywords Primary health care; Evaluation; Nursing
Abstract In 2003, as part of implementing the Primary Health Care Strategy, the Ministry of Health announced contestable funding, available over three years, for the development of primary health care nursing innovation projects throughout Aotearoa/New Zealand. The Ministry looked for proposals that would: support the development of innovative models of primary health care nursing practice to deliver on the objectives of the Primary Health Care Strategy; allow new models of nursing practice to develop; reduce the current fragmentation and duplication of services; and assist in the transition of primary health care delivery to primary health organisations. This report describes the findings from the evaluation of the 11 primary health care nursing innovations selected for funding by the Ministry of Health. It provides an overview of the innovations' success and of the lessons learnt from this policy initiative.
Call Number NRSNZNO @ research @ Serial 819
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Author Moko Business Associates,
Title Career pathways and core competencies in Maori mental health nursing Type Report
Year 2003 Publication Abbreviated Journal (up)
Volume Trm/03/04 Issue Pages
Keywords Maori; Mental health; Nursing; Careers in nursing; psychiatric nursing
Abstract This report reviews relevant literature pertaining to clinical career pathways and associated core competencies for nursing in New Zealand. The review identifies and analyses existing clinical career pathways for nurses and mental health workers in New Zealand, paying particular attention to the content, structure, strengths, criticisms and applicability to the development of a clinical career pathway for Maori registered nurses to work in Maori mental health (NGO organisations). This report is part of Te Rau Matatini's current work on the development of a career pathway for Maori registered nurses with mental health work experience to work in NGO, community settings. It is a preliminary report, based on existing literature. A subsequent report was planned detailing the career pathway developed by Te Rau Matatini, with strong guidance and input from Maori mental health nurses and the wider Maori mental health sector.
Call Number NRSNZNO @ research @ Serial 823
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Author Maxwell-Crawford, K.
Title Huarahi whakatu: Maori mental health nursing career pathway Type Report
Year 2004 Publication Abbreviated Journal (up)
Volume (Trm/04/15) Issue Pages
Keywords Professional development; Careers in nursing; Maori; Psychiatric nursing; Mental Health
Abstract Huarahi whakatu describes a pathway for recognising the expertise of nurses working in kaupapa Maori mental health services and recommends a professional development programme that can lead to advancement along the pathway. An emphasis on dual competencies – cultural and clinical – underlies the rationale for regarding kaupapa Maori mental health nursing as a sub-specialty. Eight levels of cultural competencies and twelve levels of clinical competencies are used to differentiate career stages and it is recommended that movement from one level to another should be matched by increased remuneration. The report also contains a recommended professional development programme to support the operationalisation of the career pathway.
Call Number NRSNZNO @ research @ Serial 824
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Author Daniels, Anne
Title Listening to New Zealand nurses: A survey of intent to leave, job satisfaction, job stress, and burnout Type Book Whole
Year 2004 Publication Abbreviated Journal (up)
Volume Issue Pages
Keywords Stress; Job satisfaction; Nursing
Abstract This study aims to identify work related factors contributing to New Zealand nurses' intent to leave the job. Two hundred and seventy five surveys (response rate = 68.8%) from a random sample of 400 nurses employed in one district health board were used to explore intent to leave the job. Three research questions directed the description of levels of job satisfaction, job stress, and burnout found in nurse participants, correlations between the three variables, and the identification of variables predicting intent to leave the job through regression analyses. The survey found levels of job satisfaction were high, job stress was low, and burnout was average. Specifically, lack of opportunity to participate in organisational decision making, control over work conditions, control over what goes on in the work setting (key Magnet Hospital characteristics) were not evident, and with pay rates, were the main sources of job dissatisfaction. Workload was the most frequently experienced source of stress by nurse participants. Twenty-five per cent of nurse participants reported high levels of intent to leave the job. Correlations suggested that reductions in job satisfaction influenced increases in job stress and burnout. Job stress was associated with increases in emotional exhaustion. Emotional exhaustion was influenced by eight job satisfaction, job stress, and burnout subscales. Five subscales (professional opportunities, praise and recognition, interaction opportunities, extrinsic rewards, lack of support) explained 26.2% of the variance in nurse participant's intent to leave. The author concludes that issues of power and control were associated with job dissatisfaction, job stress and burnout in nursing practice. However, predictors of intent to leave the job suggest a growing realisation by nurse participants that postgraduate education and nursing research may provide the tools to create positive change in the health care environment and make nursing visible, valued and appropriately rewarded.
Call Number NRSNZNO @ research @ Serial 826
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Author Seccombe, J.
