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Author Peach, J.; Hall, B.
Title Professional boundaries: Being in relationship 'with' yet remaining separate Type Journal Article
Year 1999 Publication Professional Leader Abbreviated Journal (up)
Volume 5 Issue 1 Pages 16-18
Keywords Nurse-patient relations; Professional competence
Abstract This article describes the management of the therapeutic relationship, that is set up between nurses or midwives and those in their care. It reviews the responsibilities of the health practitioner, and looks at issues around boundaries, confidentiality and accountability. It also looks at the role senior colleagues can play in ensuring this intentional relationship is managed professionally.
Call Number NRSNZNO @ research @ 1288 Serial 1273
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Author Peach, J.
Title The Professional Development Programme: Achievements and outcomes Type Journal Article
Year 1999 Publication Professional Leader Abbreviated Journal (up)
Volume 5 Issue 1 Pages 6-9
Keywords Professional development; Evaluation; Nursing
Abstract This article backgrounds the professional development programme instigated at Auckland Hospital in 1988, and reviews the achievements of the past 10 years. It describes PDP and distinguishes it from a clinical career pathway. Specific indicators were used to assess the achievement of the programme, and these are presented. Overall the programme achieved it's outcomes and at a reasonable cost.
Call Number NRSNZNO @ research @ 1289 Serial 1274
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Author McDonald, R.
Title Leadership and motivation in nursing practice Type Journal Article
Year 1999 Publication Vision: A Journal of Nursing Abbreviated Journal (up)
Volume 5 Issue 9 Pages 42-44
Keywords Motivation; Quality assurance; Leadership; Nursing
Abstract This article explores the role of leadership in improving motivation and workplace behaviour. Strategies and tools for managing motivational issues are presented, such as organisational culture, rewards systems and quality assurance.
Call Number NRSNZNO @ research @ 1301 Serial 1286
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Author Dredge, A.
Title An insider's view of professional nursing and care management of the critically ill patient Type Journal Article
Year 1999 Publication Vision: A Journal of Nursing Abbreviated Journal (up)
Volume 5 Issue 8 Pages 13-16
Keywords Intensive care nursing; Interprofessional relations; Registered nurses
Abstract This article explores the role of the registered nurse (RN) in the critical care environment. It presents the Intensive Care Unit (ICU) as a unique environment, with a specific relationship to technology, and a history that mirrors scientific development. It explores the tensions for a caring profession with a distinct culture practising in a highly medicalised, acute environment, and affirms the value of quality human care.
Call Number NRSNZNO @ research @ 1302 Serial 1287
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Author Bee, S.
Title Post traumatic stress disorder: The role of critical incident stress management Type Journal Article
Year 1999 Publication Vision: A Journal of Nursing Abbreviated Journal (up)
Volume 5 Issue 8 Pages 20-23
Keywords Trauma; Psychology; Workplace; Nursing
Abstract The author defines and describes PTSD, and looks at how it may apply to nurses. Primarily affected by delayed PTSD, nurses may experience it as burn-out, after exposure to trauma over time. The Critical Incident Stress Management programme instigated at Healthcare Hawkes Bay is outlined.
Call Number NRSNZNO @ research @ 1303 Serial 1288
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Author Thompson, R.; Farrow, T.
Title The Workbook Portfolio: Facilitating undergraduate student learning in the mental health clinical area Type Journal Article
Year 1999 Publication Nursing Praxis in New Zealand Abbreviated Journal (up)
Volume 14 Issue 2 Pages 21-30
Keywords Mental health; Teaching methods; Critical thinking
Abstract This article describes the use of a model that has been developed to assist students in tackling the complex issues surrounding mental health nursing. The Workbook Portfolio has identifiable components that encourage the development of reflective and analytical skills, which allow nurses to practice within an environment that is influenced and determined by a complex, and sometimes contradictory, range of external influences. The article explains the workings of this model so it can be used by educators to for students in the mental health setting.
