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Author (up) Ainge, N. openurl 
  Title Registered nurses participation in a professional recognition program. Their responses to nine job related factors Type
  Year 1993 Publication Abbreviated Journal Mary Lambie Collection, Canterbury Medical Library  
  Volume Issue Pages  
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  Abstract A simple descriptive longitudinal survey monitoring self- reported incidence of satisfaction/ dissatisfaction to nine job related factors. The two hundred RN's participating in the pilot implementation of the Clinical Career Pathway (Canterbury Area Health Board) were surveyed in June 1992 and February 1993. This was a time of change in New Zealand's Health service  
  Call Number NRSNZNO @ research @ 13 Serial 13  
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Author (up) Ainge, N. openurl 
  Title Report on the pilot implementation of the clinical career pathway for nurses ( CAHB) Type
  Year 1993 Publication Abbreviated Journal Mary Lambie Collection Canterbury Medical Library  
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  Abstract During 1992, two hundred Registered Nurses ( RN's) participated in the Pilot Implementation of the Clinical Career Pathway for Nurses. This was conducted according to terms for the Proposal (Shepherd et al 1991) prepared by Nurses throughout the Canterbury Area Health Board.Ten services had a participating ward/ unit. All were volunteers. The framework for a Clinical Career Pathway (CAHB) has six steps. During 1992 attention was focused on the two levels beyond basic functional competency. Nurse Practitioner II, Nurse Specialist. An open system was piloted. There was no change to remuneration. Advancement was- self initiated; by peer review ( the RN was required to meet the performance criteria set by the Unit Nurse Managers.) There was no constraint to numbers advancing. Forty seven RN's advanced to Nurse practitioner II level,nine advanced to Nurse Specialist level.Evaluation covered four areas-1. Qualitative benefits and initiatives to improves patient care. 2. Nurses perception of the project. 3. Benefits of peer review. 4. Secondary gains  
  Call Number NRSNZNO @ research @ 93 Serial 93  
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Author (up) Brownie, S.M. openurl 
  Title Management perspectives of the second evel nurse Type
  Year 1993 Publication Abbreviated Journal National Library, NZNO Library,  
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  Abstract This study presents information, obtained from health service managers, on the present use and possible future use of second level nurses within the region encompassing the Wanganui, Rangitikei, Manawatu, Tararua, Palmerston North City and Horowhenua districts. “ Second level nurses” are currently known as enrolled nurses and, in accordance with Section 53A of the 1983 Amendment to the Nurses Act, are required to work under the direction and supervision of registered nurses or medical practitioners. Enrolled nurses are usually allocated less responsibility for nursing assessment and judgement than registered nurses.Management perspectives, from seventy seven health workforce managers, were sought in relation to the future workforce need, the scope and boundaries of practice, and the alternatives for the future educational preparation of second level nurses. Seventy two percent of managers said that they thought enrolled nurses were essential to New Zealand's future nursing workforce. They predicted increased opportunities for enrolled nurses in care of the elderly and community care settings. Patterns in the current workforce utilization of enrolled nurses, however, did not support these views.In relation to the education of enrolled nurses, managers indicated that hospital-based training was the most preferred option. However, managers asserted that, in view of the current lack of employment opportunities no more enrolled nurses should be prepared at the present time.Although questions about education were focussed on the educational preparation of enrolled nurses, many of the respondent managers also expressed opinions about the educational preparation of comprehensive nurses. As a result, an evaluation of comprehensive nursing programmes is suggested.While the numbers of second level nurses being prepared and used is decreasing, there is a concomitant increase in the preparation and use of caregivers. This rapidly increasing group isfast becoming a “cheaper” second level workforce. The increase in the use of caregivers is seen to result from the pressure on healthcare employers to reduce spending within the current highly competitive, de-regulated economy. Managers asserted that enrolled nurses are not cost effective in comparison with either caregivers or registered nurses.The study concludes with thirteen recommendations which are made under the following four groups;1. Manawatu Polytechnic – provider of nursing education.2. Healthcare employers – users of nursing education.3. Enrolled nurses – participants in nursing education.4. Professional nursing bodies – guardians of nursing education  
  Call Number NRSNZNO @ research @ 407 Serial 407  
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Author (up) Diack, Aileen openurl 
  Title Innovations in home care for infants and young children with long-term illness (observations of care provision in United States of America and England) Type Report
  Year 1993 Publication Abbreviated Journal  
  Volume Issue Pages 33 p.  
  Keywords Child health services; Long-term care; Domiciliary nursing; Reports  
  Abstract Visits the US and the UK to observe paediatric nursing services for chronically-ill children at home. Discusses the concepts that enable children with long-term illness to be cared for in the home, how staff are chosen and trained and the degree to which the family is involved in setting objectives and directing the focus of care. Part of the Margaret May Blackwell Scholarship Reports series.  
