| |
Records |
Links |
|
Author |
Flynn, L.; Carryer, J.B.; Budge, C. |
|
| |
Title |
Organisational attributes valued by hospital, home care, and district nurses in the United States and New Zealand |
Type |
Journal Article |
| |
Year |
2005 |
Publication |
Journal of Nursing Scholarship |
Abbreviated Journal  |
|
|
| |
Volume |
37 |
Issue |
1 |
Pages |
67-72 |
|
| |
Keywords |
Organisational culture; Cross-cultural comparison; Nursing |
|
| |
Abstract |
The aim of this study was to determine whether hospital-based, home care, and district nurses identify a core set of organisational attributes in the nursing work environment that they value as important to the support of professional practice. Survey data, collected in 2002 2003 from 403 home care nurses in the United States and 320 district nurses in New Zealand, were pooled with an existing data set of 669 hospital-based nurses to conduct this descriptive, nonexperimental study. The importance of organisational attributes in the nursing work environment was measured using the Nursing Work Index-Revised (NWI-R). The authors found that at least 80% of hospital-based, home care, and district nurses either agreed or strongly agreed that 47 of the 49 items comprising the NWI-R represented organisational attributes they considered important to the support of their professional nursing practice. Mean importance scores among home care nurses, however, were significantly lower than were those of the other two groups. The authors conclude that the overall, hospital-based, home care, and district nurses had a high level of agreement regarding the importance of organisational traits to the support of their professional practice. The intensity of the attributes' importance was less among home care nurses. Further research is needed to determine whether this set of organisational traits, measured using the NWI-R, is associated with positive nurse and patient outcomes in home care and district nursing practice, as has been shown in acute care settings. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
886 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Huntington, A.D.; Gilmour, J.A. |
|
| |
Title |
A life shaped by pain: Women and endometriosis |
Type |
Journal Article |
| |
Year |
2005 |
Publication |
Journal of Clinical Nursing |
Abbreviated Journal |
|
|
| |
Volume |
14 |
Issue |
9 |
Pages |
1124-1132 |
|
| |
Keywords |
Female; Diseases; Nurse practitioners; Pain management; Endometriosis; Feminist critique |
|
| |
Abstract |
The research aim was to explore women's perceptions of living with endometriosis, its effects on their lives and the strategies used to manage their disease. A qualitative research design informed by feminist research principles was chosen for this project. Eighteen women agreed to take part in the research. The individual, audio taped interviews were semi-structured and interactive. The interviews were analysed using a thematic analysis approach. The dominant feature of data from the interviews was the experience of severe and chronic pain impacting on all aspects of life. Analysis related to pain resulted in four themes: manifestations of pain, the pain trajectory, intractable pain and controlling pain. The diagnostic process typically took 5-10 years indicating that primary health care practitioners need higher levels of 'suspicion' for this condition. Case studies and problem-based scenarios focusing on endometriosis in health professional education programmes would enhance diagnostic skills and knowledge development. No formal pain management follow up after diagnosis and treatment meant women actively sought information from other sources as they made major lifestyle changes in the areas of activity and nutrition. Pain management services specifically for women with endometriosis would provide much needed support with this neglected aspect of the disease. The authors conclude this is an area for the development of the nurse practitioner role which, also drawing on the considerable collective expertise of women with endometriosis, could provide significant information and support for women as they manage this highly complex condition. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
940 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Cook, N.; Phillips, B.N.; Sadler, D. |
|
| |
Title |
The Tidal Model as experienced by patients and nurses in a regional forensic unit |
Type |
Journal Article |
| |
Year |
2005 |
Publication |
Journal of Psychiatric & Mental Health Nursing |
Abbreviated Journal |
|
|
| |
Volume |
15 |
Issue |
5 |
Pages |
536-540 |
|
| |
Keywords |
Psychiatric Nursing; Nursing models; Evaluation; Nurse-patient relations |
|
| |
Abstract |
