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Author (up) Armstrong, S.E.
Title Exploring the nursing reality of the sole on-call primary health care rural nurse (PHCRN) interface with secondary care doctors Type
Year 2006 Publication Abbreviated Journal University of Otago Library
Volume Issue Pages
Keywords Rural nursing; Rural health services; Relationships
Abstract A qualitative framework was used to explore the nature and the quality of interactions between sole on-call primary health care rural nurses and secondary care doctors as a component of rural nursing practice and representative of the primary-secondary care interface. Crucial to patient centred care, the premise was that the quality of this interface would be variable due to multiple influences such as: the historical nurse/doctor relationship that has perpetuated medical dominance and nursing subordination; current policy direction encouraging greater inter-professional collaboration; and changing role boundaries threatening traditional professional positioning. A total of 11 nurses representing 10 separate rural areas participated in semi-structured interviews. Rural nurses typically interact with secondary care doctors for acute clinical presentations with two tiers of interaction identified. The first tier was presented as a default to secondary care doctors for assistance with managing primary care level clinical presentations in the absence of access to a general practitioner or an appropriate Standing Order enabling appropriate management. The second tier presented itself as situations where, in the professional judgement of the nurse, the client status indicated a need for secondary level expertise and/or referral to secondary care. The needs of the rural nurse in these interactions were identified as access to expertise in diagnosis, therapy and management, authorisation to act when intervention would exceed the nurse's scope of practice; the need to refer clients to secondary care; and the need for reassurance, encompassing emotional and professional issues. The quality of the interactions was found to be variable but predominantly positive. Professional outcomes of positive interactions included professional acknowledgement, support and continuing professional development. For the patient, the outcomes included appropriate, timely, safe intervention and patient centred care. The infrequent but less than ideal interactions between the participants and secondary care doctors led to professional outcomes of intraprofessional discord, a sense of invisibility for the nurse, increased professional risk and professional dissatisfaction; and for the client an increased potential for deleterious outcome and suffering. Instead of the proposition of variability arising from interprofessional discord and the current policy direction, the data suggested that variability arose from three interlinking factors; appropriate or inappropriate utilisation of secondary care doctors; familiarity among individuals with professional roles and issues of rurality; and acceptance by the primary care doctor of the sole on-call primary health care rural nurse role and the responsibility to assist with the provision of primary health care. Recommendations for improving interactions at the interface include national, regional and individual professional actions.
Call Number NRSNZNO @ research @ Serial 493
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Author (up) Armstrong,S
Title How can the medical librarian contribute to evidence-based nursing practice Type
Year 1998 Publication Abbreviated Journal Held by Lakes DHB LIbrary (ROM)
Volume Issue Pages
Keywords
Abstract Submitted to the School of Communications and Information Management, Victoria University of Wellington, in partial fulfilment of the requirements for the degree of Master of Library and Information studies.
Call Number NZNO @ research @ Serial 1361
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Author (up) Asbury, Elizabeth A
Title The importance of conference attendance in developing research collaborations Type Journal Article
Year 2017 Publication Whitireia Nursing and Health Journal Abbreviated Journal
Volume Issue 24 Pages 59-62
Keywords Research; Collaboration; Presentation; Publication
Abstract Suggests that conferences may play a vital role in creating and maintaining collaborative research relationships. Administers an anonymous questionnaire to 146 research-active, degree-teaching staff employed at Whitireia NZ, to elicit information relating to previous or current research collaborations. Reports the association between conference attendance and collaborative research.
Call Number NZNO @ research @ Serial 1552
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Author (up) Asbury, Elizabeth; Orsborn, Georgina
Title Teaching sensitive topics in an online environment: an evaluation of cultural safety e-learning Type Journal Article
Year 2020 Publication Whitireia Journal of Nursing, Health and Social Services Abbreviated Journal
Volume 27 Issue Pages 23-31
Keywords Cultural safety; Nursing education; Treaty of Waitangi; E-learning; Surveys
Abstract Tests an e-module for teaching cultural safety to address technical issues, content and suitability. Enrols 19 nursing students in an evaluation of the pilot online learning module.
Call Number NZNO @ research @ Serial 1711
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Author (up) Aspinall, Cathleen
Title The impact of intersectionality on the empowerment and development of nurses into leadership roles Type Book Whole
Year 2022 Publication Abbreviated Journal
Volume Issue Pages 149 p.
Keywords Intersectionality; Leadership; Empowerment; Surveys
Abstract Highlights the impact of the intersection of socially-constructed identities such as race, gender, and class, on nurses' ability to develop as leaders. Aims to learn how to create a culture of nursing leadership by explaining the impact of intersectionality on the empowerment and development of nurses into leadership roles. Designs a mixed-methods, explanatory, sequential research study in two phases, comprising an online questionnaire and 31 semi-structured interviews with nurses and managers.
Call Number NZNO @ research @ Serial 1835
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Author (up) Atherfold, C.
