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Author Richardson, S.; Allen, J.
Title Casualization of the nursing workforce: A New Zealand perspective on an international phenomenon Type Journal Article
Year 2001 Publication (up) International Journal of Nursing Practice Abbreviated Journal
Volume 7 Issue 2 Pages 104-108
Keywords Industrial relations; Organisational change; Nursing; Personnel staffing and scheduling
Abstract A discussion of the increased use of 'casual' nursing staff (those nurses employed on a casual or 'per diem' basis) is presented. Reference is made to related literature, together with consideration of the implications associated with this trend. This issue has international significance, with the increased use of casual staff being widely recognised. A New Zealand perspective is included, with the provision of nursing care at Christchurch Hospital presented to illustrate certain aspects of the discussion. The impact of changing health-care systems and increased emphasis on efficiency and accountability are identified. This change to workplace practice will inevitably affect nursing; possible future developments are considered.
Call Number NRSNZNO @ research @ 909 Serial 893
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Author Spence, D.
Title Hermeneutic notions illuminate cross-cultural nursing experiences Type Journal Article
Year 2001 Publication (up) Journal of Advanced Nursing Abbreviated Journal
Volume 35 Issue 4 Pages 624-630
Keywords Transcultural nursing; Nursing
Abstract The aim of this paper was to articulate selected hermeneutic notions for the purpose of extending current understanding of cross-cultural nursing practice, and build on the author's work in this area. The project asserted that the notions of prejudice, paradox and possibility portray a nursing view of this phenomenon. The emphasis in this paper, rather than being methodological, is on showing how specific hermeneutic notions contribute to deeper understanding of the nature of cross-cultural practice. It is argued that contact with, and the capacity to explore, the play of conflicting prejudices and possibilities enhances understanding of the complex and paradoxical nature of cross-cultural nursing.
Call Number NRSNZNO @ research @ Serial 705
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Author Clendon, J.; White, G.E.
Title The feasibility of a nurse practitioner-led primary health care clinic in a school setting: A community needs analysis Type Journal Article
Year 2001 Publication (up) Journal of Advanced Nursing Abbreviated Journal
Volume 34 Issue 2 Pages 171-178
Keywords Primary health care; Nurse managers; Advanced nursing practice; Community health nursing; School nursing
Abstract The aim of this study was to determine the feasibility of establishing a nurse practitioner-led, family focused, primary health care clinic within a New Zealand primary school environment as a means of addressing the health needs of children and families. A secondary aim was to ascertain whether public health nurses were the most appropriate nurses to lead such a clinic. Utilising a community needs analysis method, data were collected from demographic data, 17 key informant interviews and two focus group interviews. Analysis was exploratory and descriptive. Findings included the identification of a wide range of health issues. These included asthma management and control issues, the need to address poor parenting, and specific problems of the refugee and migrant population. Findings also demonstrated that participant understanding of the role of the public health nurse was less than anticipated and that community expectations were such that for a public health nurse to lead a primary health care clinic it would be likely that 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 plan that would serve to address the health needs of children and families in the area the study was undertaken. Services that participants identified as being appropriate included health information, health education, health assessment and referral. The authors conclude that the establishment of a nurse practitioner-led, family focused, primary health care clinic in a primary school environment was 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.
Call Number NRSNZNO @ research @ Serial 952
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Author Wilson, H.V.
Title Power and partnership: A critical analysis of the surveillance discourses of child health nurses Type Journal Article
Year 2001 Publication (up) Journal of Advanced Nursing Abbreviated Journal
Volume 36 Issue 2 Pages 294-301
Keywords Paediatric nursing; Nurse-family relations; Nursing philosophy; Plunket
Abstract The aim of this research was to explore surveillance discourses within New Zealand child health nursing and to identify whether surveillance practices have implications in this context for power relations. Five experienced and practising Plunket nurses were each interviewed twice. The texts generated by these semi-structured interviews were analysed using a Foucauldian approach to critical discourse analysis. In contrast with the conventional view of power as held and wielded by one party, this study revealed that, in the Plunket nursing context, power is exercised in various and unexpected ways. Although the relationship between the mother and the nurse cannot be said to operate as a partnership, it is constituted in the nurses' discourses as a dynamic relationship in which the mother is actively engaged on her own terms. The effect of this is that it is presented by the nurses as a precarious relationship that has significant implications for the success of their work.
