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Author Surtees, R. url  openurl
  Title Midwifery as Feminist Praxis in Aotearoa/New Zealand Type
  Year 2003 Publication Abbreviated Journal NZNO Library  
  Volume Issue Pages 323 pp  
  Keywords  
  Abstract (up) A thesis submitted in fulfilment of the requirements for the Degree

of DOCTOR OF PHILOSOPHY IN EDUCATION, UNIVERSITY OF CANTERBURY 2003.

This thesis highlights the ways in which the practices of contemporary midwives in

Aotearoa/New Zealand are caught within the intersection of an array of competing discourses. The context for this is the reconstruction of midwifery in Aotearoa/New Zealand as an autonomous feminist profession founded on partnership with women. Interviews and participant observation with midwives, based mainly in one New Zealand city, are the basis of an analysis of the complexity of midwives? praxis as professionals. The analysis draws on insights from critical and feminist approaches to Foucault?s theories of discourse, power and the subject. It includes discussion of the conditions which came to produce and authorise the concept of ?partnership?. Which subjects can speak about partnership, and when? What claims

are made about it? What challenges it?
 
  Call Number NZNO @ research @ Serial 1403  
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Author Van der Harst, J. url  openurl
  Title Inside knowledge: A qualitative descriptive study of prison nursing in New Zealand Type
  Year 2003 Publication Abbreviated Journal University of Auckland Library  
  Volume Issue Pages  
  Keywords Nursing specialties  
  Abstract (up) Analysis of the research literature on prison nursing revealed a paucity of research, both in New Zealand and internationally. The aim of this research was to describe the working life of the nurse in a New Zealand prison and provide an understanding of and documentation on prison nursing in New Zealand. A qualitative descriptive study was undertaken to determine what it is like to nurse in a New Zealand prison. Ten nurses working at two public prisons and one private prison took part in the study. Data was collected by the use of semi-structured interviews and analysed thematically into four main themes. The participants' descriptions of their working lives as prison nurses expose the multifaceted nature of this work and the inherent relational dynamics. These dynamics determine the nurse's ability to practise effectively in the prison setting. Findings highlighted many paradoxical situations for nurses when working in this environment. The very aspects of the work that participants described as negative were also identified, in some instances, as challenging and satisfying.  
  Call Number NRSNZNO @ research @ 886 Serial 870  
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Author Ho, T.; Mok, J. openurl 
  Title Condensate clearance from CPAP circuit: An examination of two methods of draining condensate from the inspiratory tubing Type Journal Article
  Year 2003 Publication Journal of Neonatal Nursing Abbreviated Journal  
  Volume 9 Issue 4 Pages 117-120  
  Keywords Neonatal nursing; Infection control; Equipment and Supplies  
  Abstract (up) Clinical studies on adult ventilated patients demonstrate that bacterial contamination of the condensate occurs in ventilator circuits. The purpose of this research is to find out if this is also true of the condensate in the Continuous Positive Airway Pressure (CPAP) circuit. It aims to determine whether there is bacterial contamination in the humidifier reservoir of the CPAP system when the condensate is drained back into the humidifier reservoir without disconnecting the circuit, or when the inspiratory tubing is disconnected to drain out the condensate.  
