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Author Farrow, T.; O'Brien, A.J.
Title Discourse analysis of newspaper coverage of the 2001/2002 Canterbury, New Zealand mental health nurses' strike Type Journal Article
Year 2005 Publication International Journal of Mental Health Nursing Abbreviated Journal
Volume 14 Issue (up) 3 Pages 187-195
Keywords Mental health; Nursing specialties; Industrial relations
Abstract This paper reports on research into print media representations of industrial disputes in Canterbury in 2001, when mental health nurses undertook a variety of strike actions after stalled negotiations with the local district health board. One response to these actions was the temporary reduction of many of the regions' mental health services. The researchers identified themes of juxtaposed but largely deprecatory images of both mental health nursing and of consumers of services. Some professional nursing voices were given print space during the strike; however, these were largely incorporated into existing discourses rather than offering a nursing viewpoint on the strike. The researchers suggest organisational efforts to focus on ways of ensuring that mental health nurses are seen as a legitimate authority by the media.
Call Number NRSNZNO @ research @ Serial 692
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Author Bland, M.F.
Title The challenge of feeling 'at home' in residential aged care in New Zealand Type Journal Article
Year 2005 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 21 Issue (up) 3 Pages 4-12
Keywords Rest homes; Older people; Patient satisfaction; Nursing; Identity
Abstract In this research report, a resident reveals the challenges associated with firstly becoming a nursing home resident, and then trying to establish a new sense of 'home'. The story supports a conclusion that nurses' knowledge of the unique 'admission story' of each resident, and their individual understandings of home, is essential in promoting their ongoing comfort. Although approximately 30,000 older adults live in residential aged care, little research has been done on their experience.
Call Number NRSNZNO @ research @ 862 Serial 846
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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 (up) 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
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Author Gasquoine, S.E.
Title Mothering a hospitalized child: It's the 'little things' that matter Type Journal Article
Year 2005 Publication Journal of Child Health Care Abbreviated Journal coda, An Institutional Repository for the New Zealand ITP Sector
Volume 9 Issue (up) 3 Pages 186-195
Keywords Nurse-family relations; Parents and caregivers; Paediatric nursing; Children
Abstract This article reports one aspect of a phenomenological study that described the lived experience of mothering a child hospitalised with acute illness or injury. The significance for mothers that nurses do the 'little things' emerged in considering the implications of this study's findings for nurses in practice. Seven mothers whose child had been hospitalised in the 12 months prior to the first interview agreed to share their stories. The resulting data were analysed and interpreted using van Manen's interpretation of phenomenology. This description of mothering in a context of crisis is useful in the potential contribution it makes to nurses' understanding of mothers' experience of the hospitalisation of their children. It supports the philosophy of family-centred care and highlights the ability of individual nurses to make a positive difference to a very stressful experience by acknowledging and doing 'little things', because it is the little things that matter to the mothers of children in hospital.
Call Number NRSNZNO @ research @ Serial 1053
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Author Friedel, J.; Treagust, D.F.
Title Learning bioscience in nursing education: Perceptions of the intended and the prescribed curriculum Type Journal Article
Year 2005 Publication Learning in Health & Social Care Abbreviated Journal
Volume 4 Issue (up) 4 Pages 203-216
Keywords Nursing; Education; Teaching methods
Abstract This study used a curriculum inquiry framework to investigate the perceptions of 184 nursing students and nurse educators in relation to bioscience in the nursing curriculum. Nursing students were found to have significantly more positive attitudes to bioscience in nursing education than nurse educators, and nurse educators were not found to have significantly better self-efficacy in bioscience than the students, although this might have been expected. The results of focus group discussions, used to investigate this in more depth, suggested that some nurse educators and clinical preceptors may not have sufficient science background or bioscience knowledge, to help nursing students apply bioscience knowledge to practice. As a result of this, it is suggested that the aims of the intended and prescribed nursing curricula are not being fulfilled in the implemented curriculum.
Call Number NRSNZNO @ research @ Serial 713
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Author Wareham, P.; McCallin, A.; Diesfeld, K.
Title Advance directives: The New Zealand context Type Journal Article
Year 2005 Publication Nursing Ethics Abbreviated Journal
Volume 12 Issue (up) 4 Pages 349-359
Keywords Law and legislation; Patient rights; Nursing; Ethics
Abstract Advance directives convey consumers' wishes about accepting or refusing future treatment if they become incompetent. There are associated ethical issues for health practitioners and this article considers the features that are relevant to nurses. In New Zealand, consumers have a legal right to use an advance directive that is not limited to life-prolonging care and includes general health procedures. Concerns may arise regarding a consumer's competence and the document's validity. Nurses need to understand their legal and professional obligations to comply with an advance directive. What role does a nurse play and what questions arise for a nurse when advance directives are discussed with consumers? This article considers the cultural dimensions, legal boundaries, consumers' and providers' perspectives, and the medical and nursing positions in New Zealand.
