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Author Lyford, S.; Cook, P.
Title The Whanaungatanga model of care Type (up) Journal Article
Year 2005 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 21 Issue 2 Pages 26-36
Keywords Maori; Hospitals; Nursing models
Abstract The authors introduce the Kaupapa nursing service at Te Puna Hauora, Tauranga Hospital. It implements an indigenous health model, the Whanaungatanga Model of Care, to guide nursing practice. This paper describes the concept of care it applies to serving its Maori population and the role of the Kaiawhina Social Worker. The authors highlights the interface between primary and secondary care after patients are discharged. The authors address the shortfall of Maori practitioners in the nursing service and the aims of a year-long pre-entry Kaupapa Health Professional Programme.
Call Number NRSNZNO @ research @ Serial 538
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Author Roud, D.; Giddings, D.L.S.; Koziol-McLain, J.
Title A longitudinal survey of nurses' self-reported performance during an entry-to-practice programme Type (up) Journal Article
Year 2005 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 21 Issue 2 Pages 37-46
Keywords New graduate nurses; Methodology; Professional competence; Training
Abstract The researchers conducted a study to compare self-reported changes in both frequency and quality of performance of nursing behaviours in a cohort of recently graduated nurses undertaking a one year entry to practice programme. Thirty-three nurses were surveyed, seven weeks after beginning the programme and again seven months later, using a modified version of Schwirian's (1978) Six-Dimension Scale of Nursing Performance (6-DSNP). Over the study period participants reported significant increases in frequency of performance for the domains of leadership, critical care, teaching/collaboration, and planning/evaluation. Significant increases in the quality of nurse behaviours in the domains of critical care, planning/evaluation and interpersonal relations/communication were also reported. The modified Schwirian 6-DSNP was found to be a useful instrument for measuring nurses' self reporting of performance during periods of transition.
Call Number NRSNZNO @ research @ 553 Serial 539
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Author Stewart, R.
Title Opportunistic chlamydia testing: Improving nursing practice through self-audit and reflection Type (up) Journal Article
Year 2005 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 21 Issue 1 Pages 43-52
Keywords Nursing; Practice nurses; Diseases; Case studies
Abstract This article details how an individual family planning nurse's practice concerning opportunistic testing for sexually transmitted chlamydia was improved through an audit of her testing rates and reflection on the outcome. The leading curable sexually transmitted infection in New Zealand, chlamydia, (including the incidence and spread of the infection and why it is a public health issue) is discussed, and the audit examined. The first audit of fifty consecutive client visits exposed a lack of opportunistic testing. The second looking at a similar but more recent group of client visits, made after the results of the first (zero opportunistic testing) were known, shows an increase in testing and education about chlamydia. Important clinical issues concerning chlamydia testing and treatment are considered. In conclusion the article challenges other nurses in the community to take a lead in raising awareness of the consequences of undiagnosed chlamydial infection and find ways of increasing opportunistic testing for chlamydia within their practice.
Call Number NRSNZNO @ research @ 554 Serial 540
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Author Alavi, C.
Title Breaking-in bodies: Teaching, nursing, initiations or what's love got to do with it? Type (up) Journal Article
Year 2005 Publication Contemporary Nurse Abbreviated Journal
Volume 18 Issue 3 Pages 292-299
Keywords Nursing; Education; Psychology; Nurse-patient relations; Students
Abstract This paper discusses how students become able to work with sick patients for whom they may feel disgust or discomfort. It is a sustained engagement with the literature on abjection and disgust and is not the outcome of evaluation research. It considers the role of problem-based learning pedagogy in facilitating students' negotiation of their own discomfort and horror, and describes experiences which enable them to approach abject patients with more comfort and less disgust. The paper argues the importance of creating spaces where students can explore issues which are distressing and disturbing so that they will feel able to remain in nursing.
Call Number NRSNZNO @ research @ Serial 658
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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 (up) Journal Article
Year 2005 Publication International Journal of Mental Health Nursing Abbreviated Journal
Volume 14 Issue 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 Wilson, D.; McBride-Henry, K.; Huntington, A.D.