Title Will someone walk with me? A case study exploration of graduate nurses' perceptions of the preceptored experience Type
Year 2008 Publication Abbreviated Journal Unitec New Zealand Library
Volume Issue Pages
Keywords Preceptorship; New graduate nurses
Abstract The transition from student to registered nurse is a challenging and often stressful time in a nurse's career. This thesis is a case study research project that explores the graduate nurses' perceptions of preceptorship as a strategy to support this transition at Lakes District Health Board (DHB). As a provider of graduate nurse programmes since 1995, Lakes DHB has provided preceptorship for the nurse in the initial period of clinical practice. Annual evaluation by questionnaire identified that this has been applied in a range of ways in different clinical settings with varying degrees of effectiveness. Further inquiry into graduate nurses' perceptions of the preceptored experience during the first twelve weeks of practice within Lakes DHB forms the basis of this research project. The intention is to utilise this insight to further inform the development of preceptor education programmes and application of the preceptor role in the practice setting. Using the case study research method, data has been collected from fourteen participants using semi-structured interviews, focus groups and secondary data from the previous year's questionnaire undertaken by preceptors and graduate nurses. Thematic analysis of the data has resulted in two categories, each with three associated themes. The first category relates to functional factors in the way the preceptorship role is applied. This explores the role of the Clinical Nurse Educator (CNE), organisation within the unit and the teaching of clinical skills. The second category relates to psychosocial considerations and includes the graduate's sense of being scared and advocacy of the preceptor, socialisation and team support, and the preceptor's own experience as a registered nurse. Recommendations from the research include the allocation of a dedicated preceptor selected with consideration for relational ability; complementary rostering and workload allocation to ensure that the preceptor and graduate nurse work together; early notification when preceptor arrangements break down; implementation of a clinical coaching plan; and strengthening the CNE's role as a leader facilitating and supporting preceptorship in the units. Opportunities for further research that arise from the study include the perceptions of the preceptors and the nursing leadership in clinical areas. Structuring the application of preceptorship, to ensure that all of these aspects are woven throughout the graduate nurse's transition results in Korowai Aroha, a cloak of covering for a supported transition that facilitates the development of practice.
Call Number NRSNZNO @ research @ Serial 866
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Author (up) Atherton, Susan; Crossan, Michael; Honey, Michelle
Title The impact of simulation education amongst nurses to raise the option of tissue donation in an intensive care unit Type Journal Article
Year 2020 Publication Nursing Praxis in Aotearoa New Zealand Abbreviated Journal
Volume 36 Issue 1 Pages 20-29
Keywords Simulation education; Tissue donation; Intensive care unit
Abstract Explores the impact of simulation education on nurses' perception and experiences of raising the option of tissue donation with families of deceased patients in an intensive care unit. Conducts semi-structured interviews with 5 of 21 nurses participating in simulated education sessions involving family conversations about donation. Identifies four themes: rehearsal, confidence, nurse-family relationship, and sharing.
Call Number NZNO @ research @ Serial 1673
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Author (up) Atkin, Rachel
Title Discourses of deficiency: An analysis of the critical care outreach literature Type
Year 2008 Publication Abbreviated Journal http://researcharchive.wintec.ac.nz/1/
Volume Issue Pages
Keywords
Abstract Critical care outreach is part of a new approach to manage all critically ill patients, regardless of where they are located in the hospital. It is the complete process of care that focuses on individual patients needs rather than on beds and buildings. There has been a proliferation of research literature since critical care outreach teams were introduced and subsequently required to provide robust evidence in the form of research to prove the effectiveness of their service. The research conducted by nurses has largely focused on phenomenological inquiry and has utilised methodologies such as questionnaires and interviews.
Call Number NZNO @ research @ Serial 1376
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Author (up) Atkinson,J.
Title Experiences of relatives in an emergency department accompanying a non-critically ill family member [electronic resource] : a hermeneutic study Type
Year 2006 Publication Abbreviated Journal Held by Lakes DHB Library (ROM)
Volume Issue Pages
Keywords
Abstract A dissertation presented in part fulfillment of the requirements for Master of Health Science, Auckland University of Technology.
Call Number NZNO @ research @ Serial 1368
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Author (up) Baby, Maria
Title Mental health nurses' experiences of patient assaults Type Book Whole
Year 2013 Publication Abbreviated Journal
Volume Issue Pages 1v
Keywords Patient assaults; Mental health nurses; Violence; Surveys
Abstract Interviews thirteen registered nurses and one enrolled nurse working in different nursing positions within the Southern District Health Board -- Mental Health Services. Codes data into 24 sub-themes related to the sequence and impact of assaults on the participants. Discusses the nature and impact of assaults and the supportive strategies associated with violence against mental health nurses.
Call Number NZNO @ research @ Serial 1571
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Author (up) Bailey, A.M.
