| Records |
| Author |
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 |
Honeyfield, Margy |
| Title |
The necessity of effective nursing leadership for the retention of professional hospital nurses |
Type |
|
| Year |
2008 |
Publication |
|
Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
| Volume |
|
Issue |
|
Pages |
64 |
| Keywords |
Recruitment and retention; Leadership; Nursing; Policy |
| Abstract |
The author notes that it is widely accepted that there is a global shortage of nurses, and there are many studies in the health workforce literature about the negative aspects of nurse work environments, nursing workloads, decreased job satisfaction of nurses and the impact these have on patient health outcomes. In the past five years there has also been international and New Zealand-specific research into the effects of health restructuring on nursing leadership, retention of nurses, and on patient care. Much of this research has shown that countries with very different health care systems have similar problems, not only with retention of qualified nursing staff due to high levels of job dissatisfaction, but also with work design and the provision of good quality patient care in hospitals. This dissertation explores the many detrimental effects on nurses and nursing leadership, of extensive, and continuing, public health restructuring in New Zealand. The context of this dissertation is New Zealand public hospitals, with references pertaining to medical and surgical areas of nursing practice. Health reforms have negatively impacted on patient care delivery systems, patient health outcomes, and retention of educated nurses in the workforce. In order to resolve these issues, coordinated efforts are required in New Zealand district health boards to develop and sustain effective nursing leaders, who will promote and assist in the development of strong, healthy organisational cultures to retain and support professional nurses and the ways in which they wish to practise. |
| Call Number |
NRSNZNO @ research @ |
Serial |
868 |
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| Author |
Richardson, F.I. |
| Title |
What is it like to teach cultural safety in a New Zealand nursing education programme? |
Type |
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| Year |
2000 |
Publication |
|
Abbreviated Journal |
Massey University Library; NZNO Library |
| Volume |
|
Issue |
|
Pages |
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| Keywords |
Cultural safety; Nursing; Education; Transcultural nursing; Maori |
| Abstract |
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| Call Number |
NRSNZNO @ research @ |
Serial |
872 |
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| Author |
Hardcastle, J. |
| Title |
The meaning of effective education for critical care nursing practice: A thematic analysis |
Type |
Journal Article |
| Year |
2004 |
Publication |
Australian Critical Care |
Abbreviated Journal |
|
| Volume |
17 |
Issue |
3 |
Pages |
114, 116-2 |
| Keywords |
Hospitals; Nursing; Education; Nursing specialties |
| Abstract |
Using thematic analysis, this study explored the phenomenon of effective education for critical care nursing practice by asking: What does effective education for critical care nursing practice mean to nurses currently practising in the specialty? Eighty eight critical care nurses from the South Island provided written descriptions of what effective education for critical care nursing practice meant to them. Descriptive statements were analysed to reveal constituents, themes and essences of meaning. Four core themes of personal quality, practice quality, the learning process and learning needs emerged. Appropriateness or relevance for individual learning needs is further identified as an essential theme within the meaning of effective education for critical care nursing practice. Shared experiences of the phenomenon are made explicit and discussed with reference to education and practice development in the specialty. The study results lend support to education that focuses on individual learning needs, and identifies work based learning as a potential strategy for learning and practice development in critical care nursing. |
| Call Number |
NRSNZNO @ research @ |
Serial |
873 |
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| Author |
Fourie, W.; McDonald, S.; Connor, J.; Bartlett, S. |
| Title |
The role of the registered nurse in an acute mental health inpatient setting in New Zealand: Perceptions versus reality |
Type |
Journal Article |
| Year |
2005 |
Publication |
International Journal of Mental Health Nursing |
Abbreviated Journal |
Available online from Coda: An institutional repository for the ITP sector |
| Volume |
