| Records |
| Author |
Fielding, S. |
| Title |
Learning to do, learning to be: The transition to competence in critical care nursing |
Type |
|
| Year |
2006 |
Publication |
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Abbreviated Journal |
Auckland University of Technology Library |
| Volume |
|
Issue |
|
Pages |
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| Keywords |
Intensive care nursing; Preceptorship; Nursing specialties |
| Abstract |
Making the transition to an area of specialist nursing practice is challenging for both the learner and staff who are responsible for education and skill development. This study uses grounded theory methodology to explore the question: “How do nurses learn critical care nursing?” The eight registered nurses who participated in this study were recruited from a range of intensive care settings. The criteria for inclusion in the study included the participant having attained competency within the critical care setting. Data was collected from individual interviews. This study found that nurses focus on two main areas during their orientation and induction into critical care nursing practice. These are learning to do (skill acquisition) and learning to be (professional socialisation). The process of transition involves two stages: that of learning to do the tasks related to critical care nursing practice, and the ongoing development of competence and confidence in practice ability. The relationship of the learner with the critical care team is a vital part of the transition to competency within the specialist area. This study identifies factors that influence the learner during transition and also provides an understanding of the strategies used by the learners to attain competency. These findings are applicable to educators and leaders responsible for the education and ongoing learning of nurses within critical care practice. The use of strategies such as simulated learning and repetition are significant in skill acquisition. However attention must also be paid to issues that influence the professional socialisation process, such as the quality of preceptor input during orientation and the use of ongoing mentoring of the learner. |
Call Number  |
NRSNZNO @ research @ |
Serial |
509 |
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| Author |
Robertson, A.M. |
| Title |
Meeting the maternity needs of rural women: Negotiating the reality of remote rural nursing and midwifery practice |
Type |
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| Year |
2006 |
Publication |
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Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
| Volume |
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Issue |
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Pages |
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| Keywords |
Rural nursing; Midwifery |
| Abstract |
Recent changes to the way that health services are provided and issues related to the rural health workforce are creating an international crisis in the availability of rural maternity care. International trends show a workforce decline in rural general practitioner obstetric specialists and rural midwives, as well as a decline in rural births. The aim of this study is to highlight the maternity needs of rural New Zealand women. Further, it discusses how the changes to maternity services in New Zealand, over the last sixteen years, have impacted on the rural nurse and midwife role and therefore on service provision. This information is intended to identify issues that could be used as the basis for development of a uniquely rural model of maternity care. |
| Call Number |
NRSNZNO @ research @ |
Serial |
510 |
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| Author |
Cleaver, H. |
| Title |
Reflections on knowing, not knowing and being in palliative care nursing |
Type |
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| Year |
2005 |
Publication |
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Abbreviated Journal |
Victoria University of Wellington Library |
| Volume |
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Issue |
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Pages |
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| Keywords |
Palliative care; Nursing; Terminal care; Nurse-family relations; Nurse-patient relations |
| Abstract |
The author notes that responses to questions from dying people and their families are as individual as each nurse, patient, family member, or situation. This is well recognised and an unspoken truth in palliative care practice. This paper explores the subjective nature of knowledge in palliative care generated through capturing moments of practice and subsequent reflections. This demonstrates how the author uses her model of care to open a space that enables the person and their family to find meaning from their experience and articulate what they need at the time. The author identifies her interest in the paradoxical reality of knowing and not knowing and describes how that paradox contributes to her role in supporting individuals' needs within their realities. |
| Call Number |
NRSNZNO @ research @ |
Serial |
511 |
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| Author |
McKerras, R. |
| Title |
Waiting in the emergency department – it doesn't have to take all day |
Type |
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| Year |
2005 |
Publication |
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Abbreviated Journal |
Victoria University of Wellington Library |
| Volume |
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Issue |
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Pages |
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| Keywords |
Emergency nursing |
| Abstract |
This thesis explores the nature of the emergency department environment as it continues to challenge emergency nurses to meet the health needs of an increasingly complex emergency department population. The emergency nurse is also facing conflict and challenge with regard to workplace safety and patient rights. The author suggests that, until recently, very little debate or consideration has been given to the moral dilemmas raised in the ability of emergency department staff to deliver timely and appropriate care in an overcrowded environment. She goes on to say that, in New Zealand, there is no national consistency with regard to the waiting crisis, no national guidelines and no national consensus putting the emergency nurse at risk. This thesis argues the need to acknowledge waiting times as a significant safety issue at a national level as increasing waiting times continue to impact on patient outcomes and nursing practice. It challenges current practice, in particular the role of the emergency nurse and the potential to legitimise expansion of the role to improve the patient experience of waiting in the emergency department. |
| Call Number |
NRSNZNO @ research @ |
Serial |
512 |
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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 |
|
| 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 |
Truscott, J.M.; Townsend, J.M.; Arnold, E.P. |
| Title |
A successful nurse-led model in the elective orthopaedic admissions process |
Type |
Journal Article |
| Year |
2007 |
Publication |
New Zealand Medical Journal |
