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Author Speed, G.
Title Advanced nurse practice Type Journal Article
Year 2003 Publication Nursing dialogue: A Professional Journal for nurses Abbreviated Journal (up)
Volume 10 Issue Pages 6-12
Keywords Nurse practitioners; Cross-cultural comparison; Law and legislation; Advanced nursing practice
Abstract The concept and characteristics of advanced nursing practice in New Zealand and overseas is compared with the nurse practitioner role. There is an international debate over definitions of advanced nursing and the range of roles that have developed. The rationale for the nurse practitioner role in New Zealand is examined, along with the associated legislation currently before Parliament. Job titles and roles of nurses within the Waikato Hospital intensive care unit are discussed and ways of developing the role of nurse practitioner are presented.
Call Number NRSNZNO @ research @ Serial 1096
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Author Kirkman, A.; Dixon, D.A.
Title Nurses at university: Negotiating academic, work and personal pathways Type Book Chapter
Year 2003 Publication Davey,J., Neale, J., Morris Mathews, K. , Living and learning: Experiences of university after age 40 (pp. 93-108) Abbreviated Journal (up)
Volume Issue Pages
Keywords Nursing; Education; Careers in nursing
Abstract
Call Number NRSNZNO @ research @ Serial 1160
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Author Jonsdottir, H.; Litchfield, M.; Pharris, M.
Title Partnership in practice Type Journal Article
Year 2003 Publication Research & Theory for Nursing Practice Abbreviated Journal (up)
Volume 17 Issue 1 Pages 51-63
Keywords Nurse-patient relations; Nursing philosophy; Nursing research
Abstract This article presents a reconsideration of partnership between nurse and client as the core of the nursing discipline. It points to the significance of the relational nature of partnership, differentiating its features and form from the prevalent understanding associated with prescriptive interventions to achieve predetermined goals and outcomes. The meaning of partnership is presented within the nursing process where the caring presence of the nurse becomes integral to the health experience of the client as the potential for action. Exemplars provide illustration of this emerging view in practice and research. This is the first of a series of articles written as a partnership between nurse scholars from Iceland, New Zealand and the USA. The series draws on research projects that explored the philosophical, theoretical, ethical and practical nature of nursing practice and its significance for health and healthcare in a world of changing need.
Call Number NRSNZNO @ research @ Serial 1172
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Author Polaschek, N.
Title Negotiated care: A model for nursing work in the renal setting Type Journal Article
Year 2003 Publication Journal of Advanced Nursing Abbreviated Journal (up)
Volume 42 Issue 4 Pages 355-363
Keywords Chronically ill; Nursing models; Nurse-patient relations; Communication
Abstract This article outlines a model for the nursing role in the chronic health care context of renal replacement therapy. Materials from several streams of literature are used to conceptualise the potential for nursing work in the renal setting as negotiated care. In order to present the role of the renal nurse in this way it is contextualised by viewing the renal setting as a specialised social context constituted by a dominant professional discourse and a contrasting client discourse. While performing specific therapeutic activities in accord with the dominant discourse, renal nurses can develop a relationship with the person living on dialysis, based on responsiveness to their subjective experience reflecting the renal client discourse. In contrast to the language of noncompliance prevalent in the renal setting, nurses can, through their relationship with renal clients, facilitate their attempts to negotiate the requirements of the therapeutic regime into their own personal life situation. Nurses can mediate between the dominant and client discourses for the person living on dialysis. Care describes the quality that nurses actively seek to create in their relationships with clients, through negotiation, in order to support them to live as fully as possible while using renal replacement therapy. The author concludes that within chronic health care contexts, shaped by the acute curative paradigm of biomedicine, the model of nursing work as negotiated care has the potential to humanise contemporary medical technologies by responding to clients' experiences of illness and therapy.
Call Number NRSNZNO @ research @ Serial 1186
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Author Kenny, Gerard
Title Fellowship report. Nursing Education and Ressearch Foundation. Margaret May Blackwell Fellowship [Prevention of child abuse and family violence] Type Report
Year 2003 Publication Abbreviated Journal (up)
Volume Issue Pages 34 p.
Keywords Child abuse; Child health services; Domestic violence; Reports
Abstract Travels to the US, Europe, Canada and Australia to study services in the area of child abuse/child protection and family violence. Part of the Margaret May Blackwell Scholarship Reports series.
Call Number NZNO @ research @ Serial 1419
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Author Macfie, Belinda
Title The exploration of primary health care nursing for child and family health : Margaret May Blackwell Travel Study Fellowship, 2002 Type Report
Year 2003 Publication Abbreviated Journal (up)
Volume Issue Pages 103
Keywords Primary health care – nursing; Child health services; Family health; Reports
Abstract Reports the approach to child and family health nursing in Canada, the US, and the UK. Divides the report into health policy, primary health care services, nursing education and the development of primary health care nurse practitioners, and nursing leadership in primary health care. Part of the Margaret May Blackwell Scholarship Reports series.
