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Author Carryer, J.B.; Budge, C.; Russell, A.
Title Measuring perceptions of the Clinical Career Pathway in a New Zealand hospital Type Journal Article
Year 2002 Publication Nursing Praxis in New Zealand Abbreviated Journal (up)
Volume 18 Issue 3 Pages 18-29
Keywords Professional development; Careers in nursing; Nursing; Hospitals
Abstract The authors outline the Clinical Career Pathways (CCPs) for nurses, which were first established in New Zealand during the late 1980s. This paper introduces a new instrument, the Clinical Career Pathway Evaluation Tool (CCPET) designed to assess nurses' and midwives' knowledge of and attitudes towards their Clinical Career Pathway. The 51 item instrument takes the form of a self-report questionnaire. The development of the CCPET is described and results from an initial application of the instrument with 239 nurses and midwives in a New Zealand hospital are presented. Results indicate that knowledge levels were moderate in this sample and were correlated with both positive and negative attitudes. Results of t-test comparisons indicated that, on average, the group who had already completed a CCP portfolio had greater knowledge and more positive attitudes than the group who had not.
Call Number NRSNZNO @ research @ 634 Serial 620
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Author Davy, R.
Title Strategy to increase smear testing of older women Type Journal Article
Year 2002 Publication Practice nurse: Official Journal of the New Zealand College of Practice Nurses Abbreviated Journal (up)
Volume 2 Issue 3 Pages 13-14
Keywords Health promotion; Older people; Screening
Abstract The author presents a project to increase enrolments of women aged 60-69 years in the cervical screening programme. The programme included provision of packages comprising fliers, counter signs, stickers, postcards and pens to 1387 women's groups or locations where women gather. The author collates and analyses calls to the advertised 0800 telephone number, smear tests at the Well Women's Nursing Trust, and enrolment rates on the Cervical Screening Register from June to August 2001.
Call Number NRSNZNO @ research @ 637 Serial 623
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Author Dickinson, A.R.; Dignam, D.
Title Managing it: A mother's perspective of managing a pre-school child's acute asthma episode Type Journal Article
Year 2002 Publication Journal of Child Health Care Abbreviated Journal (up)
Volume 6 Issue 1 Pages 7-18
Keywords Asthma; Parents and caregivers; Children; Nurse-patient relations
Abstract This exploratory descriptive study informed by grounded theory examines the experience of mothers in managing their pre-school child's acute asthma attack at home. The study reveals that mothers perceive that they are responsible for the management of their pre-school child during an acute asthma episode, a process they described as 'managing it'. This process involves mother in 'working on treatment', 'making the call', 'watching' and 'calming', while the husband/partner, family, friends and health professionals are 'supporting treatment'. This study suggests that nurses and doctors need to move away from the current paternalistic view of health care delivery in acute settings and embrace the concepts of support and partnership in the care of the pre-school child with asthma and their family.
Call Number NRSNZNO @ research @ 728 Serial 714
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Author McCallum, C.
Title Balancing technology with the art of caring Type Journal Article
Year 2002 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal (up)
Volume 8 Issue 7 Pages 21-23
Keywords Technology; Nursing; Nurse-patient relations; Ethics
Abstract The author examines the role of technology in high dependency units, which can alienate nurses from patients. The ethical issues raised by technology are reviewed, particularly the allocation of expensive interventions, and the implications of life-sustaining technology on the application of informed consent. The author highlights the challenge facing nurses to bridge the gap between medical technology and humane caring.
Call Number NRSNZNO @ research @ 1017 Serial 1001
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Author Sadlier, C.
Title Gaining insight into the experience of diabetes Type Journal Article
Year 2002 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal (up)
Volume 8 Issue 1 Pages 14-16
Keywords Diabetes Type 2; Maori; Nursing
Abstract This article reports a research project that investigated the experience and expectations of Maori who were newly-diagnosed with non-insulin-dependent diabetes mellitus (NIDDM). Four people diagnosed with NIDDM were interviewed over 12 months. Participant recommendations are incorporated into suggested improvements for managing the condition.