Abbreviated Journal |
NZ Medical Association website. Access free to articles older than 6 months. |
| Volume |
120 |
Issue |
1265 |
Pages |
|
| Keywords |
Surgery; Hospitals; Nursing; Administration |
| Abstract |
This paper documents a successful nurse-led admissions process for same day orthopaedic surgery, on relatively fit patients under 70 years of age. During the 6-month study, 31 patients with a median age of 38 years were categorised into 3 streams. 252 patients (76%) underwent a nursing-admission process without the need for further consultation with a junior medical officer or an anaesthetist. The remaining patients not included in the study were admitted and clerked by a house officer. No safety issues arose and the surgeons and anaesthetists were satisfied with the process. The junior medical officers described improved job satisfaction by being able to attend theatre, other educational opportunities, and working more closely with the consultant. The process has now been incorporated into elective orthopaedic admissions at Burwood Hospital. |
| Call Number |
NRSNZNO @ research @ |
Serial |
516 |
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| Author |
Crawley, J. |
| Title |
Tales full of treasure: Children's picture books as flexible learning tools for tertiary students |
Type |
Journal Article |
| Year |
2007 |
Publication |
Scope: Contemporary Research Topics (Flexible Learning) |
Abbreviated Journal |
Free to download, registration required |
| Volume |
1 |
Issue |
|
Pages |
16-23 |
| Keywords |
Teaching methods; Students; Nursing |
| Abstract |
The author describes the use of children's picture books as a flexible learning resource within the undergraduate nursing programme at Otago Polytechnic. This technique is demonstrated by the use of the book 'Mummy Laid An Egg', by Babette Cole, to explore the concept of sexuality with first year nursing students. |
| Call Number |
NRSNZNO @ research @ |
Serial |
517 |
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| Author |
Alcorn, G. |
| Title |
The youth health specialty in New Zealand: Collaborative practice and future development |
Type |
Journal Article |
| Year |
2007 |
Publication |
New Zealand Family Physician |
Abbreviated Journal |
The Royal New Zealand College of General Practitioners website |
| Volume |
34 |
Issue |
3 |
Pages |
162-167 |
| Keywords |
Adolescents; Community health nursing; Primary health care; Nurse practitioners; School nursing |
| Abstract |
This paper details the workforce capacity of youth health nursing and medical staffing required for community-based and school-based youth health services. The author shows how youth health services seek to complement the care delivered by Primary Health Organisations (PHOs) and other allied health care services in the community. She outlines the development and operation at VIBE, a community-based youth health service in the Hutt Valley with school-based youth health services delivered at four low deciles secondary schools. She explains that developing workforce capacity for youth health services is a primary health care priority and an important means to address inequalities and to improve the health services of young people. |
| Call Number |
NRSNZNO @ research @ |
Serial |
518 |
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| Author |
Grayson, S.; Horsburgh, M.; Lesa, R.; Lennon, D. |
| Title |
An Auckland regional audit of the nurse-led rheumatic fever secondary prophylaxis programme |
Type |
Journal Article |
| Year |
2006 |
Publication |
New Zealand Medical Journal |
Abbreviated Journal |
Access is free to articles older than 6 months, and abstracts. |
| Volume |
119 |
Issue |
1243 |
Pages |
|
| Keywords |
Community health nursing; Patient compliance |
| Abstract |
The researchers assessed the compliance rates with the rheumatic fever secondary prophylaxis programme established through the Auckland Rheumatic Fever Register and managed by community nursing services in Auckland. They undertook an audit of the 1998 and 2000 Auckland Rheumatic Fever Register data to establish the compliance rates of patients with the rheumatic fever secondary prophylaxis programme. The sample included all patients on the Auckland Rheumatic Fever Register during this time. Results showed compliance rates across the three Auckland DHBs ranging from 79.9% to 100% for individual community nursing offices. They found that a community-based nurse-led secondary prophylaxis programme for rheumatic fever heart disease is able to deliver excellent patient compliance levels. Secondary prophylaxis is the WHO-recommended cost effective first step to rheumatic fever/rheumatic heart disease control. Community health workers have a key role to play in facilitating this compliance. |
| Call Number |
NRSNZNO @ research @ |
Serial |
520 |
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| Author |
Richardson, S.; Ardagh, M.; Hider, P. |
| Title |
New Zealand health professionals do not agree about what defines appropriate attendance at an emergency department |
Type |
Journal Article |
| Year |
2006 |
Publication |
New Zealand Medical Journal |
Abbreviated Journal |
Access is free to articles older than 6 months, and abstracts. |
| Volume |
119 |
Issue |
1232 |
Pages |
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| Keywords |
Hospitals; Clinical assessment; Interprofessional relations |
| Abstract |
This study aims to examine the concept of 'inappropriate' emergency department attendances in relation to the emergency department at Christchurch Hospital. It specifically seeks to determine whether there is a consensus opinion among healthcare providers regarding a definition of 'inappropriate'. An exploratory survey of health professionals involved with the referral, assessment, transport, and treatment of emergency department patients in Christchurch was carried out. A range of health professionals, including ambulance personnel, general practitioners, emergency department physicians, emergency nurses, and hospital managers were approached. A series of questions relating to definition and response to 'inappropriate' patients was asked, with an additional open-ended question relating to the definition of 'appropriateness'. The researchers found significant differences in the attitudes and perceptions of key health professionals involved in the referral, treatment, and admission of patients to the emergency department. This has implications for any interventions aimed at addressing emergency department 'overcrowding' that assume the presence of a consensus understanding of this concept. |
| Call Number |
NRSNZNO @ research @ |
Serial |
526 |
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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 |
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| Volume |
119 |
Issue |
1231 |
Pages |
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| 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 |
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| 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 |
|
| 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 |
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| 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 |
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| 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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