Call Number NRSNZNO @ research @ 1069 Serial 1054
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Author Richardson, F.I.; Carryer, J.B.
Title Teaching cultural safety in a New Zealand nursing education program Type Journal Article
Year 2005 Publication Journal of Nursing Education Abbreviated Journal
Volume 44 Issue (up) 5 Pages 201-208
Keywords Cultural safety; Nursing; Education; Teaching methods; Feminist critique; Treaty of Waitangi; Maori
Abstract This article describes the findings of a research study on the experience of teaching cultural safety. As a teacher of cultural safety, the first author was interested in exploring the experience of teaching the topic with other cultural safety teachers. A qualitative approach situated in a critical theory paradigm was used for the study. The study was informed by the ideas of Foucault and feminist theory. Fourteen women between ages 20 and 60 were interviewed about their experience of teaching cultural safety. Five women were Maori and 9 were Pakeha. Following data analysis, three major themes were identified: that the Treaty of Waitangi provides for an examination of power in cultural safety education; that the broad concept of difference influences the experience of teaching cultural safety; and that the experience of teaching cultural safety has personal, professional, and political dimensions. These dimensions were experienced differently by Maori and Pakeha teachers.
Call Number NRSNZNO @ research @ Serial 885
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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 (up) 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
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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 (up) 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
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Author Hylton, J.A.
Title Relearning how to learn: Enrolled nurse transition to degree at a New Zealand rural satellite campus Type Journal Article
Year 2005 Publication Nurse Education Today Abbreviated Journal
Volume 25 Issue (up) 7 Pages 519-526
Keywords Registered nurses; Enrolled nurses; Education; Maori; Scope of practice; Careers in nursing; Rural nursing
Abstract This paper reports a study that examined the factors that assisted or hindered the transition of a group of enrolled nurses to registration/degree programmes, via a flexible course developed by a North Island tertiary institution. The study follows ten enrolled nurses, primarily Maori and working in rural settings, as they continued to work while studying at a small satellite campus. The study was exploratory and descriptive, and utilised focus group interviews. Two major categories emerged from comparative analysis of the data. One category entitled 'relearning how to learn', demonstrated the cognitive and behavioural adaptations made and is the focus of this paper. The other category 'barriers and catapults', demonstrated the physical and environmental factors that influenced the students' transition but is outside the scope of this paper. Recent changes in New Zealand nursing education have witnessed the clarification of scopes of nursing practice and the controversial development of a new Certificate in Health Science (Nurse Assistant). Currently enrolled nurses are again facing threats to employment and it is envisaged that many will be seeking to undertake transition to registered nurse in the near future.
Call Number NRSNZNO @ research @ Serial 842
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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 (up) 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
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Author Spence, D.
Title Hermeneutic notions augment cultural safety education Type Journal Article
Year 2005 Publication Journal of Nursing Education Abbreviated Journal
Volume 44 Issue (up) 9 Pages 409-414
Keywords Cultural safety; Nursing; Education; Transcultural nursing
Abstract In this article, the author integrates literature pertaining to the implementation of kawa whakaruruhau, or cultural safety, with the findings of a hermeneutic project that described the experience of nursing people from cultures other than one's own. It is argued that the Gadamerian notions of “horizon,” “prejudice,” and “play” can be used to facilitate understanding of the tensions and contradictions inherent in cross-cultural practice. Strategies are recommended that enable students to explore the prejudices, paradoxes, and possibilities experienced personally and professionally.
Call Number NRSNZNO @ research @ Serial 704
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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 (up) 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
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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 (up) 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
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Author Flint, V.
Title The place of ECT in mental health care Type Journal Article
Year 2005 Publication Abbreviated Journal
Volume 11 Issue (up) 9 Pages 18-20
Keywords Psychiatric Nursing; Trauma; Mental health
Abstract The author reviews the controversial treatment of electroconvulsive therapy (ECT) which has re-emerged as a safe and effective treatment for major depressive disorders. She first addresses the popular conceptions of ECT, which are based on early misuse of the treatment when it was delivered unmodified, or forcefully and without anaesthetic. She then uses a case study to illustrate the benefits of ECT for catatonia and catatonic states. Diagnostic criteria for catatonia include motoric immobility, excessive motor activity, extreme negativism or mutism, peculiarities of voluntary movement, and echolalia or echopraxia. The treatment of a patient is detailed, and the role of the ECT nurse is outlined. The ECT nurse is a co-ordinator, an educator, liaises with other services and families, and is a point of contact about ECT within the mental health service generally and in the ECT unit in particular. The case study showed successful use of ECT. A series of eight ECT treatments were administered to the catatonic patient, after which he was discharged home with minor depression and showing signs of enjoying life once again.
Call Number NRSNZNO @ research @ 1011 Serial 995
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