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Author Holdaway, Maureen Ann
Title A Maori model of primary health care nursing Type Book Whole
Year 2002 Publication (up) Abbreviated Journal
Volume Issue Pages 192 p.
Keywords Primary health care nursing; Maori women's health; Maori model of health; Kaupapa Maori research; Health reforms; Health policy; Surveys
Abstract Identifies how traditional nursing practice in Maori communities may be enhanced. Highlights the need for nursing to broaden concepts of health, community, and public health nursing, to focus on issues of capacity-building, community needs, and a broader understanding of the social, political, cultural, and economic contexts of the communities primary health-care nurses serve. Explores how health is experienced by Maori women during in-depth interviews using critical ethnographic method, underpinned by a Maori-centred approach. Articulates a model of health that is a dynamic process based on the restoration and maintenance of cultural integrity, derived from the principle of self-determination.
Call Number NZNO @ research @ Serial 1809
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Author Milligan, K.
Title Aesthetic knowledge and the use of arts in nursing Type Journal Article
Year 2002 Publication (up) Beginning Journeys: A Collection of Work Abbreviated Journal
Volume 7 Issue Pages 9-14
Keywords Nursing philosophy; Nursing; Education; Teaching methods
Abstract The author considers aesthetic knowing and the use of the arts in nursing. She identifies concepts that pertain to the art of nursing. The interrelationship of the moral sense and the art of nursing is explored. The author concludes that the mediums of non-fiction, fiction and poetry can provide valuable contributions to the aesthetic way of knowing in nursing education, practice and research.
Call Number NRSNZNO @ research @ Serial 1094
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Author Nicol, M.J.; Manoharan, H.; Marfell-Jones, M.; Meha-Hoerara, K.; Milne, R.; O'Connell, M.; Oliver, J.D.; Teekman, B.
Title Issues in adolescent health: A challenge for nursing Type Journal Article
Year 2002 Publication (up) Contemporary Nurse Abbreviated Journal
Volume 12 Issue 2 Pages 155-163
Keywords Adolescents; Health education; Health promotion; Nursing; Risk factors; Suicide; Sexual health; Smoking; Mental health
Abstract This review provides an overview of the health issues for adolescents, and the implications for nursing practice, particularly around health promotion. It looks at the social context of adolescents including peer pressure, along with health issues such as suicide, mental health, sexual health, and smoking.
Call Number NRSNZNO @ research @ Serial 712
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Author Spence, D.; Fielding, S.
Title Win-win-win: Collaboration advances critical care practice Type Journal Article
Year 2002 Publication (up) Contemporary Nurse Abbreviated Journal
Volume 13 Issue 2/3 Pages 223-228
Keywords Nursing specialties; Rural nursing; Nursing; Education; Curriculum
Abstract This paper provides an overview of the structure and processes of an eighteen month, distance education course focused on developing advanced practice in the context of critical care nursing. Within the framework of a Master of Health Science, the postgraduate certificate (critical care nursing) was developed as a collaboration between Auckland University of Technology and two regional health providers. Students enrol in science and knowledge papers concurrently then, in the second half of the course, are supported within their practice environment to acquire advanced clinical skills and to analyse, critique and develop practice within their specialty. This course is set against a background of increasing interest in education post registration. The acquisition of highly developed clinical capabilities requires a combination of nursing experience and education. This requires collaboration between clinicians and nurse educators, and approaches to address accessibility of relevant educational opportunities for nurses outside the country's main centres.
Call Number NRSNZNO @ research @ Serial 878
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Author Bland, M.F.
Title Patient observation in nursing home research: Who was that masked woman? [corrected] [published erratum appears in Contemporary Nurse 2002 Apr; 12(2): 135] Type Journal Article
Year 2002 Publication (up) Contemporary Nurse Abbreviated Journal
Volume 12 Issue 1 Pages 42-48
Keywords Nursing research; Ethics; Rest homes; Nurse-patient relations
Abstract This article discusses the issues that one nurse researcher faced during participant observation in three New Zealand nursing homes. These include the complexity of the nurse researcher role, the blurring of role boundaries, and various ethical concerns that arose, including the difficulties of ensuring that all those who were involved in the study were kept informed as to the researcher's role and purpose. Strategies used to maintain ethical and role integrity are outlined, with further debate and discussion around fieldwork issues and experiences for nurse researchers called for.