This study looks at the effect of implementing the Tidal Model at Rangipapa, a regional secure mental health forensic unit. A phenomenological study was undertaken to obtain reflective description of the nursing care experience from the perspective's of four registered nurses and four “special patients”. Five major themes were identified that appeared to capture the experiences of the participants. The themes show changes to the unit's unique culture and values following implementation of the model. These changes engendered a sense of hope, where nurses felt they were making a difference and patients were able to communicate in their own words their feelings of hope and optimism. Levelling was experienced as an effect emerging from individual and group processes whereby a shift in power enhanced a sense of self and connectedness in their relationships. These interpersonal transactions were noted by the special patients as being positive for their recovery. This enabled effective nurse-patient collaboration expressed simply as working together. The participants reported a feeling of humanity, so that there was a human face to a potentially objectifying forensic setting. Implications arising from this study are that the use of the model enables a synergistic interpersonal process wherein nurses are professionally satisfied and patients are validated in their experience supporting their recovery. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
941 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
DeSouza, R. |
|
| |
Title |
Transforming possibilities of care: Goan migrant motherhood in New Zealand |
Type |
Journal Article |
| |
Year |
2005 |
Publication |
Contemporary Nurse |
Abbreviated Journal |
|
|
| |
Volume |
20 |
Issue |
1 |
Pages |
87-101 |
|
| |
Keywords |
Pregnancy; Transcultural nursing; Quality of health care; Attitude to health |
|
| |
Abstract |
This paper reports on a study of the maternity care experiences of women from Goa (India) in Auckland. Multiple research strategies were incorporated into the process to prevent reproduction of deficiency discourses. Interviews were carried out with Goan women who had experiences of migration and motherhood. The findings revealed that as a consequence of motherhood and migration, migrant mothers were able to reclaim and re-invent innovative solutions. Nurses and other health professionals can have a significant role in supporting women and their families undergoing the transition to parenthood in a new country and develop their knowledge and understanding of this dual transition. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
942 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Giddings, D.L.S. |
|
| |
Title |
Health disparities, social injustice, and the culture of nursing |
Type |
Journal Article |
| |
Year |
2005 |
Publication |
Nursing Research |
Abbreviated Journal |
|
|
| |
Volume |
54 |
Issue |
5 |
Pages |
304-312 |
|
| |
Keywords |
Cross-cultural comparison; Racism; Attitude of health personnel; Feminist critique |
|
| |
Abstract |
The aim of this cross-cultural study was to collect stories of difference and fairness within nursing. The study used a life history methodology informed by feminist theory and critical social theory. Life story interviews were conducted with 26 women nurses of varying racial, cultural, sexual identity, and specialty backgrounds in the United States (n = 13) and Aotearoa New Zealand (n = 13). Participants reported having some understanding of social justice issues. They were asked to reflect on their experience of difference and fairness in their lives and specifically within nursing. Their stories were analysed using a life history immersion method. Nursing remains attached to the ideological construction of the “White good nurse.” Taken-for-granted ideals privilege those who fit in and marginalise those who do not. The nurses who experienced discrimination and unfairness, survived by living in two worlds, learned to live in contradiction, and worked surreptitiously for social justice. For nurses to contribute to changing the systems and structures that maintain health disparities, the privilege of not seeing difference and the processes of mainstream violence that support the construction of the “White good nurse” must be challenged. Nurses need skills to deconstruct the marginalising social processes that sustain inequalities in nursing and healthcare. These hidden realities-racism, sexism, heterosexism, and other forms of discrimination-will then be made visible and open to challenge. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
943 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Giddings, D.L.S. |
|
| |
Title |
A theoretical model of social consciousness |
Type |
Journal Article |
| |
Year |
2005 |
Publication |
Advances in Nursing Science |
Abbreviated Journal |
|
|
| |
Volume |
28 |
Issue |
3 |
Pages |
224-239 |
|
| |
Keywords |
Attitude of health personnel; Feminist critique; Nursing models |
|
| |
Abstract |
The article presents a theoretical model of social consciousness developed from nurses' life histories. A 3-position dialectical framework (acquired, awakened, and expanded social consciousness) makes visible the way people respond to social injustice in their lives and in the lives of others. The positions coexist, are not hierarchical, and are contextually situated. A person's location influences her or his availability for social action. Nurses who could most contribute to challenging social injustices that underpin health disparities are relegated to the margins of mainstream nursing by internal processes of discrimination. The author suggests that more inclusive definitions of “a nurse” would open up possibilities for social change. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
944 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Murphy, R. |
|
| |
Title |
A day in the life of an acute hospital psychiatric nurse |
Type |
Journal Article |
| |
Year |
2005 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
11 |
Issue |
9 |
Pages |
24-25 |
|
| |
Keywords |
