| Records |
| Author |
Johns, S. |
Title  |
Being constrained and enabled: A study of pre-registration nursing students ethical practice |
Type |
|
| Year |
2004 |
Publication |
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Abbreviated Journal |
Auckland University of Technology Library |
| Volume |
|
Issue |
|
Pages |
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| Keywords |
Ethics; Nursing; Students |
| Abstract |
This study uncovers the experience of being ethical from the perspective of pre-registration nursing students. Using the qualitative methodology of phenomenology, specifically that outlined by van Manen, it seeks to show how students act ethically within everyday practice. Providing nursing care is an ethically charged undertaking and despite ethics taking an increasingly important place in nursing education, the author suggests that few studies show the contextual nature of ethical practice from the perspective of students. This study aims to partly redress this situation. In this study the author has interpreted the experiences of twelve pre-registration students. Using seventeen stories shared by the student participants, the author's personal understandings and literature, the meaning of being ethical has been illuminated. Three themes emerged from the interpretation. These include 'keeping things 'nice'', 'being true to yourself' and 'being present'. This thesis asserts that the overarching theme within these themes is that of 'being constrained and enabled'. Being constrained shows the experiences of students as they live through the tensions of being and doing as they strive to be ethical. Being enabled shows the experience of self-determination. Finally the study maintains that the shaping of ethical practice for undergraduate students may be enhanced when their reality is positioned and valued within educational processes. |
| Call Number |
NRSNZNO @ research @ 614 |
Serial |
600 |
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| Author |
Best, G.A. |
| Title |
Being pruned: Student nurses experience of being shaped in clinical practice by lecturers |
Type |
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| Year |
2004 |
Publication |
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Abbreviated Journal |
Auckland University of Technology Library |
| Volume |
|
Issue |
|
Pages |
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| Keywords |
Students; Nursing; Education |
| Abstract |
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| Call Number |
NRSNZNO @ research @ |
Serial |
599 |
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| Author |
Hall, J. |
| Title |
Building trust to work with a grounded theory study of paediatric acute care nurses work |
Type |
|
| Year |
2004 |
Publication |
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Abbreviated Journal |
Auckland University of Technology Library |
| Volume |
|
Issue |
|
Pages |
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| Keywords |
Nurse-family relations; Nurse-patient relations; Children; Paediatric nursing; Intensive care nursing |
| Abstract |
Grounded theory methodology has guided the grounded theory methods used to explore the acute care paediatric nurses' perspective of what they do when a child has had a severe accident. The research was initiated from the experience of nursing children in the context of a rehabilitation centre and wondering how acute care nurses promoted a child's recovery after a severe unintentional injury. Many avenues were used to search international and New Zealand literature but the scarcity of literature related to what acute care paediatric nurses do was evident. Nursing children in the acute care ward after a severe accident is complex. It encompasses nursing the family when they are experiencing a crisis. It is critical that the acute care nurse monitors and ensures the child's physiological needs are met, and the nurse “works with” the child to maintain and advance medical stability. Nursing interactions are an important part of “working with”, communication is the essence of nursing. This research has focussed on the nurses' social processes whilst caring for the physical needs of the child and interacting with the family and multidisciplinary team when appropriate. An effective working-relationship with a nurse and family is founded on trust. Grounded theory methods supported the process of exploring the social processes of “building trust” whilst “working with” families in a vulnerable position. Nurses rely on rapport to be invited into a family's space to “work with” and support the re-establishment of the parenting role. The “stepping in and out” of an effective working-relationship with a family is reliant on trust. Nurses build trust by spending time to “be with”, using chat to get to know each other, involving and supporting the family to parent a “different” child and reassuring and giving realistic hope to help the child and parents cope with their changed future. A substantive theory of the concept of “building trust to work with” has been developed using grounded theory methods. The theory has been conceptualised using the perspective of seven registered nurses working in paediatric acute care wards that admit children who have had a severe traumatic accident. |
| Call Number |
NRSNZNO @ research @ |
Serial |
597 |
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| 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 |
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| 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 |
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| Author |
Walsh, K. |
| Title |
Change and development of nusing practice: The challenges for the new century |
Type |
Journal Article |
| Year |
2004 |
Publication |
Emergency Nurse New Zealand |
Abbreviated Journal |
|
| Volume |
3 |
Issue |
3 |
Pages |
10-13 |
| Keywords |
Nursing; Work |
| Abstract |
