| |
Records |
Links |
|
Author  |
McClelland, B. |
|
| |
Title |
Critical factors that influence staff retention in an acute perioperative environment |
Type |
|
| |
Year |
2004 |
Publication |
|
Abbreviated Journal |
AUT University Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Recruitment and retention; Nursing |
|
| |
Abstract |
There are a number of factors recognised as significant for nursing staff retention. These include, a lack of organisational care, bullying (commonly referred to as horizontal violence), and high workload acuity. However, there does not appear to be any indication that these factors influence the retention of nurses within the speciality of acute perioperative nursing. A descriptive study using postpositivist methodology and triangulation of methods was designed to answer the question: What are the critical factors that influence staff retention in an acute perioperative environment? Forty-eight perioperative nurses answered a questionnaire in relation to individual needs, provision of nursing care and administration and management. Four nurses subsequently participated in a focus group interview that explored in more depth, the survey data related to the following characteristics: Educational opportunities; Level of workload acuity; Rostering flexibility; Management; Established policies/Quality assurance; Graduate orientation programs and Professional relationships in an acute perioperative setting. Data analysis revealed that > 90% of respondents agreed that these characteristics are important for job satisfaction and influence staff retention in an acute perioperative environment. A sense of belonging appears to be the most important theme that emerged from the qualitative data. Job satisfaction and staff retention are attained when nurses have a sense of belonging in the workplace. To achieve this nurses need to identify barriers, develop their communication and leadership skills and determine the ideal professional practice model. The author suggests that the themes “Finding time” and increased “sick leave”, in relation to workload acuity are new findings that provide a platform for future research. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
894 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
McDonald, S. |
|
| |
Title |
Registered nurses' perceptions of their role in acute inpatient care in New Zealand: A qualitative descriptive study |
Type |
|
| |
Year |
2004 |
Publication |
|
Abbreviated Journal |
University of Auckland |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Mental health; Psychiatric Nursing |
|
| |
Abstract |
|
|
| |
Call Number |
NRSNZNO @ research @ 620 |
Serial |
606 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
McKey, A.; Huntington, A.D. |
|
| |
Title |
Obesity in pre-school children: Issues and challenges for community based child health nurses |
Type |
Journal Article |
| |
Year |
2004 |
Publication |
Contemporary Nurse |
Abbreviated Journal |
|
|
| |
Volume |
18 |
Issue |
1-2 |
Pages |
145-151 |
|
| |
Keywords |
Obesity; Children; Community health nursing; Parents and caregivers |
|
| |
Abstract |
In this paper, literature related to childhood obesity in New Zealand and internationally is explored to identify current issues, and the implications for nurses in community based child health practice are discussed. Themes that emerged from the literature relate to the measurement of obesity, links between childhood and adult obesity and issues for families. Studies that investigated maternal perceptions of childhood obesity found that mothers identified their child as being overweight or obese only when it imposed limitations on physical activity or when the children were teased rather than by referring to individual growth graphs. The implications for nursing in the area of child health practice are discussed. Understanding of the complex and emotive issues surrounding childhood obesity is required when devising health promotion strategies. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
946 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
McKillop, A.M. |
|
| |
Title |
Evaluation of the implementation of a best practice information sheet: Tracheal suctioning of adults with an artificial airway |
Type |
Journal Article |
| |
Year |
2004 |
Publication |
JBI Reports |
Abbreviated Journal |
|
|
| |
Volume |
2 |
Issue |
9 |
Pages |
293-308 |
|
| |
Keywords |
Evidence-based medicine; Nursing; Guidelines; Evaluation |
|
| |
Abstract |
This report presents an evaluation of the implementation of a best practice information sheet related to tracheal suctioning of adults with an artificial airway. The Centre for Evidence-Based Nursing Aotearoa, based in Auckland, conducted a systematic review of the evidence and produced the best practice information sheet. A survey of 105 nurses was conducted at three sites, in New Zealand and Australia. Using a before/after design, data were collected at the time of release of the information sheet and then approximately 12 months later. The study suggests a trend towards a modest uptake of best practice recommendations into nursing practice demonstrated by some behavioural changes within a 12-month period in the context of an implementation plan and the best practice information sheet. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