Nursing; Psychiatric Nursing; Interprofessional relations; Mental health; Multidisciplinary care teams |
|
| |
Abstract |
A nurse presents a personal account of a typical day at Middlemore Hospital's 50-bed acute inpatient mental health unit Tiaho Mai. The article covers aspects of shift handover, working with multidisciplinary teams, developing care plans, working with families, and responding to emergencies. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
957 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Richardson, S. |
|
| |
Title |
Coping with outbreaks of the norovirus |
Type |
Journal Article |
| |
Year |
2005 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
11 |
Issue |
7 |
Pages |
|
|
| |
Keywords |
Infection control; Risk management; Occupational health and safety; Hospitals |
|
| |
Abstract |
The author presents an overview of the impact and management of novovirus infections in New Zealand. The impact of this highly contagious virus on hospital settings is serious. With staff shortages already a problem, any outbreak of contagious disease has the potential to result in unsafe staffing, either through low numbers or poor skill mix. A report from New Zealand Environmental Science and Research (ESR) showed 35 reported norovirus outbreaks in New Zealand in the first quarter of 2004, resulting in 890 cases of the disease. Norovirus outbreaks are characterised by a rapid spread of infection, high uptake rate, and a high proportion of cases presenting with projectile vomiting. The author provides a definition of the novovirus, and looks at transmission, the management of hospital outbreaks, and the impact on emergency departments and hospital wards. Procedures include in-patient isolation. She notes there are no simple answers or “quick fixes” to the problem of norovirus outbreaks. While ongoing surveillance, recognition and isolation are key elements, there are wider structural and political implications that need to be acknowledged. These issues include overcrowding and staff shortages. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
981 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
McCloskey, B.A.; Diers, D. |
|
| |
Title |
Effects of New Zealand's health reengineering on nursing and patient outcomes |
Type |
Journal Article |
| |
Year |
2005 |
Publication |
Medical Care |
Abbreviated Journal |
|
|
| |
Volume |
43 |
Issue |
11 |
Pages |
1140-1146 |
|
| |
Keywords |
Patient safety; Organisational change; Nursing; Hospitals |
|
| |
Abstract |
This study sought to examine the effects that hospital re-engineering may have on adverse patient outcomes and the nursing workforce. In 1993, New Zealand implemented policies aimed at controlling costs in the country's public health care system through market competition, generic management, and managerialism. The study was a retrospective, longitudinal analysis of administrative data. Relationships between adverse outcome rates and nursing workforce characteristics were examined using autoregression analysis. All medical and surgical discharges from New Zealand's public hospitals (n=3.3 million inpatient discharges) from 1989 through 2000 and survey data from the corresponding nursing workforce (n=65,221 nurse responses) from 1993 through 2000 were examined. Measures included the frequency of 11 nurse sensitive patient outcomes, average length of stay, and mortality along with the number of nursing full time equivalents (FTEs), hours worked, and skill mix. After 1993, nursing FTEs and hours decreased 36% and skill mix increased 18%. Average length of stay decreased approximately 20%. Adverse clinical outcome rates increased substantially. Mortality decreased among medical patients and remained stable among surgical patients. The relationship between changes in nursing and adverse outcomes rates over time were consistently statistically significant. The authors conclude that in the chaotic environment created by re-engineering policy, patient care quality declined as nursing FTEs and hours decreased. The study provides insight into the role organisational change plays in patient outcomes, the unintended consequences of health care re-engineering and market approaches in health care, and nursing's unique contribution to quality of care. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1052 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Cobham, J. |
|
| |
Title |
Why do nurses stay in nursing? A test of social identity, equity sensitivity and expectancy theory |
Type |
|
| |
Year |
2005 |
Publication |
|
Abbreviated Journal |
|
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Nursing; Recruitment and retention; Identity |
|
| |
Abstract |
|
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1107 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Moore, Justin |
|
| |
Title |
Breaking down barriers in child healthcare (0-5) years. Margaret May Blackwell Travelling Fellowship 2005 |
Type |
Report |
| |
Year |
2005 |
Publication |
|
Abbreviated Journal |
|
|
| |
Volume |
|
Issue |
|
Pages |
29 |
|
| |
Keywords |
Child health services; Children's Hospitals; Emergency Departments; Drugs; Reports |
|
| |
Abstract |
Travels to Australia, Canada, the US and the UK to investigate various methods of procedural sedation for 0-5-year-olds in paediatric Emergency Departments. Describes the types of sedation used and the recovery periods. Transcribes the interviews he conducted with Emergency Department staff in each country. Part of the Margaret May Blackwell Scholarship Reports series. |