14 |
Issue |
2 |
Pages |
134-141 |
| Keywords |
Psychiatric Nursing; Nurse-patient relations; Organisational change |
| Abstract |
This study compared the perceptions that registered psychiatric nurses have of their roles with their actual practice. Following the closure of large scale psychiatric institutions in New Zealand, there was was an increased demand for limited beds in acute inpatient facilities for acutely mentally ill patients. This change in location and downsizing of acute inpatient beds challenged traditional roles of mental health nursing, resulting in confusion over what roles mental health nurses should now perform in the new context of care. This qualitative descriptive exploratory study observed nursing practice on three selected wards and used focus group interviews to establish from registered nurses what they perceived their roles to be. A key finding of this study was that many of the nursing roles related to delivering care from a crisis management perspective, which covers aspects such as assessment, stabilisation of symptoms and discharge planning. Participants also believed that the therapeutic relationship was a fundamental role in inpatient care. Nurses used any opportunity to make it a reality such as kitchen organisation, medications, or dealing with a challenging patient. This study highlighted the complexity of the roles that nurses performed and went some way to give voice to what at times seems an invisible practice. |
| Call Number |
NRSNZNO @ research @ |
Serial |
875 |
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| Author |
Drake, M. |
| Title |
The sonata form of musical composition as a framework for thesis writing |
Type |
Journal Article |
| Year |
2004 |
Publication |
Contemporary Nurse |
Abbreviated Journal |
|
| Volume |
16 |
Issue |
3 |
Pages |
252-258 |
| Keywords |
Nursing research; Nursing; Education |
| Abstract |
This article introduces an innovation in writing master's level research and suggests that other structures may offer new and different frameworks for reporting nursing research. This is exemplified by reference to an example of nursing research which adopted the sonata form of musical composition as the framework for presentation of the thesis. |
| Call Number |
NRSNZNO @ research @ |
Serial |
876 |
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| Author |
Smythe, E. |
| Title |
Uncovering the meaning of 'being safe' in practice |
Type |
Journal Article |
| Year |
2003 |
Publication |
Contemporary Nurse |
Abbreviated Journal |
|
| Volume |
14 |
Issue |
2 |
Pages |
196-204 |
| Keywords |
Childbirth; Patient safety; Advanced nursing practice; Midwifery |
| Abstract |
This paper moves away from the prevalent discourse of competence to consider the meaning of the experience of 'being safe' within the context of childbirth. It offers findings from a doctoral study, informed by the philosophies of Heidegger and Gadamer. Following ethical approval, the data was collected in New Zealand by tape-recorded interviews of 5 midwives, 4 obstetricians, 1 general practitioner and 10 women. The method was informed by van Manen. The findings reveal that in seeking the meaning of being safe one needs to be aware that the unsafety may already be present in the situation. Practitioners may be able to do little to rectify the unsafeness. There is, however, a spirit of safe practice, explicated in this paper, that is likely to make practice as safe as it can possibly be. Wise practitioners are ever mindful that a situation may be or become unsafe, and are always aware of their own limitations. |
| Call Number |
NRSNZNO @ research @ |
Serial |
877 |
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| Author |
Spence, D.; Fielding, S. |
| Title |
Win-win-win: Collaboration advances critical care practice |
Type |
Journal Article |
| Year |
2002 |
Publication |
Contemporary Nurse |
Abbreviated Journal |
|
| Volume |
13 |
Issue |
2/3 |
Pages |
223-228 |
| Keywords |
Nursing specialties; Rural nursing; Nursing; Education; Curriculum |
| Abstract |
This paper provides an overview of the structure and processes of an eighteen month, distance education course focused on developing advanced practice in the context of critical care nursing. Within the framework of a Master of Health Science, the postgraduate certificate (critical care nursing) was developed as a collaboration between Auckland University of Technology and two regional health providers. Students enrol in science and knowledge papers concurrently then, in the second half of the course, are supported within their practice environment to acquire advanced clinical skills and to analyse, critique and develop practice within their specialty. This course is set against a background of increasing interest in education post registration. The acquisition of highly developed clinical capabilities requires a combination of nursing experience and education. This requires collaboration between clinicians and nurse educators, and approaches to address accessibility of relevant educational opportunities for nurses outside the country's main centres. |