Call Number NZNO @ research @ Serial 1424
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Author Tan, S.T.; Wright, A.; Hemphill, A.; Ashton, K.; Evans, J.H.
Title Correction of deformational auricular anomalies by moulding: Results of a fast-track service Type Journal Article
Year 2003 Publication New Zealand Medical Journal Abbreviated Journal (up) Access is free to articles older than 6 months, and abstracts.
Volume 116 Issue 1181 Pages
Keywords Infants; Neonatal nursing; Teamwork
Abstract This paper reports the result of a fast-track referral service in treating deformational auricular anomalies using moulding therapy, by employing nurses who were familiar with the indications and technique, working in close liaison with plastic surgeons. The type and severity of the auricular anomaly were documented both clinically and photographically before and three months following cessation of treatment. Assessment of the results was made by comparing the pre- and post-treatment photographs and by a postal questionnaire, which was dispatched to the parents of the patients three months after treatment was discontinued. All parents of the 30 infants felt that auricular moulding was worthwhile. The authors conclude that this is an effective treatment strategy that will largely negate the need for surgical correction of deformational auricular anomalies.
Call Number NRSNZNO @ research @ 568 Serial 554
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Author Mackay, B.
Title General practitioners' perceptions of the nurse practitioner role: An exploratory study Type Journal Article
Year 2003 Publication New Zealand Medical Journal Abbreviated Journal (up) Access is free to articles older than 6 months, and abstracts.
Volume 116 Issue 1170 Pages
Keywords Nurse practitioners; Physicians; Interprofessional relations; Primary health care
Abstract This study explores perceptions of general practitioners in the Northland District Health Board (NDHB) regarding the nurse practitioner role, identifying their knowledge of and perceived problems with that role, and their experience of nurses in advanced practice. A purposive sample of all 108 general practitioners in NDHB was undertaken, with a response rate of 46.3%. General practitioners favourably viewed nurse practitioner functions traditionally associated with nursing, such as health teaching, home visiting, obtaining health histories, and taking part in evaluation of care, but less favourably viewed those functions associated with medicine, such as prescribing, ordering laboratory tests, and physical assessment. While expecting few problems with patient acceptance, the general practitioners felt that funding and doctors' acceptance would be problematic. Most general practitioners indicated they had knowledge of the nurse practitioner role and had experienced working with a nurse in advanced practice, but some uncertainty and lack of knowledge about the nurse practitioner role was evident. The author recommends more education and discussion with Northland general practitioners to ensure they are fully informed about the nurse practitioner role and its potential positioning in primary healthcare, to reduce uncertainty, minimise role confusion and promote collaboration between general practitioners and nurse practitioners.
Call Number NRSNZNO @ research @ Serial 557
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Author Fraser, A.G.; Williamson, S.; Lane, M.; Hollis, B.
Title Nurse-led dyspepsia clinic using the urea breath test for Helicobacter pylori Type Journal Article
Year 2003 Publication New Zealand Medical Journal Abbreviated Journal (up) Access is free to articles older than 6 months, and abstracts.
Volume 116 Issue 1176 Pages
Keywords Advanced nursing practice; Hospitals; Clinical assessment; Evaluation
Abstract Reports the audit of a nurse-led dyspepsia clinic at Auckland Hospital. Referrals to the Gastroenterology Department for gastroscopy were assessed in a dyspepsia clinic. Initial evaluation included consultation and a urea breath test (UBT). Patients given eradication treatment prior to initial clinic assessment were excluded. Patients with a positive UBT were given eradication treatment and were reviewed two months later for symptom assessment and follow-up UBT. Patients with a negative UBT were usually referred back to the GP. There were 173 patients with a mean age 38 years. The urea breath test was found to be useful as part of the initial assessment of selected patients who would otherwise have been referred for endoscopy. It is likely that the need for gastroscopy was reduced, but longer follow up will be required to determine whether or not this effect is simply due to delayed referral. This approach is likely to have value only in patients who have a relatively high chance of being H. pylori positive.
Call Number NRSNZNO @ research @ 625 Serial 611
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Author Farrell, E.
Title A lamp to light the way: Public health nurses' perceptions and experiences of professional/clinical supervision Type
Year 2003 Publication Abbreviated Journal (up) Auckland University of Technology
Volume Issue Pages
Keywords Public health; Nursing; Clinical supervision; Professional competence
Abstract
Call Number NRSNZNO @ research @ 887 Serial 871
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Author McKenzie-Green, B.