In light of the current challenges facing the nursing workforce, the author proposes a way forward to capture and utilise the challenges to bring about positive change. |
| Call Number |
NRSNZNO @ research @ 1112 |
Serial |
1097 |
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| Author |
Barber, A.; Charleston, A.; Anderson, N.; Spriggs, D.; Bennett, D.; Bennett, P.; Thomas, K.; Baker, Y. |
| Title |
Changes in stroke care at Auckland Hospital between 1996 and 2001 |
Type |
Journal Article |
| Year |
2004 |
Publication |
New Zealand Medical Journal |
Abbreviated Journal |
Access is free to articles older than 6 months |
| Volume |
117 |
Issue |
1190 |
Pages |
|
| Keywords |
Multidisciplinary care teams; Nursing specialties; Hospitals |
| Abstract |
The researchers repeat the 1996 audit of stroke care in Auckland Hospital to assess changes in stroke management since the introduction of a mobile stroke team. The audit prospectively recorded information for all patients with stroke from 1 June to 30 September 2001. They describe the work of the stroke team physician and the specialist stroke nurse and allied health staff who coordinate the multidisciplinary care of patients. Variables examined include time to arrival and medical assessment, investigations, acute management, inpatient rehabilitation, and stroke outcome. The researchers then describe recent developments in stroke care and the impact of the stroke service on patient management. |
| Call Number |
NRSNZNO @ research @ |
Serial |
544 |
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| Author |
Maries, V.J. |
| Title |
Chosen moments: A reflective journey illustrating terminally ill patients choosing the moment to die |
Type |
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| Year |
2004 |
Publication |
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Abbreviated Journal |
Victoria University of Wellington Library |
| Volume |
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Issue |
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Pages |
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| Keywords |
Terminal care; Palliative care; Nurse-patient relations |
| Abstract |
In this project the author reveals how she is observing and thinking as she cares for people who are dying. She records her reflections and insights and reveals that there is life right up to the moment of death, having observed terminally ill patients choosing the precise moment to die. She describes her observations of these moments by using poetry and stories, and explores the implications for her practice as a result. The author presents her reflections using an individualistic, reflective and exploratory perspective which is informed by the work of nursing scholars. This paper is framed using the metaphors of a journey and a window to indicate the reflective process that the author used to journal her observations in practice over time. |
| Call Number |
NRSNZNO @ research @ |
Serial |
773 |
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| 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 |
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| 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 |
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| Author |
Schroyen, B.; Finlayson, M. |
| Title |
Clinical teaching and learning: An action research study |
Type |
Journal Article |
| Year |
2004 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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| Volume |
20 |
Issue |
2 |
Pages |
36-45 |
| Keywords |
Education; Nursing; Hospitals |
| Abstract |
Using an educational action research model, a nursing lecturer based in a polytechnic and ten students formed a research group to address one issue that was important to them. The research group chose to plan, implement and evaluate a practical change strategy aimed at improving the teaching and learning relationship between students and staff nurses in clinical settings. A sample of five staff nurses working closely with five students in the group was invited to join the study in order to gain their perspectives on the issues. The findings were that contract learning provides a strategy which, under certain conditions, offers both students and staff nurses an opportunity to improve the effectiveness of their interactions. |
| Call Number |
NRSNZNO @ research @ |
Serial |
545 |
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| Author |
Walthew, P. |
| Title |
Conceptions of critical thinking held by nurse educators |
Type |
Journal Article |
| Year |
2004 |
Publication |
Journal of Nursing Education |
Abbreviated Journal |
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| Volume |
43 |
Issue |
9 |
Pages |
408-411 |
| Keywords |
Critical thinking; Feminist critique; Nursing; Education |
| Abstract |
This study investigated nurse educators' conceptions of critical thinking used in making judgment related to nursing. Twelve nurse educators from a large nursing school in an urban environment in New Zealand participated in this qualitative study. A semistructured questionnaire was used to explore the nurse educators' conceptions of critical thinking. The study found that the participants viewed rational, logical thinking as a central focus of critical thinking. However, in addition to these traditional perspectives, the nurse educators also included in their conceptions views more commonly held by feminist writers. These aspects focused on attention to intuition, subjective knowing, attention to context, emotions, and caring. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1056 |
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| Author |
Connor, M. |
| Title |
Courage and complexity in chronic illness: Reflective practice in nursing |
Type |
Book Whole |
| Year |
2004 |
Publication |
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Abbreviated Journal |
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| Volume |