Call Number NRSNZNO @ research @ Serial 892
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Author Muir-Cochrane, E.; Holmes, C.; Walton, J.A.
Title Law and policy in relation to the use of seclusion in psychiatric hospitals in Australia and New Zealand Type Journal Article
Year 2002 Publication (up) Contemporary Nurse Abbreviated Journal
Volume 13 Issue 2/3 Pages 136-145
Keywords Psychiatric Nursing; Law and legislation; Policy; Patient rights; Cross-cultural comparison
Abstract This paper discusses legal issues associated with the seclusion of acutely disturbed patients in psychiatric hospitals in Australia and New Zealand. There continues to be great variation in opinion and operational definition as to whether seclusion is a medical treatment, nursing intervention and management tool, or merely a form of situational restraint. Reflecting this lack of clarity, mental health acts and policies concerning the regulation and practice of seclusion lack consistency and focus across geographical boundaries and jurisdictions. Australian and New Zealand legislation and institutional policy is discussed in order to shed light on the contemporary issues highlighted by this controversial nursing practice. The authors note that mental health professionals must continue to review the practice of seclusion and to actively promote the use of acceptable alternatives. In addition nurses and other mental health professionals have a responsibility to understand current legislation and policy frameworks and to influence change where this is necessary to ensure the best practice possible in their clinical area.
Call Number NRSNZNO @ research @ Serial 1074
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Author McLeland, A.; Williams, A.
Title An emancipatory praxis study of nursing students on clinical practicum in New Zealand: Pushed to the peripheries Type Journal Article
Year 2002 Publication (up) Contemporary Nurse Abbreviated Journal
Volume 12 Issue 2 Pages 185-193
Keywords Nursing; Education; Clinical supervision; Preceptorship
Abstract The purpose of this qualitative study was to analyse the learning experiences of nine nursing students on clinical placement in New Zealand. The students were in their third and final year of their baccalaureate nursing degree. The study specifically examined what impinged upon their learning experience in the clinical venue. Data was obtained from interviewing the students, initially individually and finally in a focus group. Themes emerged through words and concepts as the data was analysed. The themes included powerlessness; marginalisation; the move from a holistic to a reductionist approach in care; the exploitation of minority students and the myth of praxis. Clinical practice was a time for nursing students to apply their knowledge to their practice, and to gain experience and confidence. Their clinical practice was normally a positive experience, but, each student spoke of the occasional negative episode. These left them with feelings of powerlessness and marginalisation. The Maori students felt exploited. The students were concerned about the lack of time to debrief at the end of the day, and to share their experiences with their educator and colleagues. The students' negative experiences were often the result of a clinical practitioner's high workload, under resourcing and the nurse educator's unavailability.
Call Number NRSNZNO @ research @ Serial 1081
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Author Farrow, T.; McKenna, B.; O'Brien, A.J.
Title Advanced 'prescribing' of nurses' emergency holding powers under New Zealand mental health legislation Type Journal Article
Year 2002 Publication (up) International Journal of Mental Health Nursing Abbreviated Journal
Volume 11 Issue 3 Pages 164-169
Keywords Mental health; Law and legislation; Psychiatric Nursing; Scope of practice
Abstract A new approach to mental health legislation has seen the involvement of a range of health professionals in legislated mental health roles, including the power of registered nurses to detain patients in hospital under Section 111 of the New Zealand Mental Health (Compulsory Assessment and Treatment) Act (1992). Under this Section, a nurse who believes that a voluntary patient meets the legal criteria of the Act can independently detain the patient for a period of up to six hours, pending further assessment by a medical practitioner. However, anecdotal evidence and a clinical audit undertaken by the authors suggest some doctors 'prescribe' Section 111 at the time of admission. This practice instructs nurses to initiate Section 111 if particular voluntary patients choose to leave hospital. This study outlines practice issues resulting from 'prescribing' Section 111; provides a legal critique of medical practitioners' involvement in this practice; and makes recommendations for guidelines toward a more constructive use of Section 111.
Call Number NRSNZNO @ research @ Serial 651
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Author Farrow, T.
