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Author Litchfield, M.
Title Practice wisdom Type Journal Article
Year 1999 Publication Advances in Nursing Science Abbreviated Journal
Volume 22 Issue 2 Pages 62-73
Keywords Nursing research; Nursing; Health knowledge
Abstract The paper is the report of two cumulative research projects studying the nature of nursing knowledge and methodology to develop it. They were undertaken as theses for masters and doctoral degrees at the University of Minnesota, USA. Nursing knowledge is depicted as relational: an evolving participatory process of research-as-if-practice of which 'health' (its meaning), dialogue, partnership and pattern recognition are threads inter-related around personal values of vision and community.
Call Number NRSNZNO @ research @ 1186 Serial (down) 1171
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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
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 (down) 1169
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Author Roberts, F.
Title The people the programme & the place: Nurses' perceptions of the Lakeland Health Professional Development Programme Type
Year 1999 Publication Abbreviated Journal NZNO Library, Victoria University of Wellington Library
Volume Issue Pages
Keywords Careers in nursing; Professional development; Registered nurses
Abstract This thesis concerns the Professional Development Programme at Lakeland Health. In New Zealand, such programmes were introduced as a mechanism to openly recognise the clinical expertise of nurses. Clinical Career Pathways were introduced to nursing in North America in the 1970's at a time of nursing shortage. Prior to their inception, nurses wishing to develop their careers had to move to administration, management or education. The programmes recognised and rewarded expertise in practice. A qualitative, descriptive approach (using focus groups) was used with Registered Nurses to gather their perceptions of what helps nurses enroll in the Professional Development Programme. The ideas and insights of nine Registered Nurses were clustered around three main categories: The People (fear; being struck; motivation; feedback; peer support; ways of learning); the Programme (relevance; flexibility; Bachelor's Degrees; implementation; supporting information; fairness); the Place (time; regular and accessible; support from nurse leaders; management). These perceptions are discussed in more detail in the context of nursing at Lakeland Health and of Clinical Career Pathways in New Zealand. The findings are helpful for the evaluation and future development of the Professional Development at Lakeland Health. The research contributes to our understanding of what helps nurses enroll in a Clinical Career Pathway, and emphasises the importance of the People, the Programme and the Place.
Call Number NRSNZNO @ research @ 1150 Serial (down) 1135
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Author Trout, F.
Title Health needs assessment within the ecology of caring Type
Year 1999 Publication Abbreviated Journal Massey University Library
Volume Issue Pages
Keywords Community health nursing
Abstract
Call Number NRSNZNO @ research @ 1137 Serial (down) 1122
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Author Richardson, S.
Title Increasing patient numbers: The implications for New Zealand emergency departments Type Journal Article
Year 1999 Publication Accident & Emergency Nursing Abbreviated Journal
Volume 7 Issue 3 Pages 158-163
Keywords Emergency nursing; Organisational change
Abstract This article examines influences that impact on the work of the Emergency Departments (EDs). EDs are noticing increased attendance of patients with minor or non-urgent conditions. This increase in patient volume, together with on-going fiscal constraints and restructuring, has placed an added strain on the functioning of EDs. New Zealand nurses need to question the role currently given to EDs and identify the issues surrounding the increased use of these departments for primary health care.
Call Number NRSNZNO @ research @ 1108 Serial (down) 1093
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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
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 (down) 1092
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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
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 (down) 1049
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Author Ronaldson, A.
Title Coping with body image changes after limb loss Type Journal Article
Year 1999 Publication Abbreviated Journal
Volume 5 Issue 11 Pages 14-16
Keywords People with disabilities; Nursing; Psychology
Abstract The author reviews the literature on the differences in the way people manage the process of coming to terms with amputation. The socio-cultural implications of body image construction are discussed and a new framework for clinical practice is suggested. The implications for nursing are examined and positions nurses as advocates. The importance of language is identified.
Call Number NRSNZNO @ research @ 1042 Serial (down) 1026
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Author Russell, D.