  Call Number NZNO @ research @ Serial 1418  
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Author (up) Litchfield, M. openurl 
  Title The process of health patterning in families with young children who have been repeatedly hospitalised Type
  Year 1993 Publication Abbreviated Journal Author, University of Minnesota Library  
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  Abstract An exploration of the nature of nursing knowledge in practice. The praxis methodology was inspired by the Newman's theory of health as expanding consciousness and evolved through the process of the research. The methodology was eventually presented as both the process of research and practice. Five families were visited in their homes five times to talk about what was going on for them. All were experiencing a time of great upheaval in family life. After three visits a summary text was constructed merging researcher statements and parent quotes and given to the families. Through the subsequent reflective discussion significant insights into family pattern were shown in statements of intended action to change how health matters were managed with greater facility in family living. The process was presented as five themes with descriptors representing a non-linear, discontinuous progression: A moment of partnership: parameters of entry and closure, a timing of upheaval in family life, and an in-forming capacity through the bringing together of family story-telling and researcher's theory. An evolving dialogue: a progressive flow of enfolding and unfolding, and its embeddedness in contexts of socio-economic status, gender and health care culture. Recognising pattern: incidental revelations and an all-encompassing insight as the potential for action. Expanding horizon: moving from being on a treadmill trapped in the present without vision to having a view to a future, the presence of past and future. Increasing connectedness: a sense of inclusion, inter-dependence and generally, transformation in family life. This was a framework for personal practice  
  Call Number NRSNZNO @ research @ 121 Serial 121  
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Author (up) Litchfield, M. openurl 
  Title Priorities for research Type Journal Article
  Year 1993 Publication kai Tiaki: Nursing New Zealand Abbreviated Journal  
  Volume 1 Issue 8 Pages 28-30  
  Keywords Nursing research  
  Abstract An article adapted from the author's contribution as an invited member of the International Panel of Nurse Researchers leading the Special Research Seminar of the 1993 International Council of Nurses Quadrennial Congress, Madrid, Spain. The priorities of nursing research in New Zealand were derived from the findings of a semi-structured survey of the opinions of nurses in academic settings.  
  Call Number NZNO @ research @ Serial 1320  
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Author (up) Litchfield, M.; Connor, M.; Eathorne, T.; Laws, M.; McCrombie,; Smith, S. openurl 
  Title Direction for nursing practice and service delivery in the New Zealand health reforms. Report of the pilot study of the Wellington professional nurse care management project Type
  Year 1993 Publication Abbreviated Journal Nursing Library. Victoria University, Wellington  
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  Abstract Nursing practice as the process of health patterning with families in complex health circumstances was made explicit through a method of research praxis. Findings include cost in relation to quality of Nursing care. The research provides direction for development of integrated health care with the introduction of the family Nurse in a Nurse Care Management Scheme  
  Call Number NRSNZNO @ research @ 48 Serial 48  
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Author (up) McCallin, A. openurl 
  Title Being-in-becoming: a grounded theory of teachers' experiences in nursing education Type
  Year 1993 Publication Abbreviated Journal Massey University Library  
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  Abstract This study identifies, describes and generates a theoretical explanation of what it means to be a Nurse educator in New Zealand in the 1990's. It explores individual experiences within the broader social context. Sixteen participants from three Schools of Nursing in New Zealand were interviewed over a four month period. Constant comparative analysis of data eventuated in the identification of four conceptual categories named as : being a teacher, settling down, finding a place and coping with change. They were then drawn into the core category – Being – in- Becoming. Being – in- Becoming, means in this study, that a person is the Nurse teacher simply because that person has taken on the work of a teacher. In being a teacher, the person is adapting, changing and learning how to become a teacher. Being – in- Becoming, is a process which is on going, never ending, and constantly changing. The essence of this study is that the teacher's experience of Being – in- Becoming. is influenced by personal development and the way the person comes to 'know' about the world of Nursing education who is also intimately connected to the way Nursing curriculum is defined and experienced by individual teachers. These findings have implications for Nursing education , in recognition of teacher's concerns, background meanings and problems which influence a person's experience of being a Nurse educator. Expectations that feelings should be 'managed' therefore ignored is consistent in a group which claims caring as the essence of Nursing practice. Excessive workloads are constantly cited as a major problem for worker. The organisation has the responsibility to acknowledge the human experience of those who work within this area and to undertake to respond in ways which can improve the situation for all  
  Call Number NRSNZNO @ research @ 35 Serial 35  
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Author (up) Messervy, L. openurl 
  Title The rise of the independent nurse practitioner: a comparative study of independent nurse practitioners and nurses in traditional work places Type
  Year 1993 Publication Abbreviated Journal University of Auckland Library  
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  Call Number NRSNZNO @ research @ 298 Serial 298  
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Author (up) Nelson, C.M. openurl 
  Title An exploration of factors affecting registered nurses participation in continuing education Type
  Year 1993 Publication Abbreviated Journal Wellington Polytechnic Library  