Title Owning their expertise: Why nurses use 'no suicide contracts' rather than their own assessments Type Journal Article
Year 2002 Publication (up) International Journal of Mental Health Nursing Abbreviated Journal
Volume 11 Issue 4 Pages 214-219
Keywords Interprofessional relations; Psychiatric Nursing; Community health nursing; Qualiltative research; Suicide
Abstract 'No suicide contracts' are a tool commonly used by nurses in community crisis situations. At times this tool is utilised because the clinician believes that it is beneficial. However, there are other occasions when 'No suicide contracts' are introduced in a manner that runs counter to the clinical judgement of the crisis nurse. This paper discusses the results of a qualitative study that addressed the question of why nurses use 'No suicide contracts' in such situations, rather than relying on their own expertise. This analysis suggests that underlying concerns of clinicians can determentally affect decision-making in such circumstances, and recommends that rather than subjugating nursing expertise, underlying issues be addressed directly.
Call Number NRSNZNO @ research @ Serial 785
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Author Carter, H.; McKinlay, E.M.; Scott, I.; Wise, D.; MacLeod, R.
Title Impact of a hospital palliative care service: Perspective of the hospital staff Type Journal Article
Year 2002 Publication (up) JBI Reports Abbreviated Journal
Volume 18 Issue 3 Pages 160-167
Keywords Palliative care; Hospitals; Attitude of health personnel; Cancer
Abstract The first New Zealand hospital palliative care support service was established in 1985. Different service models have now been adopted by various major hospitals. In 1998, a palliative care service, funded by Mary Potter Hospice, was piloted at Wellington Public Hospital. Twelve months post-implementation, the hospital staff's views of the service were evaluated. It was found that referrals to palliative care from hospital specialities outside the Cancer Centre increased. While most doctors, nurses and social workers strongly agreed or agreed that the service positively influenced patients' care and effectively addressed their symptom management needs, spiritual needs were less often met. Over 90 percent of each discipline strongly agreed or agreed that the service had assisted them in caring for patients, but, only about a half agreed that useful discharge planning advice and staff support was provided. Significant differences in responses were found between different disciplines and specialities. One fifth of the staff identified palliative care education needs. Recommendations are made concerning the development of a future hospital palliative care service.
Call Number NRSNZNO @ research @ Serial 1075
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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 (up) Journal of Child Health Care Abbreviated Journal
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 Powell, J.
Title Caring for patients after an ICU admission Type Journal Article
Year 2002 Publication (up) Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 8 Issue 7 Pages 24-25
Keywords Intensive care nursing; Nurse-patient relations; Trauma; Communication
Abstract The author presents research on nursing strategies that reduce the psychological effects of critical illness and prevent the intensive care unit (ICU) atmosphere from adversely affecting the nurse-patient relationship. Post-traumatic stress disorder and other phobic anxiety syndromes are noted as a risk among former ICU patients. Four interventions to put in place for discharge are presented: patient-centred nursing, communication, multidisciplinary care, and patient/family education.
Call Number NRSNZNO @ research @ Serial 954
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Author McCallum, C.
Title Balancing technology with the art of caring Type Journal Article
Year 2002 Publication (up) Kai Tiaki: Nursing New Zealand Abbreviated Journal
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 Wilkinson, J.A.
Title Creating a culture of workplace safety Type Journal Article
Year 2002 Publication (up) Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 8 Issue 6 Pages 14-15
Keywords Occupational health and safety; Workplace violence; District nursing; Organisational culture
Abstract This study investigated the safety of working environments of a group of urban district nurses. Six district nurses were interviewed and participated in a focus group. The findings focus on the risks associated with client behaviour and with the organisational structure in which district nurses work. Recommendations for primary, secondary and tertiary prevention of harm to nurses working in isolation in the community are presented. The author describes her personal background in district nursing, which prompted the study.
Call Number NRSNZNO @ research @ Serial 1002
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Author Woods, M.
Title Dissecting a brave new nursing world Type Journal Article
Year 2002 Publication (up) Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 8 Issue 10 Pages 20-22, 36
Keywords Nursing; Education; Nursing Council of New Zealand; Policy
Abstract This article critiques the 'Strategic Review of Undergraduate Education' commissioned by the Nursing Council. The premise of the review is examined, along with the foundations of nursing practice and the role of nursing education.
Call Number NRSNZNO @ research @ Serial 1003
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