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Author Narbey, N. url  openurl
  Title Cognitive Behaviour Therapy in psychosis: Relevance to mental health nurses Type
  Year 2001 Publication Abbreviated Journal (down) ResearchArchive@Victoria  
  Volume Issue Pages  
  Keywords Psychiatric Nursing; Psychology; Evidence-based medicine  
  Abstract The author uses his personal and professional experience to explore the application of Cognitive Behavioural Therapy in caring for people who experience psychosis. Psychosis can be a life-threatening illness; about one in ten young men with psychosis will take their own lives. Much of the progress in treatment has been predicated on a biological explanation of psychosis. The late 1990s have seen increasing interest in psychological approaches in the treatment of psychosis; not withstanding that this treatment does not work for all people. The first aim of this research report is to develop understanding about Cognitive Behavioural Therapy, through exploration of its origins and examining the theoretical basis and reviewing the evidence that may support its use. The second aim is to explore the evidence around mental health nurses' training and use of Cognitive Behavioural Therapy, by critically examining some of the major UK and Australian reports. The author considers that Cognitive Behavioural Therapy is theoretically and pragmatically compatible with contemporary nursing practice, and will have increasing prominence for New Zealand mental health nurses.  
  Call Number NRSNZNO @ research @ Serial 1187  
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Author Cleary, H. url  openurl
  Title Caring and bioethics: Perspectives, predicaments and possibilities Type
  Year 2001 Publication Abbreviated Journal (down) ResearchArchive@Victoria  
  Volume Issue Pages  
  Keywords Ethics; Feminist critique; Nurse-patient relations  
  Abstract This thesis presents an explorative study of the place of caring in bioethics. Through the examination of various sources of literature from the disciplines of nursing, feminist theory and ethics, and bioethics, a case is developed that argues for a valid respected place for caring, as an ethic of care in bioethical decision-making. The case is built by providing evidence to support the fundamental importance of caring to human life, health, relationships, and survival at the broad societal level. This is presented from the feminist and nursing perspectives, along with a critique of the negative aspects of caring practices. The next stage of the case presents a layout of the discipline of bioethics, using an historical perspective to illuminate the influences of bioethics' deep past, as it still affects the discipline in the present. The development of contemporary bioethics' current status is presented along with critiques from bioethicists themselves, and nursing and feminist theory and ethics. In the case at this point, from a bioethical perspective, two major predicaments appear to prevent an ethic of care obtaining a valid place in ethical decision-making in bioethics. These are the justice/care duality, and the conflict between different conceptions of care and autonomy. The bioethical objections and arguments put forward regarding these predicaments are examined and refuted, and the author suggests a case is established for the inclusion of an ethic of care in bioethical decision-making.  
  Call Number NRSNZNO @ research @ Serial 1198  
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Author Chenery, K. url  openurl
  Title 'Can mummy come too?' Rhetoric and realities of 'family-centred care' in one New Zealand hospital, 1960-1990 Type
  Year 2001 Publication Abbreviated Journal (down) ResearchArchive@Victoria  
  Volume Issue Pages  
  Keywords Nurse-family relations; Policy; Hospitals; History of nursing; Paediatric nursing  
  Abstract This study explores the development of 'family-centred care' in New Zealand as part of an international movement advanced by 'experts' in the 1950s concerned with the psychological effects of mother-child separation. It positions the development of 'family-centred care' within the broader context of ideas and beliefs about mothering and children that emerged in New Zealand society between 1960 and 1980 as a response to these new concerns for children's emotional health. It examines New Zealand nursing, medical and related literature between 1960 and 1990 and considers both professional and public response to these concerns. The experiences of some mothers and nurses caring for children in one New Zealand hospital between 1960 and 1990 illustrate the significance of these responses in the context of one hospital children's ward and the subsequent implications for the practice of 'family-centred care'. This study demonstrates the difference between the professional rhetoric and the parental reality of 'family-centred care' in the context of one hospital children's ward between 1960 and 1990. The practice of 'family-centred care' placed mothers and nurses in contradictory positions within the ward environment. These contradictory positions were historically enduring, although they varied in their enactment.  