Call Number NRSNZNO @ research @ Serial 637
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Author Walker, J.; Bailey, S.
Title The clinical performance of new degree graduates Type Journal Article
Year 1999 Publication Nursing Praxis in New Zealand Abbreviated Journal (up)
Volume 14 Issue 2 Pages 31-42
Keywords New graduate nurses; Professional competence; Nursing; Education; Teaching methods
Abstract This study aimed to identify how graduates perceived their clinical performance during their first year of practice. A convenience sample of 30 graduates was surveyed after 3 months and 7 months in practice, using an adapted form of a questionnaire devised by Ryan and Hodson (1992). The results showed that over time, graduates generally required less direction in all areas of clinical competence. After 7 months in practice, the majority of the graduates rated their performance in nursing skills, communication skills, and professionalism at the expected level or above. However, some still required direction with using theory and research in practice, with meeting client's psychosocial needs and with teaching clients. In the leadership competency, after 7 months, most graduates saw themselves functioning at the expected level related to client care and needed less direction in unit management skills. However, many of the unit management skills were rated as 'not applicable' indicating that new graduates are not initially placed in a management role. Implications for nursing education and limitations of the research are discussed.
Call Number NRSNZNO @ research @ Serial 638
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Author McArthur, J.; Dickinson, A.R.
Title Decision making the explicit evidence-based way: Comparing benefits, harms and costs Type Journal Article
Year 1999 Publication Nursing Praxis in New Zealand Abbreviated Journal (up)
Volume 14 Issue 1 Pages 33-42
Keywords Evidence-based medicine; Nursing; Guidelines; Clinical decision making
Abstract This paper explores the relationship between evidence, decision tools, and the effectiveness of the nursing contribution to health services. It examines a continuum of decision-making within the international trend of the Effectiveness Movement, drawing on international literature and local experience. It draws on the concept of explicit evidence-based decision-making, the guideline development movement as exemplified through the New Zealand Guidelines Group, information technology in decision support, and the challenges of an evidential approach to nursing. This article is based on a paper given at 'The Pride and Passion of Professional Nursing Practice' College of Nurses' Aotearoa (NZ) Conference, Rotorua, 8-9 October 1998.
Call Number NRSNZNO @ research @ Serial 639
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Author Holloway, K. T.
Title Developing an evidence base for teaching nursing practice skills in an undergraduate nursing program Type Journal Article
Year 1999 Publication Nursing Praxis in New Zealand Abbreviated Journal (up)
Volume 14 Issue 1 Pages 22-32
Keywords Nursing; Education; Curriculum; New graduate nurses; Evaluation
Abstract This research seeks to determine an evidence basis for selecting content for the clinical skills curriculum in an undergraduate programme. Thirty-three senior nurse clinicians from medical-surgical areas in 2 large hospitals offering student placements were asked to rate the frequency of performance of 77 skills for the beginning registered nurse. Those skills frequently used and rated over 65% were considers for inclusion in the undergraduate programme. Clinicians were asked to list the 10 most important skills and related level of competence expected from the newly-registered nurse.
Call Number NRSNZNO @ research @ Serial 640
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Author Richardson, S.
Title Emergency departments and the inappropriate attender: Is it time for a reconceptualisation of the role of primary care in emergency facilities? Type Journal Article
Year 1999 Publication Nursing Praxis in New Zealand Abbreviated Journal (up)
Volume 14 Issue 2 Pages 13-20
Keywords Emergency nursing; Primary health care
Abstract This paper reviews currently identified issues concerning emergency department attendance, and examines the core question of the role of primary care in the emergency department. Asks whether this is an appropriate use of emergency department resources, and if so, what the implications are for the role of the emergency nurse. Suggests the establishment of Minor Injury Units in New Zealand like those in the UK.
Call Number NRSNZNO @ research @ Serial 641
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Author Ross, J.