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Issue |
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Pages |
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| Keywords |
Asthma; Nurse-patient relations; Nurse-family relations; Community health nursing; District nursing; Chronically ill |
| Abstract |
This book presents the reflective account of an actual nursing practice situation (a woman living with chronic asthma).The author provides a descriptive narrative and then delves deeper into the narrative to obtain greater understanding of what she calls “strife” in chronic illness and the best nursing practice to assist its resolution. |
| Call Number |
NRSNZNO @ research @ 926 |
Serial |
910 |
| Permanent link to this record |
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| Author |
McClelland, B. |
| Title |
Critical factors that influence staff retention in an acute perioperative environment |
Type |
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| Year |
2004 |
Publication |
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Abbreviated Journal |
AUT University Library |
| Volume |
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Issue |
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Pages |
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| 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 |
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| Author |
Corbett, A. |
| Title |
Cultural safety: A New Zealand experience |
Type |
Journal Article |
| Year |
2004 |
Publication |
Journal of the Australasian Rehabilitation Nurses Association |
Abbreviated Journal |
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| Volume |
7 |
Issue |
1 |
Pages |
14-17 |
| Keywords |
Cross-cultural comparison; Cultural safety; Transcultural nursing |
| Abstract |
The Indigenous Nursing Education Working Group report “Gettin em n keepin em”, was presented at the Australasian Nurse Educators Conference held in Rotorua, New Zealand. The practicalities of the implementation of this report were challenged in light of the experiences of New Zealand nurse educators in implementing the concepts of cultural safety into undergraduate nurse education in New Zealand. The experiences of one Maori family with the Australian health system is given to illustrate the points made. |
| Call Number |
NRSNZNO @ research @ 964 |
Serial |
948 |
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| Author |
Clendon, J. |
| Title |
Demonstrating outcomes in a nurse-led clinic: How primary health care nurses make a difference to children and their families |
Type |
Journal Article |
| Year |
2004 |
Publication |
Contemporary Nurse |
Abbreviated Journal |
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| Volume |
18 |
Issue |
1-2 |
Pages |
164-176 |
| Keywords |
Primary health care; School nursing; Nurse managers |
| Abstract |
The study outlined here explored outcomes from the provision of primary health care to children aged 5-13 years in a nurse-led clinic based in a primary school in Auckland. This multi-faceted study collected both qualitative and quantitative data, however it is the results of the quantitative arm of the study that are presented here. Data were collected from a variety of sources concerning conditions seen, age and ethnicity of users, types of services provided and impact on hospital usage. Findings demonstrate that the provision of comprehensive primary health care by the nurse at the clinic impacts positively on hospital visitation by children from the area where the clinic is located. |
| Call Number |
NRSNZNO @ research @ |
Serial |
947 |
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| Author |
Kinealy, T.; Arroll, B.; Kenealy, H.; Docherty, B.; Scott, D.; Scragg, R.; Simmons, D. |
| Title |
Diabetes care: Practice nurse roles, attitudes and concerns |
Type |
Journal Article |
| Year |
2004 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
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| Volume |
48 |
Issue |
11 |
Pages |
68-75 |
| Keywords |
Diabetes Type 2; Practice nurses; Attitude of health personnel; Primary health care |
| Abstract |
The aim of this paper is to report a study to compare the diabetes-related work roles, training and attitudes of practice nurses in New Zealand surveyed in 1990 and 1999, to consider whether barriers to practice nurse diabetes care changed through that decade, and whether ongoing barriers will be addressed by current changes in primary care. Questionnaires were mailed to all 146 practice nurses in South Auckland in 1990 and to all 180 in 1999, asking about personal and practice descriptions, practice organisation, time spent with patients with diabetes, screening practices, components of care undertaken by practice nurses, difficulties and barriers to good practice, training in diabetes and need for further education. The 1999 questionnaire also asked about nurse prescribing and influence on patient quality of life. More nurses surveyed in 1999 had post-registration diabetes training than those in 1990, although most of those surveyed in both years wanted further training. In 1999, nurses looked after more patients with diabetes, without spending more time on diabetes care than nurses in 1990. Nevertheless, they reported increased involvement in the more complex areas of diabetes care. Respondents in 1999 were no more likely than those in 1990 to adjust treatment, and gave a full range of opinion for and against proposals to allow nurse prescribing. The relatively low response rate to the 1990 survey may lead to an underestimate of changes between 1990 and 1999. Developments in New Zealand primary care are likely to increase the role of primary health care nurses in diabetes. Research and evaluation is required to ascertain whether this increasing role translates into improved outcomes for patients. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1100 |
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