696 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
McLaughlin, K. |
|
| |
Title |
Nephrology nursing: Early intervention in chronic kidney disease |
Type |
|
| |
Year |
2004 |
Publication |
|
Abbreviated Journal |
ResearchArchive@Victoria |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Nursing specialties; Diseases; Advanced nursing practice; Kidney disease |
|
| |
Abstract |
This study explored the potential for extending the contribution nurses make in managing patients with chronic kidney disease as they progress to end stage kidney failure. In the context of a shortage of nephrologists and an escalating patient population suffering from kidney disease, the potential to include advanced nephrology nursing in early disease management was postulated. The literature was reviewed with regard to initiatives to reduce the progression of kidney failure and the prevention of associated complications. Local and international literature on advanced nursing practice and the nurse practitioner role was examined in relation to the management of chronic kidney disease. The introduction of the nurse practitioner in New Zealand could provide an ideal framework for independent nephrology nursing. Well-established nursing practice in dialysis, transplantation and pre-dialysis provide distinct scopes of practice in these areas for independent nursing in the future. It seems likely that these sub-specialties in nephrology nursing will be the first to experience the value of the nurse practitioner. The creation of early interventionalist nurse practitioners in nephrology health care would allow nurses to step outside these well-established sub-specialties, and provide new resources to help manage chronic kidney disease. A model of care was proposed that outlines how a nephrology nurse practitioner could work collaboratively with community health providers and the local nephrology health care team to manage the early stages of kidney disease. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1150 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Minchin, I. |
|
| |
Title |
Advanced nursing in the operating theatre: The New Zealand perspective |
Type |
Journal Article |
| |
Year |
2004 |
Publication |
Dissector |
Abbreviated Journal |
|
|
| |
Volume |
32 |
Issue |
2 |
Pages |
30-35 |
|
| |
Keywords |
Operating theatre; Nursing specialties |
|
| |
Abstract |
This article presents a literature review of current research on perioperative nursing. Research studies are summarised. Overall findings include that there is a lack of exposure to perioperative nursing in undergraduate level, that expert nurses in the operating theatre make a positive economic and social contribution to patient outcomes, and there are barriers to registered nurses expanding their role in operating theatres. |
|
| |
Call Number |
NRSNZNO @ research @ 1072 |
Serial |
1057 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Morrison-Ngatai, E. |
|
| |
Title |
Mai i muri ka haere whakahaere: Maori woman in mental health nursing |
Type |
|
| |
Year |
2004 |
Publication |
|
Abbreviated Journal |
Massey University Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Mental health; Maori; Female; Psychiatric Nursing |
|
| |
Abstract |
Contents: Chapter 1 Kupu whakataki – introduction; Chapter 2 Raranga mohiotanga – literature review; Chapter 3 To te wahine mana tuku iho – theoretical framework; Chapter 4 Tahuri ki te rangahau – research methodology; Chapter 5 Whakaaturanga whakaoho – beginnings; Chapter 6 Kia pakari – positioning and contesting; Chapter 7 E ara ki runga wahine toa – standing and enduring; Chapter 8 Kua takoto te whariki. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
828 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Mortensen, A.; Young, N. |
|
| |
Title |
Caring for refugees in emergency departments in New Zealand |
Type |
Journal Article |
| |
Year |
2004 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
20 |
Issue |
2 |
Pages |
24-35 |
|
| |
Keywords |
Emergency nursing; Culture; Mental health; Health status |
|
| |
Abstract |
This paper outlines some of the special health needs of people from refugee backgrounds who present in the emergency department, and the role of emergency department nurses in improving care for refugee and migrant peoples. Refugees and asylum seekers represent a significant proportion of attendees in emergency departments in Auckland Hospitals. Culture and ethnicity are a major factor to be considered in addressing the health care needs of this population. Other factors such as the physical and psychological sequelae of the refugee experience, health care experience prior to arrival in New Zealand, poverty, language, and the trauma of resettlement also have a major impact on health care seeking behaviours. |
|
| |
Call Number |
NRSNZNO @ research @ 557 |
Serial |
543 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Murray, D.J. |
|
| |
Title |
The roles of nurses working with adolescents in Auckland secondary schools |
Type |
|
| |
Year |
2004 |
Publication |
|
Abbreviated Journal |
University of Auckland Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Adolescents; Nurse-patient relations |
|
| |
Abstract |
|
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