  Call Number NRSNZNO @ research @ Serial 889  
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Author Wilson, S.K. openurl 
  Title Reconstructing nurse learning using computer mediated communication (CMC) technologies: An exploration of ideas Type
  Year 2003 Publication Abbreviated Journal Victoria University of Wellington Library  
  Volume Issue Pages  
  Keywords Computers; Technology; Nursing; Education  
  Abstract (up) Computerised technology has become a way of life. As nurse graduates enter a computer driven health care system we have a responsibility as nurse educators to ensure that they are computer familiar as borne out by the recent discussion papers released by the Nursing Council of New Zealand (2000a), which define the requirements for the practitioner of the future. Concurrently there is a call from the discipline of nursing for practitioners who have a form of knowledge that will bring about change within the socio-political context of the discipline as an outcome of critically reflective knowledge skills. Jurgen Habermas' (1971) treatise on knowledge and human interests, which offers a multi-paradigmatic approach to three forms of knowledge culminating in the emancipatory form provides a conceptual framework for many under-graduate pre-registration nursing curricular in Aotearoa-New Zealand. This thesis explores the author's ideas about contemporary undergraduate pre-registration nursing preparation in Aotearoa-New Zealand, associated knowledge outcomes, and the consequent links with contemporary computer-mediated communication (CMC) technologies. It positions a framework for integrating CMC technologies and the action of critically reflective practice as a learning journey. The framework is hypothetical and pragmatic. It emerges from the exploration of the thesis and is posited as a way toward integrating CMC technologies within extant undergraduate pre-registration nursing curricular in Aotearoa-New Zealand. The learning journey is comprised of three dimensions, learning-for-practice, learning-from-practice and learning-with-practice and draws on four different cyber constructs: being, knowing, relating and dialoguing. Knowing, relating and dialoguing are ontological positions taken in relation to being. The learning journey sustains some derivation from Habermasian (1971) based conceptual framework. There is a need for nurse educators to consider this in relation to contemporary CMC technologies. The author hope that this framework will serve those with an interest in nurse education and who are interested in a future using CMC technologies within the realities of nursing practice and education.  
  Call Number NRSNZNO @ research @ Serial 904  
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Author Laracy, K. openurl 
  Title Exploration of the self: The journey of one pakeha cultural safety nurse educator Type
  Year 2003 Publication Abbreviated Journal Victoria University of Wellington Library  
  Volume Issue Pages  
  Keywords Cultural safety; Teaching methods; Nursing; Education; Professional development; Transcultural nursing; Maori; Identity  
  Abstract (up) Cultural safety is taught in all undergraduate nursing programmes in Aotearoa/New Zealand. There is a predominance of Pakeha nurse educators in teaching this content. There is little explanation of what being Pakeha entails. This perpetuates a silence and continues the dominant hegemonic position of Pakeha in Aotearoa/New Zealand. This study suggests that as Pakeha cultural safety nurse educators we examine our dominance and critique the delivery of cultural safety education. This autobiographical study undertakes to explore the Pakeha identity of a cultural safety nurse educator. The author discusses identity in the context of a globalised world, and challenges the idea of a definitive Pakeha identity. There are multiple descriptions of Pakeha, all underdeveloped and inadequate for the purposes of cultural safety education. In this study, the author uses the heuristic process of Moustakas (1990) and Maalouf's (2000) ideas of vertical and horizontal heritage to locate and present the essence of the self. In keeping with the purpose of cultural safety education, the author considers her ethnic cultural self as described by Bloch (1983) and explores Helms' (1990) theory of White racial identity development. This thesis describes the position of one Pakeha in the context of teaching cultural safety in an undergraduate nursing degree programme in Aotearoa/New Zealand. For Pakeha cultural safety nurse educators the author argues that exploration of one's heritages and location of a personal Pakeha identity is pivotal to progressing the enactment of cultural safety in Aotearoa /New Zealand.  
  Call Number NRSNZNO @ research @ Serial 864  
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Author Lui, D.M.K. openurl 
  Title Nursing and midwifery attitudes towards withdrawal of care in a neonatal intensive care unit: Part 2. Survey results Type Journal Article
  Year 2003 Publication Journal of Neonatal Nursing Abbreviated Journal  
  Volume 9 Issue 3 Pages 91-96  
  Keywords Intensive care nursing; Paediatric nursing; Ethics; Attitude of health personnel  
  Abstract (up) Discontinuation of life support measures for an extremely low birthweight or very premature baby is controversial and difficult for both the parents and the healthcare professional involved in caring for the infant. This study seeks to investigate the attitude of nurses and midwives to the withdrawal of care from sick neonates. Part 1 reviewed the literature on this subject. Part 2 reports the results of a survey carried out in a New Zealand NICU.  