Call Number NRSNZNO @ research @ Serial 1085
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Author Crowe, M.; O'Malley, J.; Gordon, S.
Title Meeting the needs of consumers in the community: A working partnership in mental health in New Zealand Type Journal Article
Year 2001 Publication (up) Journal of Advanced Nursing Abbreviated Journal
Volume 35 Issue 1 Pages 88-96
Keywords Community health nursing; Psychiatric Nursing; Patient satisfaction; Mental health
Abstract The aim of this study was to evaluate whether the services that community mental health nurses provide are meeting the needs of consumers in the community. This was a joint project between nurses and consumers. It was a service-specific descriptive research project utilising qualitative methods of data collection and analysis that provides a model for working in partnership. The results of this research identify collaboration in planning care and sharing information as two areas of concern but generally the consumers were very satisfied with the care provided by community mental health nurses. The analysis of the data suggests that consumers value nursing care because nurses provide support in their own home; they help consumers develop strategies for coping with their illness and their life; they provide practical assistance when it is required; they are vigilant about any deterioration or improvement; and they are available and accessible. The results of this study have demonstrated that nurses will remain critical to the success of community-based care because of their ability and willingness to be flexible to the demands of their own organisation and the users of services.
Call Number NRSNZNO @ research @ Serial 1087
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Author O'Brien, A.J.
Title The therapeutic relationship: Historical development and contemporary significance Type Journal Article
Year 2001 Publication (up) Journal of Psychiatric & Mental Health Nursing Abbreviated Journal
Volume 8 Issue 2 Pages 129-137
Keywords Psychiatric Nursing; Nursing models; History of nursing; Nurse-patient relations
Abstract This article examines the therapeutic relationship, a concept held by many to be fundamental to the identity of mental health nurses. While the therapeutic relationship was given formal expression in nursing theory in the middle of the last century, its origins can be traced to attendants' interpersonal practices in the asylum era. The dominance of medical understandings of mental distress, and the working-class status of asylum attendants, prevented the development of an account of mental health nursing based on attendants' relationships with asylum inmates. It was left to Peplau and other nursing theorists to describe mental health nursing as a therapeutic relationship in the 1940s and later. Some distinctive features of colonial life in New Zealand suggest that the ideal of the attendant as the embodiment of bourgeoisie values seems particularly unlikely to have been realised in the New Zealand context. However, New Zealand literature from the 20th century shows that the therapeutic relationship, as part of a general development of a therapeutic discourse, came to assume a central place in conceptualisations of mental health nursing. While the therapeutic relationship is not by itself a sufficient basis for professional continuity, it continues to play a fundamental role in mental health nurses' professional identity. The way in which the therapeutic relationship is articulated in the future will determine the meaning of the therapeutic relationship for future generations of mental health nurses.
Call Number NRSNZNO @ research @ Serial 1088
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Author Spence, D.
Title Prejudice, paradox, and possibility: Nursing people from cultures other than one's own Type Journal Article
Year 2001 Publication (up) Journal of Transcultural Nursing Abbreviated Journal
Volume 12 Issue 2 Pages 100-106
Keywords Cultural safety; Transcultural nursing; Nurse-patient relations
Abstract This article provides a brief overview of the findings of a hermeneutic study that explored the experience of nursing people from cultures other than one's own. The notions prejudice, paradox, and possibility are argued to describe this phenomenon. Nurses in New Zealand are being challenged to recognise and address racism in their practice. Yet, the implementation of cultural safety in nursing education has created tension within the profession and between nursing and the wider community. As nurses negotiate the conflicts essential for ongoing development of their practice, the play of prejudice, paradox, and possibility is evident at intrapersonal and interpersonal levels as well as in relation to professional and other discourses. Nurses are challenged to continue their efforts to understand and move beyond the prejudices that otherwise preclude the exploration of new possibilities.
Call Number NRSNZNO @ research @ 1104 Serial 1089
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Author Johnstone, C.