Title Attitudes towards disability in an undergraduate nursing curriculum: The effects of a curriculum change Type Journal Article
Year 2007 Publication Nurse Education Today Abbreviated Journal (up)
Volume Issue 27(5) Pages
Keywords People with disabilities; Nursing; Education; Students
Abstract Through improved technology and treatment and ongoing de-institutionalisation, nurses will encounter growing numbers of people with disabilities in the New Zealand community and hospitals. Quality of nursing care is influenced by attitude and this study was to evaluate the effect of a curriculum change on the attitudes of two different streams of student nurses towards people with disabilities. During the year 2002 a focused disability unit was introduced to the revised undergraduate nursing curriculum of a major educational institution in New Zealand. The opportunity arose to consider student nurses' attitudes toward disabled people, comparing two streams of students undertaking two different curricula. A convenience sample of students completed Yuker, Block and Younng's (1970) Attitudes Toward Disabled Persons scale (ATDP) form B prior to and on completion of their relevant disability unit. No statistically significant difference in scores was demonstrated. A number of possible reasons for this are suggested.
Call Number NRSNZNO @ research @ Serial 833
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Author Seccombe, J.
Title Attitudes towards disability in an undergraduate nursing curriculum: A literature review Type Journal Article
Year 2007 Publication Nurse Education Today Abbreviated Journal (up)
Volume Issue 27(5) Pages
Keywords Nursing; Education; Students; People with disabilities
Abstract In the process of introducing a new disability unit into an undergraduate nursing curriculum in a New Zealand educational setting, the opportunity arose to conduct a small study comparing the attitudes of students nurses to people with disabilities. This paper discusses the literature review, which formed the basis for the study. A range of perspectives and research was identified that explored societal and nurses' attitudes, disability studies in undergraduate nursing curricula, the impact of nurses' attitudes on patient care, and interventions for changing those attitudes. Effective nursing care can be severely compromised through negative attitudes, and concerns are expressed at the lack of attention given to this issue in nursing curricula generally. The literature showed that combining educational approaches with opportunities for student nurses to interact with disabled people provides the most effective means for student nurses to develop positive attitudes towards disabled people. The goal for nurse educators is to ensure the inclusion of disability studies as a core component in undergraduate nursing education.
Call Number NRSNZNO @ research @ Serial 834
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Author Crowe, M.
Title Psychiatric diagnosis: Some implications for mental health nursing care Type Journal Article
Year 2006 Publication Journal of Advanced Nursing Abbreviated Journal (up)
Volume 53 Issue 1 Pages 125-131
Keywords Psychiatric Nursing; Diagnosis; Culture; Gender; Socioeconomic factors; Nursing models
Abstract This article explores some of the functions of psychiatric diagnosis and the implications this has for mental health nursing care. It critiques the psychiatric diagnosis as a categorisation process that maintains oppressive power relations within society, by establishing and enforcing normality through gender, culture and class biases. The American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders is used to illustrate some of the inherent biases in the diagnostic process. The author argues that mental health nursing practice needs to demonstrate an awareness of the power relations inherent in any diagnostic process and make attempts to redress these at both the individual and sociopolitical levels. To create a true patient-centred partnership in mental health nursing, the nursing focus should be on the patient's experience rather than the psychiatric diagnosis with which the experience is attributed. NB this is a reprint of article first published in Journal of Advanced Nursing, 2000 Mar; 31(3), 583-9.
Call Number NRSNZNO @ research @ Serial 837
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Author Walsh, K.; Moss, C.; Lawless, J.; McKelvie, R.; Duncan, L.
Title Puzzling practice: A strategy for working with clinical practice issues Type Journal Article
Year 2008 Publication International Journal of Law and Psychiatry Abbreviated Journal (up)
Volume 14 Issue 2 Pages 94-100
Keywords Nursing philosophy; Clinical decision making; Problem solving
Abstract The authors share the evolution of innovative ways to explore, 'unpack' and re-frame clinical issues that exist in everyday practice. The elements of these processes, which they call 'puzzling practice', and the techniques associated with them, were delineated over a two year period by the authors using action theory based processes. The authors have evolved several different frameworks for 'puzzling practice' which they draw on and use in their practice development work and in research practice. This paper pays attention to a particular form of puzzling practice that they found to be useful in assisting individual clinicians and teams to explore and find workable solutions to practice issues. In this example 'puzzling practice' uses seven different elements; naming the issue; puzzling the issue; testing the puzzle; exploring the heart of out practice; formulating the puzzle question; visualising the future; and generating new strategies for action. Each of the elements is illustrated by the story and the key foundations and ideas behind each element is explored.
Call Number NRSNZNO @ research @ Serial 838
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