  Call Number NRSNZNO @ research @ 966 Serial 950  
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Author Nolan, M.; Featherston, J.; Nolan, J. openurl 
  Title Palliative care: Palliative care philosophy in care homes: Lessons from New Zealand Type Journal Article
  Year 2003 Publication British Journal of Nursing Abbreviated Journal  
  Volume 12 Issue 16 Pages 974-979  
  Keywords Palliative care; Attitude of health personnel  
  Abstract (up) Drawing on data from a large convenience sample of caregivers in New Zealand, this article argues for a reappraisal of the way in which care homes view death and dying and advocates the more widespread adoption of a palliative care philosophy. Increasing numbers of people are dying in care homes yet little is known about the nature and quality of their deaths. The limited research available suggests that there is a need to promote a philosophy of palliative care that is not confined to the terminal phase of life. However, adopting such an approach appears to be inhibited by a lack of understanding, education and training, as well as continuing reluctance to discuss issues of death and dying in an open and honest way.  
  Call Number NRSNZNO @ research @ 1081 Serial 1066  
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Author McKenna, B.; Poole, S.; Smith, N.A.; Coverdale, J.; Gale, C. openurl 
  Title A survey of threats and violent behaviour by patients against registered nurses in their first year of practice Type Miscellaneous
  Year 2003 Publication International Journal of Mental Health Nursing Abbreviated Journal  
  Volume 12 Issue 1 Pages 56-63  
  Keywords New graduate nurses; Workplace violence; Occupational health and safety; Training; Mental health; Psychiatric nursing  
  Abstract (up) For this study, an anonymous survey was sent to registered nurses in their first year of practice. From the 1169 survey instruments that were distributed, 551 were returned completed (a response rate of 47%). The most common inappropriate behaviour by patients involved verbal threats, verbal sexual harassment, and physical intimidation. There were 22 incidents of assault requiring medical intervention and 21 incidents of participants being stalked by patients. Male graduates and younger nurses were especially vulnerable. Mental health was the service area most at risk. A most distressing incident was described by 123 (22%) of respondents. The level of distress caused by the incident was rated by 68 of the 123 respondents (55%) as moderate or severe. Only half of those who described a most distressing event indicated they had some undergraduate training in protecting against assault or in managing potentially violent incidents. After registration, 45 (37%) indicated they had received such training. The findings of this study indicate priorities for effective prevention programmes.  
  Call Number NRSNZNO @ research @ Serial 649  
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Author Radka, I.M. openurl 
  Title Handover and the consumer voice: The importance of knowing the whole, full story Type
  Year 2003 Publication Abbreviated Journal Victoria University of Wellington Library  
  Volume Issue Pages  
  Keywords Communication; Patient satisfaction; Nurse-patient relations  
  Abstract (up) In the acute hospital setting, nurses provide care twenty-four hours a day, seven days a week. Due to the ever-changing nature of the patient's situation, nurses need quality information at the beginning of each eight-hour shift to plan and implement patient care effectively. It is claimed that handover is central for maintaining the continuity and the quality of patient care. This qualitative descriptive study was undertaken to identify what core information needs to be exchanged at nursing handover to ensure quality and continuity of patient care. Five consumers who had experience of recurrent hospital admissions shared their perceptions of handover practice through individual interviews. Three focus group meetings of seven nurses from a secondary care setting discussed handover practice from their professional perspectives. Both nursing and consumer voices are integral to the overall understanding of this study but the consumer voice is the privileged and dominant voice. Through the process of thematic content analysis the central themes of communication, continuity and competence emerged for the consumers. Consumers expect to be kept informed and involved in their healthcare. They want continuity of nurse, information and care and expect that nurses involved in the delivery of healthcare are competent to manage their situation. The 'importance of knowing' is the overarching construct generated in this research. Knowing is identified as the foundation on which quality and continuity of care is built and is discussed under the subheadings of: not knowing, knowing the patient as a person, knowing takes time, hidden knowing, knowing consumers' rights, oral knowing, knowing involves more than handing over patient care and knowing the economics. Recommendations have been developed for future research, nursing practice, education and management. These centre on ways to develop a more consumer-focused approach to contemporary healthcare.  
