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Author Pullon, S.; McKinlay, E.M.
Title Interprofessional learning: The solution to collaborative practice in primary care Type Journal Article
Year 2007 Publication New Zealand Family Physician Abbreviated Journal The Royal New Zealand College of General Practitioners website
Volume 34 Issue (down) 6 Pages 404-408
Keywords Interprofessional relations; Education; Primary health care; Communication
Abstract In this paper the authors outline the basis of interprofessional education, which occurs when members of two or more professions are engaged in learning together. They describe its relationship to primary care clinical practice, where it can lead to collaborative problem-solving approaches, mutual decision making and interdisciplinary teamwork. A New Zealand model of postgraduate interprofessional education is presented. Barriers to the implementation of interprofessional education in New Zealand are identified along with possible solutions.
Call Number NRSNZNO @ research @ Serial 458
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Author Harding, T.S.
Title The construction of men who are nurses as gay Type Journal Article
Year 2007 Publication Journal of Advanced Nursing Abbreviated Journal Coda: An institutional repository for the New Zealand ITP sector
Volume 60 Issue (down) 6 Pages 636-644
Keywords Male nurses; Prejudice; Sexuality
Abstract This paper is a report of a study to determine the construction of male nurses as gay, and to describe how this discourse impacts on a group of New Zealand male nurses. This social constructionist study drew on data collected from existing texts on men, nursing and masculinity and interviews with 18 New Zealand men conducted in 2003-2004. Discourse analysis, informed by masculinity theory and queer theory, was used to analyse the data. Despite the participants' beliefs that the majority of male nurses are heterosexual, the stereotype persists. A paradox emerged between the 'homosexual' general nurse and the 'heterosexual' pyschiatric nurse. The stigma associated with homosexuality exposes male nurses to homophobia in the workplace. The heterosexual men employed strategies to avoid the presumption of homosexuality; these included: avoiding contact with gay colleagues and overt expression of their heterosexuality. These stigmatising discourses create a barrier to caring and, aligned with the presence of homophobia in the workplace, deter men's entry into the profession and may be important issues with respect to their retention.
Call Number NRSNZNO @ research @ Serial 647
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Author McCallin, A.
Title Interdisciplinary team leadership: A revisionist approach for an old problem? Type Journal Article
Year 2003 Publication Journal of Nursing Management Abbreviated Journal
Volume 11 Issue (down) 6 Pages 364-370
Keywords Leadership; Multidisciplinary care teams; Organisational change
Abstract In this paper the author argues that the term interdisciplinary team leadership should be embraced cautiously. Preliminary research suggests that interdisciplinary team leadership is a model of shared leadership that requires more development if it is to become the cornerstone of interdisciplinary team practice in a radically reforming health sector. Stewardship is proposed as a potential philosophy for interdisciplinary team leadership, and a new, shared leadership role of practice leader is suggested.
Call Number NRSNZNO @ research @ 724 Serial 710
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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 (down) 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 Clendon, J.
Title Nurse-managed clinics: Issues in evaluation Type Journal Article
Year 2003 Publication Journal of Advanced Nursing Abbreviated Journal
Volume 44 Issue (down) 6 Pages 558-565
Keywords Evaluation research; Nurse managers; Qualiltative research; Patient satisfaction
Abstract This article explores the importance of evaluation of nurse-managed clinics using the Mana Health Clinic in Auckland, as an example. Fourth generation evaluation is offered as an appropriate methodology for undertaking evaluation of nurse-managed clinics. Fourth generation evaluation actively seeks involvement of clients in the process and outcome of the evaluation, resulting in participation and empowerment of stakeholders in the service – a precept often forgotten in traditional evaluation strategies and of vital importance in understanding why people use nurse-managed clinics. The method proposed here also incorporates the need for quantitative data. The main argument is that a combination of qualitative and quantitative data sources is likely to give the greatest understanding of nurse-managed clinics' utilisation.
Call Number NRSNZNO @ research @ Serial 949
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Author Payne, D.; Goedeke, S.
Title Holding together: Caring for clients undergoing assisted reproductive technologies Type Journal Article
Year 2007 Publication Journal of Advanced Nursing Abbreviated Journal
Volume 60 Issue (down) 6 Pages 645-653
Keywords Nursing specialties; Sexual and reproductive health; Communication; Multidisciplinary care teams
Abstract This paper reports a study to investigate the roles and experiences of nurses caring for clients undergoing assisted reproductive technologies (ART). Nurses are in a potentially unique position in the assisted reproductive technology environment as they maintain a more constant contact with the client. A qualitative approach was taken and a convenience sample of 15 nurses from New Zealand was interviewed in 2005. Data were analysed using interpretive description. The overarching theme identified was that of the potential role of the nurse to 'hold together' multiple components of the assisted reproductive technology process: holding together clients' emotional and physical experiences of assisted reproductive technologies; holding together the roles of different specialist team members; and holding together personal own emotions. It encompasses practices such as information-giving, interpreting, supporting and advocating. The researchers note that recognition of and support for the complexity of the role of ART nurses may positively contribute to clients' experiences.