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  Abstract A qualitative study of factors affecting four registered nurses participating in continuing education.Data was collected through unstructured interviews and then analysed using themetic analysis The data revealed that the nurses had ambient feelings towards the benefits of post registration nursing education and that these were many work related, supervisal, and financial and logistial barriers affecting their ability to participate in further study. The nurses were also disturbed and frustrated by a lack of clinically based programmes for them to attend. Implications from this study are discussed and recommendations are presented  
  Call Number NRSNZNO @ research @ 359 Serial 359  
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Author (up) Palmer, S.G. openurl 
  Title Positively positive: an experimental evaluation of the Wellness Programme, Burnett Centre Type
  Year 1993 Publication Abbreviated Journal University of Auckland  
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  Call Number NRSNZNO @ research @ 294 Serial 294  
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Author (up) Parkes, J. openurl 
  Title Patients perception of nurses practice Type
  Year 1993 Publication Abbreviated Journal Otago Polytechnic Library. A personal soft bound copy can be obtained by contacting pgnursadmintekot  
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  Abstract This phenomenological study described the lived experience of patients within a surgical secondary care setting, and explored patients' perceptions of nurses' practice. The participants in the study were five adult patients who experienced a period of hospitalization within the surgical secondary care setting.This study was influenced by the work of Patricia Benner (1984) who entered the lived world of nurses' practice, through description of nurses' clinical exemplars. In this study, a qualitative research approach was used to enter the lived world of the patient within the surgical secondary setting.The research approach followed Max Van Manen's phenomenological hermeneutic method of 'Researching Lived Experience". This approach includes turning to a phenomenon of concern and interest to the researcher, investigating the experience as it is lived, reflecting on essential themes that emerge from the investigation, describing the phenomenon and bringing it to speech. The data that emerged from the participants stories of their experiences with the surgical secondary care setting, revealed four essential themes. These themes included 'feeling valued', 'human to human contact', 'two way communication', and 'feeling safe'. These themes provided insights into the participants' perceptions of nurses' practice.The participants' stories revealed a range of perceptions about nurses' practice, and the extent to which nurses in their practice valued the patient, had human to human contact, kept the patient informed and ensured patient safety. The themes revealed times when nurses' practice was perceived as dependent and powerless, in the face of, traditional views of womens' work, and the hierarchical and beurocratic constraints of the institution. At times it was also hidden from view, missed or misunderstood. Despite this, nurses' practice was seen as the central and pivotal point, from which the participants were able to make their recovery  
  Call Number NRSNZNO @ research @ 166 Serial 166  
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Author (up) Pearson, J.R.; Joyce, M.; Khull, J.; MacDonald, S.; Norrish, S.; Southwick, M.; Wilks, T. openurl 
  Title Beginning the journey to self reflective practice. A study of teaching and learning in the first year of the Diploma in Nursing programme at Whitireia Community Polytechnic Type
  Year 1993 Publication Abbreviated Journal Author, Whitireia Community Polytechnic Library  
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  Abstract This research project was undertaken with the aim of making teaching and learning processes in the first year of the programme explicit to ensure successful strategies could be replicated and limitations addressed. Action research methodology was utilized to explore which tutors and students the philosophy of teaching, the student/tutor relationship, preferred learning styles and teaching methods, and influences on student learning. Findings elucidated that the philosophy and teaching methods used in the programme were congruent with the goals of the Polytechnic,, the curriculum aims, and current nursing ideologies. Students preferred small group, interactive teaching, did not always rate their ability accurately, and tended to downgrade their ability and did progressively less preparatory work for classes as the year progressed. Factors that impacted on the learning of this mainly mature group were external to the programme and included paid employment, family responsibilities, unexpected life events, lack of time and/or space to study, and financial problems. The research was used to determine the structure of the first year of the 1994 Bachelor of Nursing programme which articulated more clearly the process and pathway for students to become self directed learners. The research process was challenging and provided many useful insights for tutors and students  
  Call Number NRSNZNO @ research @ 374 Serial 374  
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Author (up) Pybus, M.W. openurl 
  Title Public health nurses and families under stress: promoting children's health in complex situations Type
  Year 1993 Publication Abbreviated Journal Massey University Library  
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  Abstract A description of the interaction between Public Health Nurses and stressed families that include children. It includes the perspective on the relationship of both the Nurses and the families ending with a classification of the goals of the service  
  Call Number NRSNZNO @ research @ 10 Serial 10  
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Author (up) Robertson-Green, B. openurl 
  Title Enabling choice, public health nurses' perceptions of their work with children and their families Type
  Year 1993 Publication Abbreviated Journal Massey University Library  
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  Abstract This is a grounded theory study which looked at the perceptions of public health nurses regarding their work. This study focuses on their work with children within the context of their families and their communities  
  Call Number NRSNZNO @ research @ 189 Serial 189  
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