  Call Number NRSNZNO @ research @ Serial 1206  
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Author Hammond, S. url  openurl
  Title Parallel journeys: Perceptions of palliative care Type
  Year 2001 Publication Abbreviated Journal (down) ResearchArchive@Victoria  
  Volume Issue Pages  
  Keywords Palliative care; Policy; Geriatric nursing  
  Abstract The delivery of palliative care within contemporary New Zealand society is discussed, in the light of the recent publication of The New Zealand Palliative Care Strategy (2001). The viewpoint taken is largely descriptive rather than prescriptive, being based on a literature survey of international research and academic theory, which is also informed by the author's professionally gained knowledge. Four different perspectives, comprising a mix of providers and recipients of care are investigated: those of central government planning; specialist palliative care units; aged-care complexes; and patients, family and whanau. As an area of healthcare which current demographic projections indicate will become increasingly significant, the provision of palliative care to residents of and patients within aged-care complexes receives special attention. A metaphor of “parallel travellers” on “parallel journeys” is used to provide a thematic basis to the paper. The lived experiences and perceptions of each group of “parallel travellers” are explored. Difficulties in defining and evaluating palliative care, the implications of main-streaming, the scope of palliative care provision, the educative role of specialist palliative care providers and the current focus on mechanistic outcome measures are discussed. It is contended that the values and goals, both explicit and implicit, of the four specified groups may not at present be sufficiently congruent to optimise the effective provision of palliative care from the point of view of all concerned. While adequate resourcing and a genuinely collaborative approach among healthcare providers are both acknowledged to be critical, the potential for palliative care nurse practitioners to be appointed to the role of “care co-ordinator” alluded to within The New Zealand Palliative Care Strategy (2001), is also seen as pivotal. Insights from a postmodern perspective are offered as one possible way of achieving greater congruence.  
  Call Number NRSNZNO @ research @ Serial 1215  
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Author Watson, S. url  openurl
  Title Humane caring: Quality of life issues for those elderly people wanting to remain in their own environment Type
  Year 2001 Publication Abbreviated Journal (down) ResearchArchive@Victoria  
  Volume Issue Pages  
  Keywords Geriatric nursing; Older people; Home care  
  Abstract This thesis explores the issues surrounding the elderly remaining in their own environment and why remaining 'at home' becomes so essential for them. There are many elderly people who have moved to residential care settings on the advice of others. The author explores the implications of such moves through the stories of several elderly persons, and her own experiences as a nurse working with the elderly in institutional care.  
  Call Number NRSNZNO @ research @ Serial 1217  
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Author Mitchell, K. url  openurl
  Title Childbirth: A momentous occasion. Muslim women's childbirth experiences Type
  Year 2001 Publication Abbreviated Journal (down) ResearchArchive@Victoria  
  Volume Issue Pages  
  Keywords Childbirth; Cultural safety; Nurse-patient relations  
  Abstract This thesis explores three Muslim women's experience of childbirth, in a setting surrounded by health professionals who largely have little understanding of their culture. Various forms of narrative such as a letter, excerpts from conversations, and interviews, have been used in presenting this research. The women's stories reveal that giving birth in a cross-cultural setting is stressful. The women had to adjust to an environment which challenged their beliefs and values, in one case with no extended family or cultural support. This stress is long lasting as evidenced in the women's stories. Given the opportunity to tell their story, all the women highlighted both the positive and negative aspects of their birth experiences. This thesis identifies situations that heightened the vulnerability of the women, and highlights the uniqueness of each woman. It concludes by identifying recommendations and reading material for nurses and midwives in education or practice.  
