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Author |
Neville, S.J.; Alpass, F. |
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Title |
Factors influencing health and well-being in the older adult |
Type |
Journal Article |
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Year |
1999 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
14 |
Issue |
3 |
Pages |
36-45 |
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Keywords |
Older people; Male; Geriatric nursing |
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Abstract |
This article offers a literature review of selected factors influencing the health and well-being of older people, with a particular emphasis on the older male. Implications for nursing practice in New Zealand are discussed. |
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Call Number |
NRSNZNO @ research @ 657 |
Serial  |
643 |
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Author |
Gallaher, L. |
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Title |
Expert public health nursing practice: A complex tapestry |
Type |
Journal Article |
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Year |
1999 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
14 |
Issue |
3 |
Pages |
16-27 |
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Keywords |
Public health; Community health nursing; Communication |
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Abstract |
The research outlined in this paper used Heideggerian phenomenology to examine the phenomenon of expert public health nursing practice within a New Zealand community health setting. Narrative interviews were conducted with eight identified expert practitioners who are currently practising in this speciality area. Data analysis led to the identification and description of themes which were supported by paradigm cases and exemplars. Four key themes were identified which describe the finely tuned recognition and assessment skills demonstrated by these nurses; their ability to form, sustain and close relationships with clients over time; the skilful coaching undertaken with clients; and the way in which they coped with the dark side of their work with integrity and courage. |
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Call Number |
NRSNZNO @ research @ 656 |
Serial |
642 |
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Author |
Richardson, S. |
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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 |
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Year |
1999 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
14 |
Issue |
2 |
Pages |
13-20 |
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Keywords |
Emergency nursing; Primary health care |
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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. |
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Call Number |
NRSNZNO @ research @ |
Serial |
641 |
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Author |
Holloway, K. T. |
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Title |
Developing an evidence base for teaching nursing practice skills in an undergraduate nursing program |
Type |
Journal Article |
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Year |
1999 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
14 |
Issue |
1 |
Pages |
22-32 |
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Keywords |
Nursing; Education; Curriculum; New graduate nurses; Evaluation |
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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. |
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Call Number |
NRSNZNO @ research @ |
Serial |
640 |
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Author |
McArthur, J.; Dickinson, A.R. |
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Title |
Decision making the explicit evidence-based way: Comparing benefits, harms and costs |
Type |
Journal Article |
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Year |
1999 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
14 |
Issue |
1 |
Pages |
33-42 |
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Keywords |
Evidence-based medicine; Nursing; Guidelines; Clinical decision making |
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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. |
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Call Number |
NRSNZNO @ research @ |
Serial |
639 |
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Author |
Walker, J.; Bailey, S. |
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Title |
The clinical performance of new degree graduates |
Type |
Journal Article |
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Year |
1999 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
14 |
Issue |
2 |
Pages |
31-42 |
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Keywords |
New graduate nurses; Professional competence; Nursing; Education; Teaching methods |
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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. |
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Call Number |
NRSNZNO @ research @ |
Serial |
638 |
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Author |
Thompson, R.; Farrow, T. |
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Title |
The Workbook Portfolio: Facilitating undergraduate student learning in the mental health clinical area |
Type |
Journal Article |
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Year |
1999 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
14 |
Issue |
2 |
Pages |
21-30 |
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Keywords |
Mental health; Teaching methods; Critical thinking |
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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. |
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Call Number |
NRSNZNO @ research @ |
Serial |
637 |
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Author |
Mitchell, D.F. |
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Title |
Is it possible to care for the “difficult” male? A study exploring the interface between gender issues, nursing practice and men's health |
Type |
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Year |
1999 |
Publication |
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Abbreviated Journal |
Victoria University of Wellington Library |
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Volume |
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Issue |
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Pages |
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Keywords |
Male; Nurse-patient relations; Gender |
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Abstract |
