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Author Trotter, A.
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
Keywords (up)
Abstract
Call Number NRSNZNO @ research @ Serial 1048
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Author McClintock,C.
Title Te mauri kōhatu Type
Year 2003 Publication Abbreviated Journal Held by Lakes DHB Library (ROM)
Volume Issue Pages
Keywords (up)
Abstract A thesis presented in partial fulfilment of the requirements for the degree of Master of Philosophy, The University of Massey.
Call Number NZNO @ research @ Serial 1365
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Author Surtees, R.
Title Midwifery as Feminist Praxis in Aotearoa/New Zealand Type
Year 2003 Publication Abbreviated Journal NZNO Library
Volume Issue Pages 323 pp
Keywords (up)
Abstract 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 Connor, M.
Title Advancing nursing practice in New Zealand: A place for caring as a moral imperative Type Journal Article
Year 2003 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 19 Issue 3 Pages 13-21
Keywords (up) Advanced nursing practice; Ethics; Professional competence; Nurse-patient relations
Abstract The author argues that the framework of competencies required for advanced nursing practice should include a moral dimension in order to take account of relational as well as functional competencies. There is no recognition of the relational competencies required to practice caring as a moral imperative. The Nursing Council of New Zealand expects that nurses will practise 'in accord with values and moral principles'. The paper explores the history of two nursing discourses, that which sees nursing as a functional occupation and that which emphasises the relationship between nurse and patient. A practice exemplar is used to demonstrate positive outcomes from advanced relational competencies.
Call Number NRSNZNO @ research @ Serial 553
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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 Access is free to articles older than 6 months, and abstracts.
Volume 116 Issue 1176 Pages
Keywords (up) 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 Jacobs, S.
Title Advanced nursing practice: Time and meaning Type Journal Article
Year 2003 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 19 Issue 3 Pages 29-39
Keywords (up) Advanced nursing practice; Nurse practitioners; Professional development; History of nursing
Abstract The particular, contemporary meanings ascribed to “advanced nursing practice” in New Zealand have been debated and delineated in the 1990s, culminating in the launch of the nurse practitioner role at a conference sponsored by the Ministry of Health and the Nursing Council of New Zealand in August, 2001. Drawing on archival materials, documents, other texts and voices, this article explores the evolution of connotations and meanings of the word “advanced” as applied to nursing in New Zealand. The focus is on clinical practice, research, teaching, consulting, higher education, and advancement of the profession. Historical aspects of advancement in New Zealand nursing are examined, including registration, unsupervised practice, technical specialisation, and career development.
Call Number NRSNZNO @ research @ Serial 552
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Author Lui, D.M.K.
Title Nursing and midwifery attitudes towards withdrawal of care in a neonatal intensive care unit: Part 1. Literature review Type Journal Article
Year 2003 Publication Journal of Neonatal Nursing Abbreviated Journal
Volume 9 Issue 2 Pages 45-47
Keywords (up) Attitude of health personnel; Neonatal nursing; Ethics; Technology
Abstract This article seeks to investigate the attitude of nurses and midwives to the withdrawal of care from sick neonates. Advanced technology results in the survival of increasingly premature babies with extremely low birthweights and this has inevitably led to an increase in the ethical dilemmas faced by neonatal staff as to whether continued treatment is actually in the best interests of these infants. Part 1 reviews the literature on this subject. Part 2 describes the results of a survey carried out in a New Zealand NICU.
Call Number NRSNZNO @ research @ 906 Serial 890
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Author O'Brien, A.P.; O'Brien, A.J.; Hardy, D.J.; Morrison-Ngatai, E.; Gaskin, C.J.; Boddy, J.M.; McNulty, N.; Ryan, T.; Skews, G.
Title The New Zealand development and trial of mental health nursing clinical indicators: A bicultural study Type Journal Article
Year 2003 Publication International Journal of Nursing Studies Abbreviated Journal
Volume 40 Issue 8 Pages 853-861
Keywords (up) Biculturalism; Psychiatric Nursing; Professional competence; Evaluation
Abstract This paper describes the development and validation of bicultural clinical indicators that measure achievement of mental health nursing practice standards in New Zealand (ANZMCHN, 1995, Standards of practice for mental health nursing in New Zealand). A four-stage research design was utilised including focus groups, Delphi surveys, a pilot, and a national field study, with mental health nurses and consumers as participants. Results revealed a variation in the mean occurrence of the clinical indicators in consumer case notes of 18.5-89.9%. Five factors with good internal consistency, encompassing domains of mental health nursing required for best practice, were derived from analysis of the questionnaire. This study presents a research framework for developing culturally and clinically valid, reliable measures of clinical practice.
Call Number NRSNZNO @ research @ Serial 956
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Author Day, W.
Title Women and cardiac rehabilitation: A review of the literature Type Journal Article
Year 2003 Publication Contemporary Nurse Abbreviated Journal
Volume 16 Issue 1-2 Pages 92-101
Keywords (up) Cardiovascular diseases; Gender; Nursing; Research
Abstract This literature review explores some of the issues related to women's experience of cardiac rehabilitation and demonstrates that women's experience may be different to that of men. Much of the research related to coronary heart disease (CHD) has been performed using either exclusively male populations or such small numbers of women that the results from the women studied were unable to be analysed independently. The author advocates that nurses working within this area of practice require an understanding of women's experience of recovery from a heart attack in order to better meet their needs.
Call Number NRSNZNO @ research @ Serial 879
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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 (up) 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 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
Volume Issue Pages 34 p.
Keywords (up) 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 Smythe, E.
Title Uncovering the meaning of 'being safe' in practice Type Journal Article
Year 2003 Publication Contemporary Nurse Abbreviated Journal
Volume 14 Issue 2 Pages 196-204
Keywords (up) Childbirth; Patient safety; Advanced nursing practice; Midwifery
Abstract This paper moves away from the prevalent discourse of competence to consider the meaning of the experience of 'being safe' within the context of childbirth. It offers findings from a doctoral study, informed by the philosophies of Heidegger and Gadamer. Following ethical approval, the data was collected in New Zealand by tape-recorded interviews of 5 midwives, 4 obstetricians, 1 general practitioner and 10 women. The method was informed by van Manen. The findings reveal that in seeking the meaning of being safe one needs to be aware that the unsafety may already be present in the situation. Practitioners may be able to do little to rectify the unsafeness. There is, however, a spirit of safe practice, explicated in this paper, that is likely to make practice as safe as it can possibly be. Wise practitioners are ever mindful that a situation may be or become unsafe, and are always aware of their own limitations.
Call Number NRSNZNO @ research @ Serial 877
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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 (up) 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 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 (up) 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 NRSNZNO @ research @ 1180 Serial 1165
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Author Radka, I.M.
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 (up) 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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