Call Number NRSNZNO @ research @ 1020 Serial 1004
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Author Lowe, L.
Title Linking housing and health status Type Journal Article
Year 2002 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal (up)
Volume 8 Issue 9 Pages 26-27
Keywords Health status; Public health; Nursing
Abstract The author examines the impact of poor housing on health, and looks at how the situation can be improved. Ways that nurses can work towards improving housing standards and thus health are discussed.
Call Number NRSNZNO @ research @ 1021 Serial 1005
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Author Crowe, M.; O'Malley, J.; Bigwood, S.
Title Nursing mental health consumers in the community Type Journal Article
Year 2002 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal (up)
Volume 8 Issue 8 Pages 14-15
Keywords Community health nursing; Psychiatric Nursing
Abstract The purpose of this research was to describe the characteristics of community mental health nursing care in the community. Twenty six nurses were enrolled in a study consisting of semi-structured interviews about the nature of their care. Responses were analysed to identify categories of skills. These were characterised as: establishing connectedness; promoting individual and family resilience, promoting citizenship; and addressing structural issues. Responses from the nurses are used to illustrate these categories.
Call Number NRSNZNO @ research @ 1024 Serial 1008
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Author Brinkman, A.
Title Occupational stress in hospitals: A nursing perspective Type Journal Article
Year 2002 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal (up)
Volume 8 Issue 6 Pages 21-23
Keywords Occupational health and safety; Stress; Nursing
Abstract This article examines the environmental stressors that cause occupational stress for many nurses, particularly the health reforms and the Employment Contracts Act (ECA). The concept of stress is reviewed and theories of occupational stress are described, including the demand-control theory and the transactional model. Nurses are advised to become aware of occupational stress in their workplaces, citing a study by the author showing high levels of stress among hospital nurses.
Call Number NRSNZNO @ research @ 1025 Serial 1009
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Author Warren, S.
Title Cultural safety, where does it fit? A literature review Type Journal Article
Year 2002 Publication Vision: A Journal of Nursing Abbreviated Journal (up)
Volume 8 Issue 14 Pages 27-30
Keywords Cultural safety; Cross-cultural comparison; History of nursing
Abstract This literature review discusses the history of the inclusion of culture into nursing studies. There is a small sample of overseas literature for critique with a focus on the inclusion of cultural safety in New Zealand. The concept of cultural safety was first introduced into New Zealand in the late 1980s. It was adopted by the New Zealand Nursing Council for nurses and midwives in 1992 and became part of the basic curriculum for nursing and midwifery education.
Call Number NRSNZNO @ research @ 1095 Serial 1080
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Author Brasell-Brian, R.; Vallance, E.
Title Clinical practice/education exchange: Bridging the theory-practice gap Type Journal Article
Year 2002 Publication Nursing Praxis in New Zealand Abbreviated Journal (up)
Volume 18 Issue 1 Pages 17-26
Keywords Education; Interprofessional relations
Abstract This article positions clinical practice/education exchange (CPEE) within nursing literature and presents narrative accounts from a nurse educator and clinician who exchanged jobs for one year. This type of exchange, between education institutes and service areas where students are placed, is a new concept. The aim is to enhance student learning and facilitating meaningful links between theory and practice for them.
Call Number NRSNZNO @ research @ Serial 613
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Author Fourie, W.; Oliver, J.D.
Title Defining currency of practice for nurse educators Type Journal Article
Year 2002 Publication Nursing Praxis in New Zealand Abbreviated Journal (up)
Volume 18 Issue 3 Pages 30-39
Keywords Quality assurance; Professional competence; Education
Abstract Recent Nursing Council of New Zealand guidelines for competence-based practising certificates and the fact that all nurse educators must have a current practising certificate prompted the Nursing Schools within the Tertiary Accord of New Zealand (TANZ) to explore issues surrounding current competency in practice and how this can be maintained by nurse educators. The authors note that discussions related to competence-based practising certificates generally refer to competence only in terms of direct patient care. They set out to clarify the issue with specific reference to nurse educators who, by the nature of their scope of practice, often do not carry a patient caseload. They review the literature relating to currency of practice and draw on the findings of a survey of TANZ Nursing Schools and provide a position on how currency of practice applies to nurses working in an educational setting. They present strategies to maintain clinical, teaching and scholarly currency and make some suggestions for providing evidence that currency of practice is maintained.
