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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
Volume Issue Pages
Keywords Nursing; Education; Careers in nursing
Abstract
Call Number (up) 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
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 (up) 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
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 (up) NRSNZNO @ research @ Serial 1186
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Author Pearce, K.
Title Orientation: Reading the nurses map; what new Plunket Nurses need in an orientation programme Type
Year 2003 Publication Abbreviated Journal Victoria University Library
Volume Issue Pages
Keywords Plunket; Training; New graduate nurses; Curriculum; Community health nursing
Abstract The Plunket orientation programme, first implemented in 1994, aims to prepare new Plunket Nurses for autonomous practice within the complexity of community based nursing. This study seeks to identify what new Plunket Nurses feel are their orientation needs. An evaluation research approach was used. An examination of the literature explored how orientation is conducted and the needs of nurses in orientation. Key aspects in relation to orientation were identified as including socialisation, job change, new graduates, preceptorship, orientation frameworks and retention. A focus group followed by a postal survey were utilised to collect data from new Plunket Nurses nationwide to ascertain what they thought their orientation needs were. Data analysis was completed using descriptive statistics and thematic analysis. The results of the study identified key orientation needs for new Plunket Nurses. These were an orientation programme, preceptorship, clinical skills teaching, time in own area and beginning autonomous practice, administration needs and support needs. The participants recommended quality preceptorship and early clinical teaching from the Clinical Educator. There was a general dissatisfaction with orientation as it stands in preparing them for their role as a Plunket Nurse. Recommendations to the Plunket Management Team were made based on the results of this study.
Call Number (up) NRSNZNO @ research @ Serial 1240
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Author Lyall, C.
Title Therapeutic relationships: What are inpatient registered nurses perceptions of the factors which influence therapeutic relationship development? Type
Year 2003 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages
Keywords Psychiatric Nursing; Registered nurses; Nurse-patient relations; Mental health
Abstract The question explored in this research project is: What are inpatient registered nurses' perceptions of the factors which influence therapeutic relationship development? The literature reviewed for this project includes the history of interpersonal relationships in nursing; therapeutic relationships; what constitutes these relationships. Also discussed is literature about phenomenology as the underlying theoretical and philosophical position that informs the research method. To answer the research question a single focus group was used to gather data from a group of registered nurses practising in inpatient mental health units. Focus groups as a data collection method produce data and insights that would not be accessible without the group interaction. The key themes to emerge from the data analysis were; time, environment, knowing / self-awareness, compassion and power imbalance / empowerment. These key themes are discussed in relation to the literature and the wider context of the mental health care environment. The contribution this research makes to nursing includes a list of recommendations to nurses, nurse leaders and managers who aim to provide therapeutic mental health unit environments.
Call Number (up) NRSNZNO @ research @ Serial 1245
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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 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 (up) NRSNZNO @ research @ Serial 1298
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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 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 (up) NRSNZNO @ research @ Serial 1299
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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 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 (up) NRSNZNO @ research @ Serial 1301
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Author Nolan, M.; Featherston, J.; Nolan, J.
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 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 (up) NRSNZNO @ research @ 1081 Serial 1066
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Author Bishop, D.; Ford-Bruins, I.
Title Nurses' perceptions of mental health assessment in an acute inpatient setting in New Zealand: A qualitative study Type Journal Article
Year 2003 Publication International Journal of Mental Health Nursing Abbreviated Journal
Volume 12 Issue 3 Pages 203-212
Keywords Psychiatric Nursing; Clinical assessment; Attitude of health personnel; Nursing models
Abstract This qualitative study explores the perceptions of mental health nurses regarding assessment in an acute adult inpatient setting in Central Auckland. Fourteen mental health nurses took part in semi-structured interviews answering five open-ended questions. The analysis of data involved a general inductive approach, with key themes drawn out and grouped into four categories (roles, attitudes, skills and knowledge) in order to explore the meaning of information gathered. The outcome of the study acknowledged the importance of contextual factors such as the physical environment and bureaucratic systems, as well as values and beliefs present within the unit. The participants expressed concern that their input to assessment processes was limited, despite belief that 24-hour care and the nature of mental health nursing generally suggested that a crucial role should exist for nurses. In order for nurses to be established as central in the assessment process on the unit the study concludes that a nursing theoretical framework appropriate for this acute inpatient setting needs to be developed.
Call Number (up) NRSNZNO @ research @ 1082 Serial 1067
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Author Coleman, R.; Sim, G.