Title Changing public health nursing practice Type Journal Article
Year 1999 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 5 Issue 11 Pages 18-19
Keywords Public health; Community health nursing; Nursing models; Teamwork
Abstract A new approach to public health nursing in the Otago region is described, which comprises of 3 distinct groups of nurses working in early childhood centres, primary schools and high schools. A family nursing assessment approach is used. The philosophical underpinnings of this approach are examined, which seeks to empower patients and engage them in their health care. Two public health nurses are interviewed about the new partnership model of nursing.
Call Number NRSNZNO @ research @ 1041 Serial (down) 1025
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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
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 (down) 1024
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Author Lewer, D.
Title Analysing the Mental Health Act Type Journal Article
Year 1999 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 5 Issue 8 Pages 14-16
Keywords Psychiatric Nursing; Mental health; Law and legislation; Ethics
Abstract Changes brought by the Mental Health Act (MHA) to clinical practice, and some of the problems it has created for nurses, are examined in this article. Compulsory assessment and treatment orders (CATO) and the role of Duly Authorised Officers (DAO), and moral dilemmas that can arise as a consequence of CATOs used by DAOs are examined. The requirement for DAOs to act as patient advocates and to safeguard cultural beliefs are highlighted. The MHA promotes self responsibility and a treatment philosophy rather than detention of the mentally ill.
Call Number NRSNZNO @ research @ 1039 Serial (down) 1023
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Author Egan, M.
Title The nursing and midwifery practice structure at Healthcare Hawkes Bay: An evaluation and improvement process Type Journal Article
Year 1999 Publication Vision: A Journal of Nursing Abbreviated Journal
Volume 5 Issue 8 Pages 27-29
Keywords Professional development; Nursing; Midwifery
Abstract This article describes the Nursing and Midwifery Practice Structure, which has been in place at Healthcare Hawkes Bay since 1996. It was developed to provide nurses and midwives in clinical positions with a professional development structure, and uses a framework to recognise and reward competence. It encourages clinical progression and was developed to link nursing competence with remuneration. The Practice Structure, based on the work of Patricia Benner (Benner, 1984), is made up of 4 levels: Beginner/Advance Beginner Practitioner, Competent Practitioner, Proficient Practitioner, Expert Practitioner. The Structure was reviewed in 1998, and a Steering Group was formed to collect feedback from nurses and midwives, identify areas of concern, and make recommendations for improvements. At the time of writing, these recommendations are being implemented and systems are being developed to ensure the Nursing and Midwifery Practice Structure continues to develop.
Call Number NRSNZNO @ research @ 971 Serial (down) 955
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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
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 (down) 953
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Author Jones, B.
Title Neonatal nurse practitioners: A model for expanding the boundaries of nursing culture in New Zealand Type Journal Article
Year 1999 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 14 Issue 3 Pages 28-35
Keywords Advanced nursing practice; Neonatal nursing; Interprofessional relations
Abstract This article outlines the development of the neonatal nurse practitioner role in New Zealand as an example of one advanced practice nursing role. A model of how nursing culture changes to include roles that incorporate components that historically have been considered the domain of other health professionals is proposed. This article outlines some of the issues surrounding the neonatal nurse practitioner role, including the educational requirements for this role in New Zealand.
Call Number NRSNZNO @ research @ 659 Serial (down) 645
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Author Christensen, D.J.C.
Title Integrating the terminology and titles of nursing practice roles: Quality, particularity and levelling Type Journal Article
Year 1999 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 14 Issue 1 Pages 4-11
Keywords Advanced nursing practice; Nursing specialties; Nursing models
Abstract The author reconsiders the meaning of expert, specialist and advanced practice. She proposes that they are distinctive and complementary aspects of every nursing role and suggests a set of attributes for each. Expertise is discussed in terms of the quality of performance, speciality in relation to particularity of performance, and advanced practice with regard to the level of performance.
Call Number NRSNZNO @ research @ 658 Serial (down) 644
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