  Call Number NRSNZNO @ research @ Serial 1223  
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Author Esera, F.I. url  openurl
  Title If a client is operating from a Samoan world view how can s/he be holistically and appropriately treated under the western medical model? Type
  Year 2001 Publication Abbreviated Journal (down) ResearchArchive@Victoria  
  Volume Issue Pages  
  Keywords Mental health; Psychiatric Nursing; Cultural safety; Cross-cultural comparison; Pacific peoples  
  Abstract This paper is an analysis of the cultural and traditional factors that the author presents as essential considerations in the treatment of Samoan people who have been diagnosed with a mental illness. Just as important to any clinical diagnosis, is the spiritual nature of Samoan culture and traditions, which inform belief systems. A full understanding of these will explain how the traditional beliefs and cultural values of Samoan people have an impact on their perception of mental illness, its causes and cures. The thesis places emphasis on 'ma'i -aitu', the Samoan term for most ailments pertaining to the mind or psyche. The focus is on defining 'ma'i -aitu' as part of a Samoan world view and likewise a description of a similar type of manifestation in the Papalagi (western) context of a psychiatric disorder and how treatment and management is usually undertaken. The issues addressed in this paper aim to highlight the Samoan client's world view from a Samoan perspective of mental illness which then poses the question of how they can be managed holistically and appropriately under the Papalagi medical system. Furthermore, it questions if the traditional belief system of Samoans run deeper than originally thought and can the replacement thereof by a foreign culture be responsible for the increased mental problems in Samoans living in New Zealand? This paper emphasises the importance of integrating the western medical model and Samoan health models, for appropriate mental health service delivery to Samoan people.  
  Call Number NRSNZNO @ research @ Serial 1231  
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Author Brookes, K. openurl 
  Title Moving stories from nurses in flight Type
  Year 2001 Publication Abbreviated Journal (down) Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz  
  Volume Issue Pages  
  Keywords Nursing specialties; Advanced nursing practice; Intensive care nursing; Feminist critique  
  Abstract This thesis contains a collection of stories gifted by four New Zealand Retrieval Team nurses who are experienced in the transport of patients. These nurses are commonly called flight nurses and they assist in the transport of patients via helicopter, fixed-wing aeroplane, large commercial aeroplanes and ambulances. While their practice is not exclusively in the helicopter there is an emphasis on this mode of transport in this thesis. Flight nursing is a scope of nursing practice where the use, and visibility, of nurses' stories is rare. The specific context of this research is positioned in one tertiary intensive care unit in New Zealand but it is anticipated that the stories from four flight nurses and the author's subsequent thoughts on them will resonate with flight nurses in other regions. The stories were collected using a storytelling methodology that has been informed by qualitative and feminist perspectives. The stories were either gathered and shaped using interview and transcription techniques with the storyteller and the researcher, or written by the storyteller. The thesis has been written as a narrative and chronicles the journey to the point of receiving the stories and the lines of inquiry in which they subsequently directed the author. The stories are central to this research and appear in their entirety. The reader is encouraged to create their own meaning from the stories. The stories themselves have several common threads, which are planning, communication, teamwork and the unexpected. The threads underpinning the stories are not unique to flight nursing practice and have been discussed in other scopes of practice. One area the author has chosen to explore in more depth is the impacts of technology, privacy, narrative pedagogy and disenfranchisement on the visibility of flight nurses' stories. The other area she has chosen for discussion is advanced and specialty nursing practice as it relates to flight nurses. As a result of this discussion she proposes her own view for advanced and specialty practice in flight nursing.  
  Call Number NRSNZNO @ research @ Serial 918  
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Author Litchfield, M. url  openurl
  Title A framework of complementary models of nursing practice: A study of nursing roles and practice for a new era of healthcare provision in New Zealand Type Report
  Year 2001 Publication Abbreviated Journal (down) Online on the Ministry of Health's Centre for Rural Health pages  
  Volume Issue Pages  
  Keywords Nursing models; Rural nursing; Policy; Scope of practice  
  Abstract This is the second of a series of research projects undertaken to present the contemporary picture of the nurse workforce and their work in rural settings to inform policy for development of rural healthcare. The document presents the findings of telephone interviews with nurses in different work rural work settings around the country discussing their practice. The analysis identified a framework of four models of nursing practice: two traditional models defined by the institutions employing nurses, and two emerging models defined by the new positions requiring nurses to respond directly to health need.  
  Call Number NRSNZNO @ research @ Serial 1176  
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Author O'Malley, J. openurl 
  Title Critical social analysis of acute institutionally based mental health nursing following an action research project Type
  Year 2001 Publication Abbreviated Journal (down) NZNO Library, Victoria University of Wellington Library  
  Volume Issue Pages  
  Keywords Psychiatric Nursing; Hospitals; Quality of health care  
  Abstract This study using action research involving twelve registered nurses worked toward improving nursing care in an acute mental health in-patient service. Following focus groups with consumers, families, nurses, doctors, and allied health professionals, the action research group developed projects over eighteen months to improve continuity and consistency of nursing care. There was a subsequent restructuring of nursing service to better define leadership, accountability and to strengthen care delivery. The second half of the thesis involves a critical social analysis of the research data and produces a theory of mental health nursing which, the author suggests, has wide application in practice.  