Call Number NRSNZNO @ research @ 985 Serial 969
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Author Macfie, B.
Title Assessing health needs and identifying risk factors Type Journal Article
Year 2006 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 12 Issue (down) 6 Pages 16-18
Keywords Infants; Parents and caregivers; Clinical assessment; Risk factors; Plunket
Abstract In 2004, Plunket nurses from eight areas around New Zealand participated in collecting data for a research project on health needs assessment practices. This project aimed to examine risk factors identified by Plunket nurses, what areas of health need considered to be priorities; grading of health needs; and how closely the results of health need assessment aligned with the individual clients' deprivation score. The researchers examine the assessment of health needs against the use of the Deprivation Index, which indicates a specific population in a specific area, as a funding model. This study appeared to show there are two distinct groups of clients assessed as high needs: those with risk factors such as family violence and severe parental mental illness, and who may live in an area of 1-7 deprivation; and those with multiple risk factors which include poverty, low education, and/or reluctance to access services and support, and who usually live in dep 8-10 areas. This research supports the anecdotal evidence that significant health needs exist outside the lower deprivation areas.
Call Number NRSNZNO @ research @ Serial 974
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Author Manning, J.
Title Building trust with families in neonatal intensive care units Type Journal Article
Year 2006 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 12 Issue (down) 6 Pages 18-20
Keywords Paediatric nursing; Neonatal nursing; Parents and caregivers; Communication
Abstract Establishing a trusting relationship is a key therapeutic intervention for nurses working with families of hospitalised children. This article is an exploration of the definition of trust. Specifically, it considers how parents come to trust (or not) nurses in neonatal intensive care unit (NICU) helps to reveal the meaning of parent-nurse trust and how this affects nursing practice. Understanding and meeting parental needs is important in developing and sustaining trust. The medical model of care often dominates in NICU. This is a deficit model that focuses on illness and treatment. However, the use of a nursing framework, such as developmentally supportive family centred care, focuses on recognising and building on the strengths of the family, by fostering trust to equip the family with the capacity to manage their infant's health care.
Call Number NRSNZNO @ research @ Serial 976
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Author Floyd, S.; Meyer, A.
Title Intramuscular injections: What's best practice? Type Journal Article
Year 2007 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 13 Issue (down) 6 Pages 20-22
Keywords Professional competence; Registered nurses; Quality of health care; Evidence-based medicine
Abstract The aim of this research project was to explore issues around preferred injection site, intramuscular injections injection technique, particularly Z-tracking, and the wearing of gloves while administering intramuscular injections. The researchers conducted a literature search which revealed little published information on the use of intramuscular injections, despite them being part of everyday nursing practice. The guidelines for evidence-based practice in relation to intramuscular injections are reviewed and discussed. A survey of registered nurses on intramuscular injections sites and technique was conducted. An anonymous questionnaire, accompanied by an explanatory letter, was sent to 173 registered nurses working in general practice, prisons, and to community and inpatient mental health nurses. Response questionnaires were collated and a thematic analysis was undertaken. This research findings show that, despite the known iatrogenic complications which could occur when administering intramuscular injections, some registered nurses' practice does not appear to take this in to consideration. Furthermore, the majority of registered nurses did not use gloves and Z-tracking was not widely used among the sample group. The researchers conclude that although intramuscular injections are a fundamental skill, there appears to be limited research and evidence to support best practice. Education and support to change practice to reflect current research is paramount, if registered nurses are to remain competent.
Call Number NRSNZNO @ research @ Serial 986
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Author Wilkinson, J.A.
Title Creating a culture of workplace safety Type Journal Article
Year 2002 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 8 Issue (down) 6 Pages 14-15
Keywords Occupational health and safety; Workplace violence; District nursing; Organisational culture
Abstract This study investigated the safety of working environments of a group of urban district nurses. Six district nurses were interviewed and participated in a focus group. The findings focus on the risks associated with client behaviour and with the organisational structure in which district nurses work. Recommendations for primary, secondary and tertiary prevention of harm to nurses working in isolation in the community are presented. The author describes her personal background in district nursing, which prompted the study.
Call Number NRSNZNO @ research @ Serial 1002
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Author Brinkman, A.