  Call Number NRSNZNO @ research @ 883 Serial 867  
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Author Vallance, E.; Scott, S. openurl 
  Title A critique of problem-based learning in nursing education and the contribution it can make toward beginning professional practice, part two Type Journal Article
  Year 2003 Publication Nursing Praxis in New Zealand Abbreviated Journal  
  Volume 19 Issue 3 Pages 40-49  
  Keywords Problem solving; Critical thinking; Nursing; Education  
  Abstract (up) In this article, the second of two, the literature is examined to determine the ability of problem-based learning to develop professional nursing practice. Professional practice depends on critical thinking for the development of both rational problem-solving skills and critical reflective thinking. This article proposes that problem-based learning has the potential to develop the critical thinking skills required for problem solving and decision-making. However problem-based learning is less likely to promote the critical reflective thinking without which the transformative practice needed to drive health gains in the 21st century is unlikely to emerge.  
  Call Number NRSNZNO @ research @ Serial 555  
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Author McCallin, A. openurl 
  Title Interdisciplinary team leadership: A revisionist approach for an old problem? Type Journal Article
  Year 2003 Publication Journal of Nursing Management Abbreviated Journal  
  Volume 11 Issue 6 Pages 364-370  
  Keywords Leadership; Multidisciplinary care teams; Organisational change  
  Abstract (up) In this paper the author argues that the term interdisciplinary team leadership should be embraced cautiously. Preliminary research suggests that interdisciplinary team leadership is a model of shared leadership that requires more development if it is to become the cornerstone of interdisciplinary team practice in a radically reforming health sector. Stewardship is proposed as a potential philosophy for interdisciplinary team leadership, and a new, shared leadership role of practice leader is suggested.  
  Call Number NRSNZNO @ research @ 724 Serial 710  
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Author McKenzie-Green, B. url  openurl
  Title Shifting focus: How registered nurses in residential aged care organise their work: A grounded theory study Type
  Year 2003 Publication Abbreviated Journal AUT University Library  
  Volume Issue Pages  
  Keywords Rest homes; Older people; Registered nurses; Nurse-patient relations  
  Abstract (up) 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 Macfie, Belinda openurl 
  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  
  Volume Issue Pages 103  
  Keywords Primary health care – nursing; Child health services; Family health; Reports  
  Abstract (up) 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 Fraser, A.G.; Williamson, S.; Lane, M.; Hollis, B. url  openurl
  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 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 (up) 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 White, G.E.; Mortensen, A. openurl 
  Title Counteracting stigma in sexual health care settings Type Journal Article
  Year 2003 Publication Insight: The Journal of the American Society of Ophthalmic Registered Nurses Abbreviated Journal  
  Volume 6 Issue 1 Pages  
  Keywords Sexual and reproductive health; Nursing specialties; Attitude to health  
  Abstract (up) Sexual health clinics and the people who visit them commonly face stigma. Sexually transmitted infections have historically been used to divide people into “clean” and “dirty”. A grounded theory study of the work of sixteen nurses in six sexual health services in New Zealand was undertaken to explore the management of sexual health care. The study uncovered the psychological impact of negative social attitudes towards the people who visit sexual health services and to the staff who work there. Sexual health nurses manage the results of stigma daily and reveal in their interactions with clients a process of destigmatisation.  
  Call Number NRSNZNO @ research @ Serial 1071  
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