  Call Number NRSNZNO @ research @ Serial 1133  
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Author Barton, J. openurl 
  Title Pain knowledge and attitudes of nurses and midwives in a New Zealand context Type
  Year 2001 Publication Abbreviated Journal (down) NZNO Library  
  Volume Issue Pages  
  Keywords Nursing; Pain management; Attitude of health personnel  
  Abstract  
  Call Number NRSNZNO @ research @ 1140 Serial 1125  
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Author Boyd, L. openurl 
  Title “It could have just as easily been me”: Nurses working in mental health services who have experienced mental illness Type
  Year 2001 Publication Abbreviated Journal (down) NZNO Library  
  Volume Issue Pages  
  Keywords Nursing; Mental health; Occupational health and safety  
  Abstract This research explores the issues and experiences of mental health nurses who experience or have experienced mental illness. This project was prompted by the author's concern for colleagues and friends in this situation. The research topic was approached using a mix of critical ethnography and action research principles. Five mental health nurses who all work for the same district health board were interviewed about their experiences of being mental health professionals with mental illness and the issues that arose from this. The themes that emerged from this research are: the reactions of nurse colleagues, the effects on participants' own mental health treatment, employer responses, professional experiences and issues and strategies for coping. Discussion and recommendations focus on the need for improvements to the responses that mental health nurses with experience of mental illness encounter in their workplace. Recommendations from this research encompass suggestions for both individual and organisational education, action and change.  
  Call Number NRSNZNO @ research @ Serial 1127  
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Author Herd, C.M.F. openurl 
  Title Is it a dangerous game? Registered nurses' experiences of working with care assistants in a public hospital setting Type
  Year 2001 Publication Abbreviated Journal (down) Massey University, Palmerston North, Library  
  Volume Issue Pages  
  Keywords Registered nurses; Personnel; Interprofessional relations  
  Abstract  
  Call Number NRSNZNO @ research @ 1274 Serial 1259  
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Author Gilmour, J.A. openurl 
  Title On the margins: Nurses and the intermittent care of people with dementia: A discourse analysis Type
  Year 2001 Publication Abbreviated Journal (down) Massey University, Palmerston North, Library  
  Volume Issue Pages  
  Keywords Older people; Dementia; Nursing  
  Abstract  
  Call Number NRSNZNO @ research @ 1276 Serial 1261  
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Author Rummel, L. openurl 
  Title Safeguarding the practices of nursing: The lived experience of being-as preceptor to undergraduate student nurses in acute care settings Type
  Year 2001 Publication Abbreviated Journal (down) Massey University, Albany, Library  
  Volume Issue Pages  
  Keywords Preceptorship; Nursing; Education; Identity; Intensive care nursing  
  Abstract This thesis used a Heideggerian Hermeneutic approach to explore the experiences of registered nurses who act as preceptors to undergraduate student nurses. The researcher interviewed fifteen volunteer registered nurses twice as preceptors to investigate their experience. The data generated was audio-taped and analysed. Four dominant themes emerged. The first, 'Becoming attuned – the call', related to registered nurses responding to the call to be preceptors to students in their clinical placement. The second, “The emerging identity of being-as preceptor: keeping the student in mind”, related to preceptors cultivating their own identity as preceptors as they worked with students in the world of nursing practice. The third, 'Assessing where the student is at: the preceptor and preceptee working and growing together', related to a constant evaluation by preceptors of students' knowledge, readiness to learn, and the provision of learning opportunities. The fourth, 'Preceptors as builders of nursing practice through teaching reality nursing', facilitated the preceptee's experience of the real world of nursing practice. An overall constitutive theme: 'Preceptors as the safeguarders of the practices of nursing', emerged as the essence of the experience.  
  Call Number NRSNZNO @ research @ Serial 1263  
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