605 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Neugebauer, A.F. |
|
| |
Title |
The adult congenital heart disease service: An evidence-based development of a nurse specialist position |
Type |
|
| |
Year |
2004 |
Publication |
|
Abbreviated Journal |
University of Auckland Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Cardiovascular diseases; Nursing specialties; Nursing |
|
| |
Abstract |
|
|
| |
Call Number |
NRSNZNO @ research @ 482 |
Serial |
469 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Nichols, J. |
|
| |
Title |
An exploration of clinical supervision within mental health nursing |
Type |
Journal Article |
| |
Year |
2004 |
Publication |
Vision: A Journal of Nursing |
Abbreviated Journal |
|
|
| |
Volume |
|
Issue |
November |
Pages |
|
|
| |
Keywords |
Clinical supervision; Mental health; Psychiatric Nursing |
|
| |
Abstract |
The purpose of this paper is to shed some light on the concept of clinical supervision specifically in relation to mental health nursing. The author talks briefly about the naming and history of clinical supervision and aims to provide some clarity around defining the concept. There is discussion around the role, value and objectives of clinical supervision before critical examination of two models of clinical supervision within two different contexts. Finally the strengths and weaknesses of each model are discussed, and the differences illustrate some of the contextual factors of clinical supervision. |
|
| |
Call Number |
NRSNZNO @ research @ 876 |
Serial |
860 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
O'Brien, A.P.; Boddy, J.M.; Hardy, D.J.; O'Brien, A.J. |
|
| |
Title |
Clinical indicators as measures of mental health nursing standards of practice in New Zealand |
Type |
Journal Article |
| |
Year |
2004 |
Publication |
International Journal of Mental Health Nursing |
Abbreviated Journal |
|
|
| |
Volume |
13 |
Issue |
2 |
Pages |
778-788 |
|
| |
Keywords |
Psychiatric Nursing; Professional competence; Administration; Quality of health care; Mental ealth |
|
| |
Abstract |
This paper discusses the utility of Consumer Notes Clinical Indicators (CNCI) as a means to monitor mental health nursing clinical practice against the Australian and New Zealand College of Mental Health Nurses' (ANZCMHN) Standards of Practice for mental health nursing in New Zealand. CNCI are statements describing pivotal mental health nursing behaviours for which evidence can be found in the nurses' case notes. This paper presents 25 valid and reliable CNCI that can be used to monitor mental health nursing practice against the ANZCMHN's Standards of Practice for mental health nursing in New Zealand. The bicultural clinical indicators were generated in focus groups of Maori and non-Maori mental health nurses, prioritised in a three-round reactive Delphi survey of expert mental health nurses and consumers, pilot tested, and applied in a national field study. This paper reports the development and validation of the CNCI, for which achievement is assessed by an audit of the nursing documentation in consumer case notes. The CNCI were tested in a national field study of 327 sets of consumer case notes at 11 district health board sites. The results of the national field study show wide variation in occurrence of individual indicators, particularly in the areas of informed consent, information about legal rights, and provision of culturally safe and recovery-focused care. The authors discuss the implications of using the CNCI to assess the professional accountability of mental health nurses to provide quality care. Recommendations are made regarding the application of the clinical indicators and future research required, determining appropriate benchmarks for quality practice. The CNCI could be adapted for application in other mental health nursing and other mental health professional clinical settings. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1059 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Paton, B.; Martin, S.; McClunie-Trust, P.; Weir, N. |
|
| |
Title |
Doing phenomenological research collaboratively |
Type |
Journal Article |
| |
Year |
2004 |
Publication |
Journal of Continuing Education in Nursing |
Abbreviated Journal |
Wintec Research Archive |
|
| |
Volume |
35 |
Issue |
4 |
Pages |
176-181 |
|
| |
Keywords |
Qualiltative research; Nursing research; New graduate nurses |
|
| |
Abstract |
The purpose of this article is twofold. The first is to clarify some of the challenges experienced while conducting collaborative research and describe the steps taken to ensure consistency between the purpose of the research and the phenomenological research design used to explore the learning that nursing students acquire in their final clinical practicum. Second, it was thought that by illuminating this learning, registered nurses working as preceptors and those supporting new graduates could gain insight into the complexities of learning the skills of safe and competent practice from the student's perspective. This insight is essential in creating a strategy between education and practice to minimise the duplication of learning opportunities and lessen the cost of supporting newly registered nurses, which may be at the expense of investment in the professional development of experienced registered nurses. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1202 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Phillips, B.N. |