This thesis is about caring for males, especially those males who could be considered “difficult” to care for through their use of behaviours such as silence, anger or defensive humour. This thesis is positioned in the view that these behaviours are often expressions of distress, which typically distance males from those who attempt to care for them. The author suggests that the word “distress” more accurately reflects the theme of the thesis, and it is used throughout the work. This thesis explores the interface between gender issues, nursing practice and caring for males. It is informed by a review of relevant literature and data gathered from a focus group of nine registered nurses. The analysis is framed by questions that are developed from a series of reflections on my personal and professional life. Critical social theory, with its emphases on dominant dialogue, power and emancipation is used to inform and guide this analysis. What is most obvious is the contrast between themes arising from the literature and those arising from the focus group. It appears that the literature, in the main, is critical of males in regard to concepts of masculinity, issues related to gender, and men's health. Males are portrayed as arbitrators of their own misfortune, as deliberately choosing a lifestyle that reflects poorly on their health, their self-expression, and communication with others. Concepts such as power and control over others, both at a societal and individual level, often feature. Conversely, the literature is noticeably lacking in regard to information about the health related experiences of males and about caring for males. In contrast, the participants of the focus group frame their discussion in the positive. For example, they suggest that males are interested in their health but require an environment that supports this expression of interest. They support this by identifying a range of behaviours they believe are effective in caring for males. The participants also suggest that it is the registered nurse rather than the male who manages issues to do with power and control. The thesis concludes that creating and sustaining an environment supportive of, and sensitive to the needs of males, is an activity that requires considerable thought, skill and experience. These areas are not adequately addressed in academic dialogue, research activity, or in the education of registered nurses. The thesis suggests that this situation is inconsistent with an ethic of care and that nursing should make a priority of broadening its research and knowledge base to better understand and care for males. |
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Call Number |
NRSNZNO @ research @ 503 |
Serial |
489 |
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Author |
Woodward, J. |
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Title |
Nurse case management: A review of the literature |
Type |
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Year |
1999 |
Publication |
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Abbreviated Journal |
Victoria University of Wellington Library |
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Volume |
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Issue |
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Pages |
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Keywords |
Nursing; Nursing specialties; Surgery; Care plans |
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Abstract |
This literature review is an exploration of nurse case management and it will provide the background for the introduction of a nursing case management model in the acute surgical environment at Western Bay Health. Case management is a collaborative process which assesses, plans, implements, co-ordinates, monitors and evaluates options and services to meet an individual's health needs through communication and available resources to promote quality, cost-effective outcomes (Newell, 1996:.3). In undertaking this review it was the author's intention to include the findings as background to a business case seeking the introduction of a surgical nurse case management model within the surgical service. |
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Call Number |
NRSNZNO @ research @ 483 |
Serial |
470 |
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Author |
Manssen, A. |
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Title |
Aseptic technique in New Zealand |
Type |
Journal Article |
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Year |
1999 |
Publication |
aseptic technique |
Abbreviated Journal |
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Volume |
34 |
Issue |
14 |
Pages |
24-28 |
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Keywords |
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Abstract |
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Call Number |
NRSNZNO @ research @ 449 |
Serial |
449 |
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Author |
Spence, D. |
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Title |
Prejudice, paradox and possibility |
Type |
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Year |
1999 |
Publication |
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Abbreviated Journal |
Auckland |
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Volume |
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Issue |
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Pages |
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Keywords |
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Abstract |
This study explores the the experience of nursing a person, or people, form cultures other than one's own. Informed by the tradition of philosophical hermeneutics, and drawing specifically on some of the notions articulated by Hans-Georg Gadamer and Charles Taylor, it seeks to understand everyday nursing practices within their cultural and historical context.Against a background of Maori resurgence, nurses in New Zealand have been challenged in Aotearoa-New Zealand to recognise and address racism in their practice. Meeting the health needs of all people has long been important in nursing yet the curricular changes implemented in the early 1990s to enhance nursing's contribution to a more equitable health service created uncertainty and tension both within nursing, and between nursing and the wider community.In this study, I have interpreted the experiences of seventeen nurses practising in an increasingly ethnically diverse region. Personal understandings and those from relevant literature have been used to illuminate further the nature of cross-cultural experience from a nurse's perspective. The thesis asserts that the notions of prejudice, paradox and possibility can be used to describe the experience of nursing a person from another culture. Prejudice refers to the prior understandings that influence nursing action in both a positive and a negative sense. Paradox relates to the coexistence and necessary interplay of contradictory meanings and positions, while possibility points to the potential for new understandings to surface from the fusion of past with present, and between different interpretations. As New Zealand nurses negotiate the conflicts essential for ongoing development of their practice, the play of prejudice, paradox and possibility is evident at intra-personal and interpersonal levels as well as in relation to professional and other social discourses. This thesis challenges nurses to persist in working with the tensions inherent in cross-cultural practice. It encourages continuation of their efforts to understand and move beyond the prejudices that otherwise preclude the exploration of new possibilities. |
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Call Number |
NRSNZNO @ research @ 448 |
Serial |
448 |
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Author |
Clendon, J. |
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Title |
The Nurse Practitioner-led Primary Health Care Clinic; A Community Needs Analysis |
Type |
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Year |
1999 |
Publication |
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Abbreviated Journal |
Albany, Auckland |
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Volume |
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Issue |
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Pages |
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Keywords |
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Abstract |