|
| |
Call Number |
NZNO @ research @ |
Serial |
1427 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Lake, Sarah Elizabeth |
|
| |
Title |
Nursing Prioritisation of the Patient Need for Care:Tacit Knowledge of Clinical Decision Making in Nursing |
Type |
Book Whole |
| |
Year |
2005 |
Publication |
|
Abbreviated Journal |
|
|
| |
Volume |
|
Issue |
|
Pages |
193 p. |
|
| |
Keywords |
Clinical decision-making; Patients; Prioritisation; Need for care |
|
| |
Abstract |
Explores the nursing literature for the tacit knowledge of the discipline about nursing prioritisation and proposes a 'fit' for nursing prioritisation of the patient need for care within the bigger picture of nurse clinical decision-making. Indicates that nurses use discretionary judgment and ongoing assessment to determine the relative importance of the many aspects of individual patient situations as they unfold. Examines the body of knowledge pertaining to clinical decision-making in nursing, suggesting that nursing prioritisation of the patient need for care is most readily discerned in the interpretive perspective and in the plain-language descriptions of nurse decision-making. |
|
| |
Call Number |
NZNO @ research @ |
Serial |
1531 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Kiata, L.; Kerse, N.; Dixon, R. |
|
| |
Title |
Residential care workers and residents: The New Zealand story |
Type |
Journal Article |
| |
Year |
2005 |
Publication |
New Zealand Medical Journal |
Abbreviated Journal |
Access is free to articles older than 6 months, and abstracts. |
|
| |
Volume |
118 |
Issue |
1214 |
Pages |
|
|
| |
Keywords |
Rest homes; Maori; Pacific peoples; Asian peoples; Ethnicity; Recruitment and retention |
|
| |
Abstract |
The aim of this study was to describe the nature and size of long-term residential care homes in New Zealand; funding of facilities; and the ethnic and gender composition of residents and residential care workers nationwide. A postal, fax, and email survey of all long-term residential care homes in New Zealand was undertaken, with completed surveys received from an eligible 845 facilities (response rate: 55%). The majority of these (54%) facilities housed less than 30 residents. Of the 438 (94%) facilities completing the questions about residents' ethnicity, 432 (99%) housed residents from New Zealand European (Pakeha) descent, 156 (33%) housed at least 1 Maori resident, 71 (15%) at least 1 Pacific (Islands) resident, and 61 (13%) housed at least 1 Asian resident. Facilities employed a range of ethnically diverse staff, with 66% reporting Maori staff. Less than half of all facilities employed Pacific staff (43%) and Asian staff (33%). Registered nursing staff were mainly between 46 and 60 years (47%), and healthcare assistant staff were mostly between 25 and 45 years old (52%). Wide regional variation in the ethnic make up of staff was reported. About half of all staff were reported to have moved within the previous 2 years. The authors conclude that the age and turnover of the residential care workforce suggests the industry continues to be under threat from staffing shortages. While few ethnic minority residents live in long-term care facilities, staff come from diverse backgrounds, especially in certain regions. |
|
| |
Call Number |
NRSNZNO @ research @ 545 |
Serial |
531 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
King, A.; Parsons, M. |
|
| |
Title |
An evaluation of two respite models for older people and their informal caregivers |
Type |
Journal Article |
| |
Year |
2005 |
Publication |
New Zealand Medical Journal |
Abbreviated Journal |
Access is free to articles older than 6 months, and abstracts. |
|
| |
Volume |
118 |
Issue |
1214 |
Pages |
|
|
| |
Keywords |
Older people; Evaluation |
|
| |
Abstract |
The researchers evaluate two case-management models of respite relief care at Waitemata District Health Board. The evaluation consisted of semi-structured interviews and postal surveys for clients utilising respite care and staff members involved in both the North/West and Rodney models of respite care in Auckland. Across the two regions, a total of 2 older people and their informal caregivers, 2 respite coordinators, and the Needs Assessment Service Coordination (NASC) Manager were interviewed. In addition, postal surveys were received from 21 older people, 36 informal caregivers, 11 NASC workers, and 3 allied health professionals. Findings revealed there was generally high satisfaction with both the respite models. Caregivers believed the respite service did give them a break, although it was insufficient. Caregivers reported concerns regarding how respite facilities could improve and the older person's deterioration post respite. Staff identified improvements for each of the models. |
|
| |
Call Number |
NRSNZNO @ research @ 549 |
Serial |
535 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Vandergoot, A. |
|
| |
Title |
From ward nurse to proficient critical care nurse: A narrative inquiry study |
Type |
|
| |
Year |
2005 |
Publication |
|
Abbreviated Journal |
Akoranga Theses Collection, Auckland University of Technology |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Nursing specialties |
|
| |
Abstract |
|
|
| |
Call Number |
NRSNZNO @ research @ 602 |
Serial |
588 |
|
| Permanent link to this record |