Title The sacredness of the head: Cultural implications for neuroscience nurses Type Journal Article
Year 2003 Publication Australasian Journal of Neuroscience Abbreviated Journal
Volume 16 Issue 2 Pages 20-22
Keywords Paediatric nursing; Transcultural nursing; Culture
Abstract The aim of this paper is to increase neuroscience nurses' awareness of how the head is perceived as sacred by some cultures. This article will outline a definition of culture, discussion around the sanctity of the head for some cultures, the cultural significance of common neuroscience interventions, the use of traditional healing methods, and prayer. Examples will be provided of how nursing interactions and interventions affect some cultures, looking primarily at a Maori and Pacific Island perspective. The focus of this paper is within a New Zealand paediatric setting.
Call Number (up) NRSNZNO @ research @ 1083 Serial 1068
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Author Palmer, S.G.
Title Application of the cognitive therapy model to initial crisis assessment Type Journal Article
Year 2003 Publication International Journal of Mental Health Nursing Abbreviated Journal
Volume 12 Issue 1 Pages 30-38
Keywords Mental health; Clinical assessment; Psychiatric Nursing
Abstract This article provides a background to the development of cognitive therapy and cognitive therapeutic skills with a specific focus on the treatment of a depressive episode. It discusses the utility of cognitive therapeutic strategies to the model of crisis theory and initial crisis assessment currently used by the Community Assessment & Treatment Team of Waitemata District Health Board. A brief background to cognitive therapy is provided, followed by a comprehensive example of the use of the Socratic questioning method in guiding collaborative assessment and treatment of suicidality by nurses during the initial crisis assessment.
Call Number (up) NRSNZNO @ research @ 1085 Serial 1070
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Author Pearson, J.R.
Title A discussion of the principles of health promotion and their application to nursing Type Journal Article
Year 2003 Publication Whitireia Nursing Journal Abbreviated Journal
Volume 10 Issue Pages 23-34
Keywords Health promotion; Nursing
Abstract
Call Number (up) NRSNZNO @ research @ 1088 Serial 1073
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Author Wilson, H.V.
Title Paradoxical pursuits in child health nursing practice: Discourses of scientific mothercraft Type Journal Article
Year 2003 Publication Critical Public Health Abbreviated Journal
Volume 13 Issue 3 Pages 281-293
Keywords Plunket; Nurse-family relations; Paediatric nursing; Nursing philosophy
Abstract The purpose of this paper is to examine the discourses of scientific mothercraft and their implications for the nurse-mother relationship, drawing on the author's recent research into surveillance and the exercise of power in the child health nursing context. The application of Foucauldian discourse analysis to the texts generated by interviews with five New Zealand child health nurses confirms that this paradoxical role has never been fully resolved. Plunket nurses primarily work in the community with the parents of new babies and preschool children. Their work, child health surveillance, is considered to involve routine and unproblematic practices generally carried out in the context of a relationship between the nurse and the mother. However, there are suggestions in the literature that historically the nurse's surveillance role has conflicting objectives, as she is at the same time an inspector and family friend.
Call Number (up) NRSNZNO @ research @ 1116 Serial 1101
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Author MacDonald, L.M.
Title Nurse talk: Features of effective verbal communication used by expert district nurses Type
Year 2003 Publication Abbreviated Journal ResearchArchive@Victoria
Volume Issue Pages
Keywords Communication; Nurse-patient relations; District nursing
Abstract This thesis represents an appreciative enquiry to identify features of effective verbal communication between nurses and patients. Using a method developed by the Language in the Workplace Project (Stubbe 1998) two nurse participants recorded a small sample of their conversations with patients as they occurred naturally in clinical practice. These six conversations constitute the main body of raw data for the study. The data was analysed using a combination of discourse and ethnographic analysis. Experience in nursing, particularly insider knowledge of the context of district nursing, helped me to uncover the richness of meaning in the conversations. The subtle interconnections and nuances could easily have been missed by an outside observer. The study has shown that in their interactions with patients, expert nurses follow a pattern in terms of the structure and content of the conversations and it is possible to identify specific features of effective nurse-patient communication within these conversations. The most significant of these are the repertoire of linguistic skills available to nurses, the importance of small talk and the attention paid by nurses to building a working relationship with patients, in part, through conversation. The findings have implications for nursing education and professional development.
Call Number (up) NRSNZNO @ research @ 1180 Serial 1165
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