Title The New Zealand practice nurse in the primary health environment of the 21st century Type
Year 2004 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages
Keywords Policy; Practice nurses; Primary health care
Abstract This paper is a culmination of the author's inquiry, reflection and critical thinking on the transitional phase that practice nursing is currently undergoing as part of the New Zealand Primary Health Strategy. The paper utilises both reflection-in-action and reflection-on-action as well as reflection-before-action, as a process. The author's starting point for this inquiry was attending the New Zealand Nurses Organisation Primary Health Conference in Wellington and reading a report from the Expert Advisory Group on Primary Health Care Nursing. Knowing that practice nurses are the majority of nurses working in primary health, she was concerned that changes to primary health were being driven with little reference or participation by them. The paper explores how practice nursing evolved in New Zealand and the developments that have occurred in the 30 plus years since its inception. It describes the role and current work of practice nursing in general practice, and highlights the constraints that have held back development and continue to do so. The 2002 New Zealand Primary Health Strategy is shown to provide an opportunity for development and enhancement, if some of the constraints are removed. As part of looking to the future the possibilities for practice nurses to lead the way in primary health development are explored.
Call Number NRSNZNO @ research @ Serial 831
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Author (up) Baker, K.O.
Title A journey: Experienced respiratory nurses working with patients with chronic breathlessness Type
Year 2006 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages
Keywords Nursing specialties; Nurse-patient relations
Abstract Respiratory nursing has, as a core clinical concern, the alleviation of distress and suffering associated with respiratory disease. This research describes the ways in which experienced New Zealand respiratory nurses understand, assess, manage and support patients suffering from chronic breathlessness. It reviews the professional context in which these nurses practice, and examines the experiences and beliefs that have lead them to, and maintain them in, this area of practice. This study has been stimulated by the realisation that the skills, understandings and practice wisdom exhibited by experienced Respiratory Nurses is poorly described in the published research literature. This qualitative, grounded theory research is based upon data gathered from in-depth interviews with six experienced New Zealand respiratory nurses. A constructivist research position is adopted. Analysis of these interviews revealed distinct phases of developing respiratory nurse practice including preparing and entering respiratory nursing practice, comprehension of the phenomena of chronic breathlessness and the effect upon the patient and the seeking of possibilities which may alleviate and modify the debilitating effects of chronic breathlessness. Consistent values and beliefs are identified, which are captured in the concepts of professional caring and the movement towards developing expertise in practice. The unifying concept of journeying is employed to draw together these conceptual elements and develop a substantive model describing the work of experienced respiratory nurses with patients with chronic breathlessness. Implications for practice and the health system, and suggestions for further research, are discussed.
Call Number NRSNZNO @ research @ Serial 508
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Author (up) Baldwin, Angela
Title Effective home based care to enhance the health status of children under five years. Margaret May Blackwell Study Fellowship Report 1998 Type Report
Year 1999 Publication Abbreviated Journal
Volume Issue Pages 44
Keywords Child health services; Family health; Home care services; Community health services; Reports
Abstract Highlights well-child and family health programmes in the US, Canada, and the UK. Provides an overview of the programmes and their clinical effectiveness, focusing on the themes that emerged. Part of the Margaret May Blackwell Scholarship Reports series.
Call Number NZNO @ research @ Serial 1425
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Author (up) Ball, Christine
Title Are we ready yet?: New graduate nurses' experience of workplace violence and agression and their sense of readiness Type Book Whole
Year 2016 Publication Abbreviated Journal
Volume Issue Pages 160 p.
Keywords Graduate nurses; Workplace violence; Workplace aggression
Abstract Uses a qualitative descriptive approach to explore the experience of 7 graduate nurses employed in a range of sectors, of workplace violence and aggression (WPVA). Conducts semi-structured interviews and analyses the data using thematic analysis, generating 3 themes: Part of the Journey, Towards Self-Efficacy, and Maintaining Integrity. Identifies coping strategies.
Call Number NZNO @ research @ Serial 1564
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Author (up) Banks, J.; McArthur, J.; Gordon, G.
Title Flexible monitoring in the management of patient care process: A pilot study Type Journal Article
Year 2000 Publication Lippincott's Case Management Abbreviated Journal
Volume 5 Issue 3 Pages 94-106
Keywords Hospitals; Cardiovascular diseases; Nursing
Abstract This article describes a study conducted on the internal medicine, general surgical, and vascular wards of a large metropolitan hospital to assess the impact of a networked monitoring system and portable patient monitors. This pilot study was developed to address the needs of hospital patients who require continuous non-invasive vital signs monitoring (including heart rate, non-invasive blood pressure, pulse oximetry, cardiac waveform monitoring) with the addition of surveillance from a cardiac intensive care area. Data were collected from 114 patients over a three-month period to identify a patient group that could be managed appropriately under the new system and to determine the effect that flexible monitoring had on patient care management. Findings include identification of a specific patient group that can be managed successfully outside the cardiac intensive care area using this system. Other findings suggest a way to improve the management of patient monitoring in the general ward areas.
Call Number NRSNZNO @ research @ Serial 1091
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