| Call Number |
NRSNZNO @ research @ |
Serial |
878 |
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| Author |
Day, W. |
| Title |
Women and cardiac rehabilitation: A review of the literature |
Type |
Journal Article |
| Year |
2003 |
Publication |
Contemporary Nurse |
Abbreviated Journal |
|
| Volume |
16 |
Issue |
1-2 |
Pages |
92-101 |
| Keywords |
Cardiovascular diseases; Gender; Nursing; Research |
| Abstract |
This literature review explores some of the issues related to women's experience of cardiac rehabilitation and demonstrates that women's experience may be different to that of men. Much of the research related to coronary heart disease (CHD) has been performed using either exclusively male populations or such small numbers of women that the results from the women studied were unable to be analysed independently. The author advocates that nurses working within this area of practice require an understanding of women's experience of recovery from a heart attack in order to better meet their needs. |
| Call Number |
NRSNZNO @ research @ |
Serial |
879 |
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| Author |
Giddings, D.L.S.; Roy, D.E.; Predeger, E. |
| Title |
Women's experience of ageing with a chronic condition |
Type |
Journal Article |
| Year |
2007 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
|
| Volume |
58 |
Issue |
6 |
Pages |
557-565 |
| Keywords |
Chronic diseases; Age factors; Gender; Nursing |
| Abstract |
This paper is a report of a study to explore the experiences of 'almost old' women as they grow older while living with a chronic condition. Little is known about the contextual effects of ageing and how it shapes and is shaped by a woman's chronic illness experience. Seven women aged between 50 and 58 years participated in this interpretive descriptive study that explored the issues of ageing with a chronic condition. Three focus groups were held between March 2003 and March 2004. Transcriptions were analysed after each focus group. Participants were given the opportunity to respond to the findings as the analysis progressed. The experience of living with a chronic illness foreshadowed what was to come with ageing and embodied the ageing process: it was just part of their lives. Alongside this, the women now felt less out of place. Their peers were catching up and beginning to experience aspects of participants' everyday reality. The women, however, experienced double jeopardy because ageing amplified the ongoing vulnerabilities of living with a chronic condition. The authors conclude that nurses who recognise the resourcefulness and expertise of women who live with a chronic condition can effectively be co-strategists in helping them to age well. |
| Call Number |
NRSNZNO @ research @ |
Serial |
880 |
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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 |
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| Author |
Greenwood, S.; Wright, T.; Nielsen, H. |
| Title |
Conversations in context: Cultural safety and reflexivity in child and family health nursing |
Type |
Journal Article |
| Year |
2006 |
Publication |
Journal of Family Nursing |
Abbreviated Journal |
|
| Volume |
12 |
Issue |
2 |
Pages |
201-224 |
| Keywords |
Cultural safety; Nursing; Education; Curriculum; Nursing philosophy; Teaching methods; Biculturalism |
| Abstract |
This article outlines some key aspects of the practice of a number of nurse educators and researchers, and their commitment to the needs of their specific region. The group has been based at the Waikato Institute of Technology (WINTEC) over the last decade and have worked collaboratively across primary health, cultural safety, and child and family health domains of the nursing curriculum. They share a common philosophy underpinned by notions of diversity and health equity. The philosophy informs their theoretical inquiry, practice and research interests, and pedagogical concerns. In this article, the nurse researchers begin by situating themselves within the region, its people, and influences before moving into a consideration of the wider political and policy environment. They then consider the destabilising effects of cultural safety education and the tension between biculturalism and multiculturalism in their context. Finally, they reflect on how these ideas inform their work with postgraduate child and family nurses. |