Title International perspective: The development of the advanced role of rural nurses in New Zealand Type Journal Article
Year 1999 Publication Australian Journal of Rural Health Abbreviated Journal (up)
Volume 7 Issue 4 Pages 253-257
Keywords Nursing; Education; Rural nursing; Advanced nursing practice
Abstract This paper offers an insight into the development of the advanced role of rural nursing practice in New Zealand. The concept of advanced nursing practice is discussed within the context of the interdisciplinary healthcare team. It is argued that as nurses take on advanced practice, it is essential they receive appropriate clinical and theoretical skills to ensure they are in a position to provide competent and clinically safe, effective health care in an ethical, efficient manner. A description of a survey, undertaken by the author, studying rural nurses' skills provides the recommendation for the development of an appropriate postgraduate course at Masters level, designed specifically for primary rural nurses for the advanced role.
Call Number NRSNZNO @ research @ Serial 953
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Author McKenna, B.
Title Bridging the theory-practice gap Type Journal Article
Year 1999 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal (up)
Volume 5 Issue 2 Pages 14-16
Keywords Psychiatric nursing; Nursing; Education; Teaching methods
Abstract The author presents a case study of a joint appointment between a nurse lecturer and a staff nurse in an acute forensic psychiatry unit. He explores the advantages, disadvantages and reasons for success in relation to the findings of a survey of the literature on joint appointments. This technique is seen as a means of narrowing the gap between theory and practice which resulted when nurse training was transferred from hospitals to polytechnics. He highlights the need to develop research methodology to clarify potential benefits of this approach.
Call Number NRSNZNO @ research @ Serial 1024
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Author Wassner, A.
Title Labour of love: Childbirth at Dunedin Hospital, 1862-1972 Type Book Whole
Year 1999 Publication Dissector Abbreviated Journal (up)
Volume Issue Pages
Keywords Hospitals; History of nursing; Maternity care; Registered nurses; Nursing; Education
Abstract This book covers obstetrical care from a nursing perspective at the Dunedin Hospital's Maternity Units. The researcher found little information on the two lying-in (maternity) wards of the first two Dunedin Hospitals. The book presents historical records outlining obstetric nursing procedures and maternity culture at the Dunedin Hospitals, The Benevolent Institution, The Batchelor Maternity Hospital, and Queen Mary Hospital. It covers cultural, social and legislative changes over the period, and examines conditions and pay for nursing staff across this time. A chapter on the evolution of baby care looks at changes in acceptable practices around nursery care, breast and bottle feeding, and medical procedures. The book has an extensive list of appendices, including staff lists, training notes for staff, duty lists, and interviews with staff and patients.
Call Number NRSNZNO @ research @ Serial 1049
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Author Woods, M.
Title A nursing ethic: The moral voice of experienced nurses Type Journal Article
Year 1999 Publication Nursing Ethics Abbreviated Journal (up)
Volume 6 Issue 5 Pages 423-433
Keywords Ethics; Nursing; Education
Abstract This article presents discussion on some of the main findings of a recently completed study on nursing ethics in New Zealand. An interpretation of a nurse's story taken from the study is offered and suggestions are made for nursing ethics education.
Call Number NRSNZNO @ research @ Serial 1092
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Author Litchfield, M.; Laws, M.
Title Achieving family health and cost-containment outcomes: Innovation in the New Zealand Health Sector Reforms Type Book Chapter
Year 1999 Publication Cohen,E. & De Back,V. (Eds.), The outcomes mandate: New roles, rules and relationships. Case management in health care today (pp. 306-316) Abbreviated Journal (up)
Volume Issue Pages
Keywords Advanced nursing practice; Nurse managers; Teamwork; Nurse-family relations; Leadership; Health reforms
Abstract The chapter presents the research findings of the 1992-1993 Wellington Nurse Case Management Scheme Project as a distinct model of nurse case management, which introduced a role and form of practice of a family nurse and a diagram of the service delivery structure required for support and relevant for the New Zealand health system reforms.
Call Number NRSNZNO @ research @ Serial 1169
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