Title Occupational stress in hospitals: A nursing perspective Type Journal Article
Year 2002 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 8 Issue (down) 6 Pages 21-23
Keywords Occupational health and safety; Stress; Nursing
Abstract This article examines the environmental stressors that cause occupational stress for many nurses, particularly the health reforms and the Employment Contracts Act (ECA). The concept of stress is reviewed and theories of occupational stress are described, including the demand-control theory and the transactional model. Nurses are advised to become aware of occupational stress in their workplaces, citing a study by the author showing high levels of stress among hospital nurses.
Call Number NRSNZNO @ research @ 1025 Serial 1009
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Author McKenna, B.; Poole, S.
Title Debating forensic mental health nursing [corrected] Type Miscellaneous
Year 2001 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 7 Issue (down) 6 Pages 18-20
Keywords Psychiatric Nursing; Law and legislation; Cross-cultural comparison; History of nursing
Abstract Forensic mental health nursing roles have developed along different lines in the United States and the United Kingdom. The authors suggest that New Zealand nurses consider the evolution of such roles here.
Call Number NRSNZNO @ research @ 1043 Serial 1027
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Author Mockett, L.; Horsfall, J.; O'Callaghan, W.
Title Education leadership in the clinical health care setting: A framework for nursing education development Type Journal Article
Year 2006 Publication Nurse Education in Practice Abbreviated Journal
Volume 6 Issue (down) 6 Pages 404-410
Keywords Organisational change; Law and legislation; Nursing; Education; Leadership
Abstract This paper describes how a new framework for clinical nursing education was introduced at Counties Manukau District Health Board. The project was initiated in response to the significant legislative and post registration nursing education changes within New Zealand. The journey of change has been a significant undertaking, and has required clear management, strong leadership, perseverance and understanding of the organisation's culture. The approach taken to managing the change had four stages, and reflects various change management models. The first stage, the identification process, identified the impetus for change. Creating the vision is the second stage and identified what the change would look like within the organisation. To ensure success and to guide the process of change a realistic and sustainable vision was developed. Implementing the vision was the third stage, and discusses the communication and pilot phase of implementing the nursing education framework. Stage four, embedding the vision, explores the process and experiences of changing an education culture and embedding the vision into an organisation. The paper concludes by discussing the importance of implementing robust, consistent, strategic and collaborative processes that reflect and evaluate best educational nursing practice.
Call Number NRSNZNO @ research @ Serial 1036
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Author Carter, H.; MacLeod, R.; Brander, P.; McPherson, K.
Title Living with a terminal illness: Patients' priorities Type Journal Article
Year 2004 Publication Journal of Advanced Nursing Abbreviated Journal
Volume 45 Issue (down) 6 Pages 611-620
Keywords Terminal care; Quality of life; Nursing models; Cancer
Abstract The aim of this paper is to report on an exploratory, qualitative study exploring what people living with terminal illness considered were the areas of priority in their lives. Ten people living with terminal cancer were interviewed. Analysis of the interviews incorporated principles of narrative analysis and grounded theory. Over 30 categories were identified and collated into five inter-related themes (personal/intrinsic factors, external/extrinsic factors, future issues, perceptions of normality and taking charge) encompassing the issues of importance to all participants. Each theme focused on 'life and living' in relation to life as it was or would be without illness. Practical issues of daily living and the opportunity to address philosophical issues around the meaning of life emerged as important areas. The central theme, 'taking charge', concerned with people's levels of life engagement, was integrally connected to all other themes. The findings suggest that the way in which health professionals manage patients' involvement in matters such as symptom relief can impact on existential areas of concern. The findings challenge some aspects of traditional 'expert-defined' outcome measures. As this was an exploratory study, further work is needed to test and develop the model presented.
Call Number NRSNZNO @ research @ Serial 1061
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Author Gage, J.; Everrett, K.D.; Bullock, L.
Title A review of research literature addressing male partners and smoking during pregnancy Type Journal Article
Year 2007 Publication Journal of Obstetric, Gynecologic and Neonatal Nursing Abbreviated Journal CPIT Repository
Volume 36 Issue (down) 6 Pages 574-580
Keywords Pregnancy; Smoking; Male; Parents and caregivers
Abstract The aim of this research was to gain a more complete understanding of cigarette smoking and cessation during pregnancy by examining the men's role in supporting smoking cessation of their pregnant partners. A search of online databases was made for studies published in the last 10 years, in English, that included three phenomena; pregnancy, male partners, and cigarette smoking. Data were identified and organised according to theoretical, descriptive, and intervention methods of research. A growing body of literature indicates an interaction between pregnancy, male partners, and smoking behaviors. Explicating relationships between these phenomena is necessary for understanding and encouraging behaviours that promote maternal, child, and family health. The researchers conclude that current research highlights a need to further investigate the potential relationships, interactions, and health consequences of smoking behaviours of men and women during pregnancy.
Call Number NRSNZNO @ research @ Serial 1236
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