Title Shifting focus: How registered nurses in residential aged care organise their work: A grounded theory study Type
Year 2003 Publication Abbreviated Journal (up) AUT University Library
Volume Issue Pages
Keywords Rest homes; Older people; Registered nurses; Nurse-patient relations
Abstract Registered nurses in residential aged care work with older people who have complex care needs. Besides providing direct care, these nurses have a wide range of responsibilities which include supervising staff and attending to the smooth running of the care facility. This grounded theory study using dimensional analysis was aimed at answering the question: How do registered nurses organise their work? Indepth interviews were conducted with 10 registered nurses who worked in a range of positions in aged care facilities. Theoretical sampling and constant comparative analysis was used to guide both ongoing data collectiona and data analysis. Categories were examined for their relationships and dimensions to arrive at a substantive grounded theory which the author has named 'shifting focus'. Individual and institutional philosophies of care were core elements in the registered nurses' focus of work. There was a relationship between staffing adequacy, individual and institutional philosophies of care, and the focus of registered nurse work. These relationships created conditions where the registered nurse would focus on ensuring the delivery of individualised resident care or focus on getting through the routine of care. The relationship between staffing adequacy, philosophies of care and the registered nurses' focus of work remained consistent when staffing adequacy changed. In instances of decreased staffing adequacy, the participants' focus shifted to either maintaining individualised care or focusing on safety. When the registered nurse aimed to change the philosophy of care, an increase in staffing adequacy enabled some aspects of cultural change to commence. The relationships between residents, family and staff were significant contrasting elements within an individualised philosophy of care, and an institutional philosophy of care. In the former, relationships were valued and developed. In the latter, they were benevolent, functional or conflicted. The significance of this study is that it reveals how registered nurses and management personnel in aged care facilities, can create conditions where the relationships between residents, their families and staff, are valued and developed to result in positive care outcomes. It is recommended that future research be conducted to examine the resources required to maintain an individualised approach to the nursing care of residents in aged care facilities.
Call Number NRSNZNO @ research @ 912 Serial 896
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Author Ellis, T.
Title A multidimensional approach to caring for a patient with breast cancer: A case study Type Journal Article
Year 2003 Publication Vision: A Journal of Nursing Abbreviated Journal (up) Available online from Eastern Institute of Technology
Volume 11 Issue 17 Pages 15-19
Keywords Case studies; Breast cancer; Nursing; Cancer; Oncology
Abstract This story follows the nursing care of a woman in her mid forties, diagnosed with breast cancer. The case study follows her from the diagnosis and decision to undergo a mastectomy, and the requirements of nursing care through that process. It discusses the emotional and physical preparation necessary for surgery, perioperative care, multidisciplinary care, and issues around body image post-mastectomy.
Call Number NRSNZNO @ research @ Serial 1301
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Author Mercer, C.
Title Interpreting the phenomenology of out-of-town hospitalisation using a Heideggerian framework Type Journal Article
Year 2003 Publication Vision: A Journal of Nursing Abbreviated Journal (up) Available online from Eastern Institute of Technology
Volume 11 Issue 17 Pages 20-25
Keywords Nursing research; Patient satisfaction
Abstract This article is presented in two parts. In the first, an outline of Heidegger's approach to phenomenology is offered. A basic premise of hermeneutic phenomenology is that people make sense of the world through the narratives they tell to themselves and to others. When the researcher uses this philosophical approach, persons communicate their experiences; the researcher interprets the experience and communicates that understanding in writing. In the second part of the paper, the experiences of four people whose partners were hospitalised out of town is described.
Call Number NRSNZNO @ research @ 1318 Serial 1302
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Author Haywood, B.
Title Pre-employment health screening: Is it useful? Type Journal Article
Year 2003 Publication Vision: A Journal of Nursing Abbreviated Journal (up) Available online from the Eastern Institute of Technology
Volume 11 Issue 17 Pages 10-14
Keywords Occupational health and safety; Nursing specialties
Abstract The author, an occupational health nurse, examines rationale for and effectiveness of the pre-employment assessment, which has become an accepted practice. Reasons for doing assessments include the reduction of risk to the employer from lower accident rates and absenteeism, compliance with legislative requirements and the provision of baseline health measures for general health surveillance. The costs of the screening process, along with the benefits are weighed up, in conjunction with international research in the area. The author found little research on the process in New Zealand. The opportunity for primary health care and health promotion practice as an aspect of this screening is highlighted as an important, though underestimated, benefit. Regular auditing is recommended to ensure that the outcomes of the process meet the criteria required.
Call Number NRSNZNO @ research @ Serial 1299
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Author Booher, J.
Title Care of the patient following coronary artery grafts Type Journal Article
Year 2003 Publication Vision: A Journal of Nursing Abbreviated Journal (up) Available online from the Eastern Institute of Technology website
Volume 10 Issue 16 Pages 15-18
Keywords Surgery; Nursing; Case studies; Oncology; Cancer
Abstract This case study outlines the care of Mr. M, a sixty-six year old ventilated patient admitted to an Intensive Care Unit for management following coronary artery grafts. Mr. M's health history and risk factors are explored, in particular how they contributed to his presentation. Mr. M's post operative problems are identified and the rationale for his management is discussed with emphasis on the nursing care provided.
Call Number NRSNZNO @ research @ Serial 1298
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