Call Number NRSNZNO @ research @ Serial 614
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Author Finlayson, M.; Gower, S.E.
Title Hospital restructuring: Identifying the impact on patients and nurses Type Journal Article
Year 2002 Publication Nursing Praxis in New Zealand Abbreviated Journal (up)
Volume 18 Issue 2 Pages 27-35
Keywords Quality of health care; Hospitals; Organisational change
Abstract The authors report a survey of all nurses working in hospitals included in the International Hospital Outcomes Study of staffing and patient outcomes in New Zealand's secondary and tertiary hospitals from 1988-2001. The survey examines the way in which the hospitals have been restructured and analyses patient outcomes. Research has identified links between how nursing is organised in a hospital and that hospital's patient outcomes.
Call Number NRSNZNO @ research @ Serial 615
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Author Warren, B.L.
Title Intramuscular injection angle: Evidence for practice? Type Miscellaneous
Year 2002 Publication Nursing Praxis in New Zealand Abbreviated Journal (up)
Volume 18 Issue 2 Pages 42-51
Keywords Patient safety; Immunisation
Abstract This article presents the findings of a search for evidence to support the 45-60 degree angle of insertion for intramuscular injection of vaccine which is recommended in New Zealand. With the objective of discovering the evidence base for an intramuscular injection angle which differs from that recommended by the World Health Organisation and the accepted practice experienced by the author in the UK, Canada, Malawi and the USA, a comprehensive library and internet literature search was undertaken. Information was also sought by personal correspondence and contact with a range of immunisation specialists. Both the literature specifically on needle angle and that which includes needle angle within a wider investigation of technique is included. Overwhelmingly the evidence supports a 90 degree angle of needle insertion for intramuscular injection as being most effective in terms of patient comfort, safety and efficacy of vaccine.
Call Number NRSNZNO @ research @ Serial 616
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Author Farrow, T.; McKenna, B.; O'Brien, A.J.
Title Initiating committal proceedings 'just in case' with voluntary patients: A critique of nursing practice Type Journal Article
Year 2002 Publication Nursing Praxis in New Zealand Abbreviated Journal (up)
Volume 18 Issue 2 Pages 15-23
Keywords Patient rights; Law and legislation; Mental health; Nurse-patient relations
Abstract The authors report a clinical audit that, combined with anecdotal evidence, verifies the practice of putting section 8B medical certificates on the files of voluntary mental health patients at the time of admission. This is seen as a strategy to balance the requirement to support and promote the autonomy of voluntary patients with the need to protect those patients or other people. A conceptual analysis of these issues indicates that such a practice is both legally questionable and ethically inappropriate. The authors suggest an alternative framework for practice that is legally and ethically preferable for both nurses and patients.
Call Number NRSNZNO @ research @ Serial 618
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Author Mackay, B.
Title Leadership development: Supporting nursing in a changing primary health care environment Type Journal Article
Year 2002 Publication Nursing Praxis in New Zealand Abbreviated Journal (up)
Volume 18 Issue 2 Pages 24-32
Keywords Leadership; Professional development; Primary health care; Nursing
Abstract The author argues that the involvement of nurses in the decision-making of health organisations is essential to maximise the contribution of nurses and promote positive outcomes for patients. She suggests that development of leadership skills will make nurses aware of power structures in the health system and allow them to become interdependent health professionals in primary health organisations (PHO). The particular competencies discussed are those proposed by Van Maurik (1997), namely ability to understand and manage organisational politics, work facilitatively with people and circumstances, and build a feeling of purpose.
Call Number NRSNZNO @ research @ Serial 619
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