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Author Jenkinson, F.H. openurl 
  Title An evaluation of nursing documentation as it relates to pro re nata (prn) medication administration Type
  Year 2003 Publication Abbreviated Journal Massey University Library  
  Volume Issue Pages (down)  
  Keywords Drug administration; Psychiatric Nursing; Administration; Mental health  
  Abstract  
  Call Number NRSNZNO @ research @ 875 Serial 859  
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Author Booher, J. url  openurl
  Title Professional practice models: Shared governance and magnet hospitals Type Journal Article
  Year 2003 Publication Vision: A Journal of Nursing Abbreviated Journal  
  Volume Issue June Pages (down)  
  Keywords Nursing models; Intensive care nursing; Clinical governance  
  Abstract This article explores the application of professional practice models in nursing. Particular reference is made to the magnet hospital model and the concept of shared governance. Key principles from these models are explored in relation to the implementation of a professional practice model in an intensive care environment. Historical, cultural and professional factors that may be seen as barriers to the implementation of this professional practice model are also explored. In conclusion, the article identifies recommendations that may contribute to a successful implementation and duration of a model in practice.  
  Call Number NRSNZNO @ research @ Serial 861  
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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 (down)  
  Keywords Cultural safety; Teaching methods; Nursing; Education; Professional development; Transcultural nursing; Maori; Identity  
  Abstract 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 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 (down)  
  Keywords Communication; Patient satisfaction; Nurse-patient relations  
  Abstract 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 Stuart, J. url  openurl
  Title How can nurses address generalist/specialist/nursing requirements of the urban/rural population of Southland Type
  Year 2003 Publication Abbreviated Journal Victoria University of Wellington Library  
  Volume Issue Pages (down)  
  Keywords Nursing specialties; Policy; Technology; Scope of practice; Community health nursing  
  Abstract This study, which is undertaken in the Southland area, explores the effect of the increasing specialisation of nursing services in what is a rural/urban environment. It is indicated in the literature that systemic changes in health, such as the health reforms, and the increase in the use of technology have meant that nurses are required to function in disease oriented roles rather than according to their more traditional generalist roots. A significant event, which also affected nursing scope of practice, was the transfer of nurse education to the tertiary education institutions environment from the hospitals in the mid 1970s. The traditional nursing hierarchy and its nurse leadership role disappeared and the adoption of specialist nurse titles increased, and identified with a disease or disorder, for example 'diabetes' nurse. The increase in specialist categories for patients contributed to the nurse shortage by reducing the available numbers of nurses in the generalist nursing pool. The nurses in this rural/urban environment require generalist nurse skills to deliver their nursing services because of the geographical vastness of the area being a barrier to specialist nurses. Workforce planning for nurses in the rural/urban then must focus on how to reshape the nursing scope of practice to utilise the existing resources. This study explores how key areas of health services could be enhanced by reclaiming the nurse role in its holistic approach, in mental health, public health, geriatric services and psychiatric services.  
  Call Number NRSNZNO @ research @ 885 Serial 869  
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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 (down)  
  Keywords Nursing specialties  
  Abstract 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 Farrell, E. openurl 
  Title A lamp to light the way: Public health nurses' perceptions and experiences of professional/clinical supervision Type
  Year 2003 Publication Abbreviated Journal Auckland University of Technology  
  Volume Issue Pages (down)  
  Keywords Public health; Nursing; Clinical supervision; Professional competence  
  Abstract  
  Call Number NRSNZNO @ research @ 887 Serial 871  
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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 (down)  
  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 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 (down)  
  Keywords Computers; Technology; Nursing; Education  
  Abstract 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 Trotter, A. openurl 
  Title Mary Potter's Little Company of Mary: The New Zealand experience, 1914-2002 Type Book Whole
  Year 2003 Publication Abbreviated Journal  
  Volume Issue Pages (down)  
  Keywords  
  Abstract  
  Call Number NRSNZNO @ research @ Serial 1048  
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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 (down)  
  Keywords Sexual and reproductive health; Nursing specialties; Attitude to health  
  Abstract 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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Author Williams, J.L. openurl 
  Title The Cummins model: An adaption to assist foreign nursing students in New Zealand Type
  Year 2003 Publication Abbreviated Journal University of Auckland Library  
  Volume Issue Pages (down)  
  Keywords Nursing; Education; Students  
  Abstract  
  Call Number NRSNZNO @ research @ Serial 1114  
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Author Beveridge, S. openurl 
  Title The development of critical thinking: A roller coaster ride for student and teacher in nursing education Type
  Year 2003 Publication Abbreviated Journal University of Waikato Library  
  Volume Issue Pages (down)  
  Keywords Nursing; Education; Critical thinking  
  Abstract  
  Call Number NRSNZNO @ research @ Serial 1115  
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Author Hardcastle, J. openurl 
  Title What is the potential of distance education for learning and practice development in critical care nursing in the South Island of New Zealand? Type
  Year 2003 Publication Abbreviated Journal Massey University Library  
  Volume Issue Pages (down)  
  Keywords Intensive care nursing; Nursing; Education  
  Abstract  
  Call Number NRSNZNO @ research @ Serial 1116  
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Author Paton, B.I. openurl 
  Title Unready-to-hand as adventure: Knowing within the practice wisdom of clinical nurse educators Type
  Year 2003 Publication Abbreviated Journal NZNO Library, Victoria University of Wellington Library  
  Volume Issue Pages (down)  
  Keywords Nursing; Education  
  Abstract This research aims to clarify the knowing and wisdom that inform clinical nurse educators' responses through unpredictable situations. The author referred to philosophical literature on the notions of tacit knowledge, practical wisdom, smooth activity and the Unready-to-Hand experience. She created an explanatory framework and utilised this in a thought experiment by reflecting on personal experiences. To add clarity to these reflections, two layers of interviewing with nurse educators teaching in practice were carried out. The first layer was an interview with eight clinical nurse educators who in their role experienced Unready-to-Hand situations. The second layer consisted of four clinical nurse educators who volunteered to be involved in more in-depth interviews. An interpretive analysis of these clinical nurse educators stories illuminated the “Unready-to Hand as Adventure”, highlighting the uncertainty and energy associated with opening in the adventure, not knowing what will unfold, yet committed to remaining engaged and doing the best they can. Through the process of attuning to difference, accessing and deciphering knowing, nurse educators create meanings of situational complexities. By preserving the ideals of good practice and engaged caring, nurse educators salvage learning by creating opportunities for learning and teaching.  
  Call Number NRSNZNO @ research @ Serial 1134  
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