Aim: To determine the feasibility of establishing a nurse practitioner-led, family focused, primary health care clinic within a primary school environment as an alternate or complementary way of addressing the health needs of 'at risk' children and families to the services already provided by the public health nurse.Method: Utilising needs analysis method, data was collected from three sources – known demographic data, 17 key informant interviews and two focus group interviews. Questions were asked regarding the health needs of the community, the perceptions of participants regarding the role of the public health nurse in order to determine if a public health nurse would be the most appropriate person to lead a primary health care clinic, and the practicalities of establishing a clinic including services participants would expect a clinic to provide. Analysis was descriptive and exploratory.Results: A wide range of health needs were identified from both the demographic data and from participant interviews. Findings also showed that participant's understanding of the role of the public health nurse was not great and that community expectations were such that for a public health nurse to lead a primary health care clinic further skills would be required. Outcomes from investigating the practicalities of establishing a nurse practitioner-led clinic resulted in the preparation of a community-developed model that would serve to address the health needs of children and families in the area the study was undertaken.Conclusion: Overall findings indicated that the establishment of a nurse practitioner-led, family focused, primary health care clinic in a primary school environment is feasible. While a public health nurse may fulfil the role of the nurse practitioner, it was established that preparation to an advanced level of practice would be required. It is likely that a similar model would also be successful in other communities in New Zealand, however the health needs identified in this study are specific to the community studied. Further community needs assessments would need to be completed to ensure health services target health needs specific to the communities involved. |
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Call Number |
NRSNZNO @ research @ 447 |
Serial |
447 |
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Author |
McKenna, B. |
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Title |
Joint appointment: bridging the 'theory-practice' gap through collaboration |
Type |
Journal Article |
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Year |
1999 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
5 |
Issue |
2 |
Pages |
14-16 |
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Keywords |
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Abstract |
In New Zealand, there is a festering debate over a theory-practice gap in nursing. Joint appointments present as a potential solution to this issue. Joint appointments refer to a variety of arrangements whereby concurrent employment occurs within an educational institution and a clinical setting.Advantages for the appointees include job satisfaction, and professional growth. Clinical credibility for nurse educators enables improved facilitation of student learning. In clinical areas, benefits in patient care are associated with the marrying of academic rigor with clinical practice. Some appointees input into staff development, act as consultants on nursing issues and undertake research. Disadvantages in the concept focus on role conflict (incongruity between the roles) and role ambiguity (lack of clarity concerning expectations). Success of the ventures depends upon the personal attributes of appointees; realistic expectations; flexibility to allow the concept to evolve; and support from colleagues and management.This research describes a case study of a joint appointment between a nurse lecturer and a senior staff nurse in an acute forensic psychiatry unit. Advantages, disadvantages and reasons for success are discussed in relation to the literature findings. The discussion focuses on the need to develop research methodology to further clarify potential benefits and advantages |
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Call Number |
NRSNZNO @ research @ 444 |
Serial |
444 |
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Author |
McKenna, B. |
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Title |
Patient perception of coercion on admission to acute psychiatric services: the New Zealand experience |
Type |
Journal Article |
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Year |
1999 |
Publication |
International Journal of Law and Psychiatry |
Abbreviated Journal |
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Volume |
22 |
Issue |
2 |
Pages |
143-153 |
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Keywords |
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Abstract |
This study considers the influence of legal status, interactive processes, and mediating factors upon patient perception of coercion, within the context of admission to mental health services in New Zealand. The admission experiences of 69 involuntary inpatient psychiatric admissions and 69 informal admissions are compared using the MacArthur Admission Experience Survey. The influence of demographic, clinical and situational variables on the experience are considered. The results indicate there is a strong significant difference in the perception of coercion between involuntary and informal patients, with legal status having predictive value in relation to patient perception of coercion. Patient perception of procedural justice is strongly negatively correlated with perception of coercion. Perception of negative interactive processes is strongly felt by involuntary patients. This experience is not fully explained by identifiable incidents throughout the admission process. In the New Zealand context, there remains a need to highlight the aspects of procedural justice which could be improved in order to reduce patient perception of coercion. Current methodology focuses on the experience of admission rather than the expectation of that experience. This point needs to be considered in relation to the experience of Maori (the indigenous people of New Zealand) |
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Call Number |
NRSNZNO @ research @ 443 |
Serial |
443 |
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Author |
Crowe, M. |
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Title |
Mad talk: attending to the language of distress |
Type |
Journal Article |
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Year |
1999 |
Publication |
Nursing Inquiry |
Abbreviated Journal |
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Volume |
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Issue |
March |
Pages |
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Keywords |
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Abstract |
This paper will examine how one woman, Madeleine's narrative can be constructed as symptomatic of the diagnosis of schizophrenia and how it can also be read from other perspectives, particularly a post-structural feminist one. The readings are presented as possibilities for understanding the woman's experiences and the implications of this for mental health nursing practice. A post-structural feminist reading acknowledges the gendered experiences of subjectivity and how those experiences are constructed in language.The purpose of this paper is to identify for mental health nursing practice an approach which recognises the figurative and literal characteristics of language in order to provide nursing care which positions the individual's experience of mental distress as central. This requires an acknowledgment of Madeleine's path into mental distress rather than simply a categorisation of what is observed in a clinical setting. Intervention may need to include a range of strategies: medical and non-medical, psychotherapeutic and social, physical and environmental. It may also require the provision of sanctuary and security while these options are explored |
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Call Number |
NRSNZNO @ research @ 438 |
Serial |
438 |
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