Title Family violence: Walking the tight rope between maternal alienation and child safety Type (up) Journal Article
Year 2005 Publication Contemporary Nurse Abbreviated Journal
Volume 18 Issue 1-2 Pages 85-96
Keywords Nursing; Domestic violence; Nurse-patient relations; Children
Abstract This paper discusses the complexity of family violence for nurses negotiating the 'tight rope' between the prime concern for the safety of children and further contributing to maternal alienation, within a New Zealand context. The premise that restoration of the mother-child relationship is paramount for the long-term wellbeing of both the children and the mother provides the basis for discussing implications for nursing practice. Evidence shows that when mothers are supported and have the necessary resources there is a reduction in the violence and abuse she and her children experience; this occurs even in situations where the mother is the primary abuser of her children. The family-centred care philosophy, which is widely accepted as the best approach to nursing care for children and their families, creates tension for nurses caring for children who are the victims of abuse as this care generally occurs away from the context of the family.
Call Number NRSNZNO @ research @ Serial 698
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Author Spence, D.
Title Hermeneutic notions augment cultural safety education Type (up) Journal Article
Year 2005 Publication Journal of Nursing Education Abbreviated Journal
Volume 44 Issue 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 Friedel, J.; Treagust, D.F.
Title Learning bioscience in nursing education: Perceptions of the intended and the prescribed curriculum Type (up) Journal Article
Year 2005 Publication Learning in Health & Social Care Abbreviated Journal
Volume 4 Issue 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 Hylton, J.A.
Title Relearning how to learn: Enrolled nurse transition to degree at a New Zealand rural satellite campus Type (up) Journal Article
Year 2005 Publication Nurse Education Today Abbreviated Journal
Volume 25 Issue 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 Bland, M.F.
Title The challenge of feeling 'at home' in residential aged care in New Zealand Type (up) Journal Article
Year 2005 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 21 Issue 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 McKinney, C.; Cassels-Brown, K.; Marston, A.; Spence, D.
Title Linking cultural safety to practice: Issues for student nurses and their teachers Type (up) Journal Article
Year 2005 Publication Vision: A Journal of Nursing Abbreviated Journal
Volume Issue 13(1) Pages
Keywords Students; Cultural safety; Teaching methods; Nursing; Education
Abstract Student nurses rely on their teachers, both academic and clinical, to assist them to develop their capacity to practice safely. Yet, in relation to cultural safety, relatively little has been written to assist the integration of theoretical knowledge to the world of practice. This article presents the findings of a small project undertaken by lecturers whose experiences supporting students' learning during clinical placements in Auckland stimulated interest in the students' attempts to use their classroom learning to begin their journey towards culturally safe nursing practice. A qualitative descriptive approach was used to explore the experience of nursing clients from cultures other than one's own and to describe culturally safe practice from the perspective of third year students.
Call Number NRSNZNO @ research @ Serial 862
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Author Fourie, W.; McDonald, S.; Connor, J.; Bartlett, S.
Title The role of the registered nurse in an acute mental health inpatient setting in New Zealand: Perceptions versus reality Type (up) Journal Article
Year 2005 Publication International Journal of Mental Health Nursing Abbreviated Journal Available online from Coda: An institutional repository for the ITP sector
Volume 14 Issue 2 Pages 134-141
Keywords Psychiatric Nursing; Nurse-patient relations; Organisational change
Abstract This study compared the perceptions that registered psychiatric nurses have of their roles with their actual practice. Following the closure of large scale psychiatric institutions in New Zealand, there was was an increased demand for limited beds in acute inpatient facilities for acutely mentally ill patients. This change in location and downsizing of acute inpatient beds challenged traditional roles of mental health nursing, resulting in confusion over what roles mental health nurses should now perform in the new context of care. This qualitative descriptive exploratory study observed nursing practice on three selected wards and used focus group interviews to establish from registered nurses what they perceived their roles to be. A key finding of this study was that many of the nursing roles related to delivering care from a crisis management perspective, which covers aspects such as assessment, stabilisation of symptoms and discharge planning. Participants also believed that the therapeutic relationship was a fundamental role in inpatient care. Nurses used any opportunity to make it a reality such as kitchen organisation, medications, or dealing with a challenging patient. This study highlighted the complexity of the roles that nurses performed and went some way to give voice to what at times seems an invisible practice.
Call Number NRSNZNO @ research @ Serial 875
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Author Richardson, F.I.; Carryer, J.B.
Title Teaching cultural safety in a New Zealand nursing education program Type (up) Journal Article
Year 2005 Publication Journal of Nursing Education Abbreviated Journal
Volume 44 Issue 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 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 (up) 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
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Author Huntington, A.D.; Gilmour, J.A.
Title A life shaped by pain: Women and endometriosis Type (up) 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
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