| Call Number |
NRSNZNO @ research @ |
Serial |
883 |
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| Author |
Strickland, A. |
| Title |
Nurse-initiated retinoblastoma service in New Zealand |
Type |
Journal Article |
| Year |
2006 |
Publication |
Insight: The Journal of the American Society of Ophthalmic Registered Nurses |
Abbreviated Journal |
|
| Volume |
31 |
Issue |
1 |
Pages |
8-10 |
| Keywords |
Case studies; Nursing specialties; Children; Quality of health care; Evaluation |
| Abstract |
This article describes the implementation of a nurse-led, dedicated support network and service for children with a diagnosis of retinoblastoma and their families. Nurses with an interest in retinoblastoma at an Auckland Ophthalmology Department realised that the service provided was not meeting the needs of patients and families, particularly since the numbers had increased over the past two years. This article outlines the development of a cost-effective approach that improved the service. |
| Call Number |
NRSNZNO @ research @ |
Serial |
884 |
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| Author |
Richardson, F.I.; Carryer, J.B. |
| Title |
Teaching cultural safety in a New Zealand nursing education program |
Type |
Journal Article |
| Year |
2005 |
Publication |
Journal of Nursing Education |
Abbreviated Journal |
|
| Volume |
44 |
Issue |
5 |
Pages |
201-208 |
| Keywords |
Cultural safety; Nursing; Education; Teaching methods; Feminist critique; Treaty of Waitangi; Maori |
| Abstract |
This article describes the findings of a research study on the experience of teaching cultural safety. As a teacher of cultural safety, the first author was interested in exploring the experience of teaching the topic with other cultural safety teachers. A qualitative approach situated in a critical theory paradigm was used for the study. The study was informed by the ideas of Foucault and feminist theory. Fourteen women between ages 20 and 60 were interviewed about their experience of teaching cultural safety. Five women were Maori and 9 were Pakeha. Following data analysis, three major themes were identified: that the Treaty of Waitangi provides for an examination of power in cultural safety education; that the broad concept of difference influences the experience of teaching cultural safety; and that the experience of teaching cultural safety has personal, professional, and political dimensions. These dimensions were experienced differently by Maori and Pakeha teachers. |
| Call Number |
NRSNZNO @ research @ |
Serial |
885 |
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| Author |
Flynn, L.; Carryer, J.B.; Budge, C. |
| Title |
Organisational attributes valued by hospital, home care, and district nurses in the United States and New Zealand |
Type |
Journal Article |
| Year |
2005 |
Publication |
Journal of Nursing Scholarship |
Abbreviated Journal |
|
| Volume |
37 |
Issue |
1 |
Pages |
67-72 |
| Keywords |
Organisational culture; Cross-cultural comparison; Nursing |
| Abstract |
The aim of this study was to determine whether hospital-based, home care, and district nurses identify a core set of organisational attributes in the nursing work environment that they value as important to the support of professional practice. Survey data, collected in 2002 2003 from 403 home care nurses in the United States and 320 district nurses in New Zealand, were pooled with an existing data set of 669 hospital-based nurses to conduct this descriptive, nonexperimental study. The importance of organisational attributes in the nursing work environment was measured using the Nursing Work Index-Revised (NWI-R). The authors found that at least 80% of hospital-based, home care, and district nurses either agreed or strongly agreed that 47 of the 49 items comprising the NWI-R represented organisational attributes they considered important to the support of their professional nursing practice. Mean importance scores among home care nurses, however, were significantly lower than were those of the other two groups. The authors conclude that the overall, hospital-based, home care, and district nurses had a high level of agreement regarding the importance of organisational traits to the support of their professional practice. The intensity of the attributes' importance was less among home care nurses. Further research is needed to determine whether this set of organisational traits, measured using the NWI-R, is associated with positive nurse and patient outcomes in home care and district nursing practice, as has been shown in acute care settings. |
| Call Number |
NRSNZNO @ research @ |
Serial |
886 |
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