|
| |
Title |
An interpretation of four men's experiences of suicidality |
Type |
|
| |
Year |
2004 |
Publication |
|
Abbreviated Journal |
ResearchArchive@Victoria |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Mental health; Psychiatric Nursing; Gender; Qualiltative research |
|
| |
Abstract |
This study draws upon Gadamer's philosophical hermeneutics to explore the understandings that four men have had of their past suicidal experiences. The interpretations developed in this study, as far as possible, make explicit use of the author's own particular horizon of meaning as researcher and mental health nurse. In addition, by consciously bringing an anti-essentialist perspective of masculinity to this process, he explores the way in which gender impacts on men's suicidality. The primary source of information for this study is in-depth, open-ended conversations with four men of European descent in their middle adult years who were asked to talk about their past experiences of suicidality. The interpretations developed here show that for these men, the hermeneutic fusion of history, language, and sociocultural context, provided limited possibilities with which they were able to construe themselves as 'fitting in' with normative standards. These constraints, that are otherwise taken-for-granted and invisible, became explicit through their experience of ongoing victimisation. Furthermore, early understandings of these experiences became a potent horizon of meaning from which they then came to understand later difficult experiences. Victimisation became constitutive of an understanding of self as fundamentally different and (hierarchically)'less-than' other men. Ultimately, suicidality emerged out of a background of ever-present psychological pain accompanying a construction of self as being unable to see themselves as ever 'fitting in'. These men did not regard themselves as having recovered from suicidality, but remain in a process of recovering. This process did not mean figuring out how to 'fit in', or become 'normal' men, but rather, to live meaningfully as men in spite of not 'fitting in' with the sociocultural ideal. Recovering was a continual and idiosyncratic process, rather than an outcome of a specific technique or knowledge. The position taken in this study is that mental health nursing seeks to engage with people and work with them in collaborative, respectful, human relationships. It is argued that mental health nurses work with an individual's situated understandings rather than delivering prescribed treatment determined by diagnosis. Hence, viewing suicidality as socioculturally situated and historically emergent suggests mental health nurses must closely attend to the way in which we bring ourselves into relationships with our clients so that we are then able to create opportunities for change. |
|
| |
Call Number |
NRSNZNO @ research @ 1214 |
Serial |
1199 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Richardson, S. |
|
| |
Title |
Aoteaoroa/New Zealand nursing: From eugenics to cultural safety |
Type |
Journal Article |
| |
Year |
2004 |
Publication |
Nursing Inquiry |
Abbreviated Journal |
|
|
| |
Volume |
11 |
Issue |
1 |
Pages |
35-42 |
|
| |
Keywords |
Cultural safety; History of nursing; Nursing philosophy |
|
| |
Abstract |
The concept of cultural safety offers a unique approach to nursing practice, based on recognition of the power differentials inherent in any interaction. Clarification of the concept is offered, together with a review of the historical shift in nursing attitudes that has led to the emergence of “cultural safety” as a viable and valued component of nursing practice. The argument is made that cultural safety has allowed for a more reflective, critical understanding of the actions of nursing to develop. This includes recognition that nurses' attitudes and values have inevitably been influenced by social and political forces, and as such are in part reflective of those within the wider community. Comparison between the support given by nurses in the early 1900s to the theory of eugenics and the current acceptance of cultural safety is used to highlight this point. An examination of the literature identifies that ideological and conceptual changes have occurred in the approach of Aoteaoroa/New Zealand nurses to issues with cultural implications for practice. A review of background factors relating to Maori health status and the Treaty of Waitangi is presented as a necessary context to the overall discussion. The discussion concludes with an acknowledgement that while the rhetoric of cultural safety is now part of nursing culture in New Zealand, there is no firm evidence to evaluate its impact in practice. Issues identified as impacting on the ability to assess/research a concept, such as cultural safety, are discussed. For cultural safety to become recognised as a credible (and indispensable) tool, it is necessary to further examine the “end-point” or “outcomes” of the process. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1062 |
|
| Permanent link to this record |