Title Linking diet and respiratory distress Type Journal Article
Year 2001 Publication (up) Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 7 Issue 5 Pages 22-23
Keywords Diet; Chronic diseases; District nursing
Abstract The author, a district nurse, describes the experiences of a patient with chronic obstructive pulmonary disease requiring long-term oxygen therapy and characterised as a carbon dioxide retainer whose overall health was improved by a carbohydrate restricted diet. The literature on carbohydrate intake and respiratory disease is briefly reviewed.
Call Number NRSNZNO @ research @ Serial 1011
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Author Wright, R.
Title Linking theory with practice Type Journal Article
Year 2001 Publication (up) Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 7 Issue 2 Pages 14-15
Keywords Intensive care nursing; Nurse-family relations; Nursing models
Abstract This article describes the care of a brain-dead intensive care unit patient. The human caring theory of Jean Watson is used to interpret the interactions between family, patient and nurse in this case study. Watson's concepts of care are examined as they relate to each stage of caring for the patient and his family.
Call Number NRSNZNO @ research @ Serial 1012
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Author French, P.
Title Nursing registration: A time to celebrate? Type Journal Article
Year 2001 Publication (up) Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 7 Issue 8 Pages 17-19
Keywords History of nursing; Interprofessional relations; Physicians; Nursing philosophy
Abstract This article examines the knowledge and power relationships between the medical profession and nurses during the first half of the twentieth century. It argues that the 1901 Nurses' Registration Act allowed doctors to exert control over the nursing profession and that the hierarchal structure of the profession contributes to the culture of control and surveillance.
Call Number NRSNZNO @ research @ 1029 Serial 1013
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Author Wilson, M.
Title Organisational psychopaths and our health culture Type Journal Article
Year 2001 Publication (up) Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 7 Issue 3 Pages 27-29
Keywords Nursing; Leadership; Organisational change
Abstract The author discusses recent research on organisational psychopaths, and suggests it offers an explanation for the state of the health system since managerialism was ushered in through health reforms. She identifies personality traits of organisational psychopaths and of aberrant self-promoters. The author gives her experience of changes to the structure of nursing at a North Island metropolitan public hospital over an 8-year period.
Call Number NRSNZNO @ research @ 1030 Serial 1014
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Author Skadiang, K.
Title Researching post-tonsillectomy bleeding Type Journal Article
Year 2001 Publication (up) Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 7 Issue 4 Pages 22-23
Keywords Surgery; Health status; Nursing
Abstract This article reports findings from an audit of post-tonsillectomy haemorrhage among patients at South Auckland Health from October 1998 to April 1999. All patients who underwent tonsillectomy or adenotonsillectomy were contacted by telephone, after the 14th day and before the 21st day following surgery.
Call Number NRSNZNO @ research @ Serial 1015
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Author Prentice, D.; Hathaway, M.
Title Responding to a death from meningococcal disease: A case study Type Journal Article
Year 2001 Publication (up) Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 7 Issue 5 Pages 16-18
Keywords Infectious diseases; Public health; Infection control
Abstract The public health nurses present a case study on adapting meningococcal disease public health protocols to work with the situation of a Cook Island family following the death of a member from meningococcal disease. They discuss the meningococcal disease epidemic in New Zealand and outline the signs and symptoms of the disease.
Call Number NRSNZNO @ research @ Serial 1016
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Author McKenna, B.; Poole, S.
Title Debating forensic mental health nursing [corrected] Type Miscellaneous
Year 2001 Publication (up) Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 7 Issue 6 Pages 18-20
Keywords Psychiatric Nursing; Law and legislation; Cross-cultural comparison; History of nursing
Abstract Forensic mental health nursing roles have developed along different lines in the United States and the United Kingdom. The authors suggest that New Zealand nurses consider the evolution of such roles here.
Call Number NRSNZNO @ research @ 1043 Serial 1027
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Author Webby, A.
Title Developing safe nursing practice for Maori Type Journal Article
Year 2001 Publication (up) Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 7 Issue 1 Pages 16-17
Keywords Maori; Psychiatric Nursing; Nursing models
Abstract A safe mental health nursing practice for Maori is defined as one that includes Maori ways of knowing. The author also notes that Maori mental health nurses must be given the ability to create their own practice to best meet their clients' needs.
Call Number NRSNZNO @ research @ Serial 1028
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