| Records |
| Author |
Harding, T.S. |
| Title |
New strategies in evidence based practice |
Type |
Journal Article |
| Year |
2006 |
Publication |
Klinisk sygepleje |
Abbreviated Journal  |
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| Volume |
20 |
Issue |
3 |
Pages |
4-11 |
| Keywords |
Evidence-based medicine; Nursing; Education; Curriculum |
| Abstract |
This article considers wider organisational issues that impact on the implementation of evidence based practice. It describes the strategies adopted by the Auckland Area Health Board and Unitec New Zealand to implement the principles of evidence based practice in New Zealand. This has resulted in a collaboration with Auckland University and the Joanna Briggs Institute for Evidence Based Nursing and Midwifery to form the Centre for Evidence Based Nursing – Aotearoa. Evidence based nursing is a vital part of nursing education. Unitec New Zealand has developed and incorporated evidence based nursing into all courses in their undergraduate programme. Central to this is the use of evidence based practice in patient care and the integration of technology with evidence based nursing in clinical practice. |
| Call Number |
NRSNZNO @ research @ |
Serial |
778 |
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| Author |
McBride-Henry, K.; Foureur, M. |
| Title |
Organisational culture, medication administration and the role of nurses |
Type |
Journal Article |
| Year |
2006 |
Publication |
Practice Development in Health Care |
Abbreviated Journal |
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| Volume |
5 |
Issue |
2 |
Pages |
208-222 |
| Keywords |
Patient safety; Medical errors; Organisational culture; Nursing; Drug administration |
| Abstract |
This research study was designed to identify ways of enhancing patient safety during the administration of medications within the New Zealand context. The researchers employed a multi-method approach that included a survey using the Safety Climate Survey tool, focus groups and three clinical practice development groups. The authors conclude that the outcomes of this study indicate that practice development initiatives, such as the ones outlined in this project, can have a positive effect on nurses' perceptions of organisational safety, which in turn has been demonstrated to have a positive impact on patient safety. |
| Call Number |
NRSNZNO @ research @ |
Serial |
784 |
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| Author |
Crowe, M. |
| Title |
Psychiatric diagnosis: Some implications for mental health nursing care |
Type |
Journal Article |
| Year |
2006 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
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| Volume |
53 |
Issue |
1 |
Pages |
125-131 |
| Keywords |
Psychiatric Nursing; Diagnosis; Culture; Gender; Socioeconomic factors; Nursing models |
| Abstract |
This article explores some of the functions of psychiatric diagnosis and the implications this has for mental health nursing care. It critiques the psychiatric diagnosis as a categorisation process that maintains oppressive power relations within society, by establishing and enforcing normality through gender, culture and class biases. The American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders is used to illustrate some of the inherent biases in the diagnostic process. The author argues that mental health nursing practice needs to demonstrate an awareness of the power relations inherent in any diagnostic process and make attempts to redress these at both the individual and sociopolitical levels. To create a true patient-centred partnership in mental health nursing, the nursing focus should be on the patient's experience rather than the psychiatric diagnosis with which the experience is attributed. NB this is a reprint of article first published in Journal of Advanced Nursing, 2000 Mar; 31(3), 583-9. |
| Call Number |
NRSNZNO @ research @ |
Serial |
837 |
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| Author |
Honey, M.; Waterworth, S.; Baker, H.; Lenzie-Smith, K. |
| Title |
Reflection in the disability education of undergraduate nurses: An effective learning tool? |
Type |
Journal Article |
| Year |
2006 |
Publication |
Journal of Nursing Education |
Abbreviated Journal |
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| Volume |
15 |
Issue |
11 |
Pages |
449-453 |
| Keywords |
Nursing; Education; People with disabilities; Teaching methods; Evaluation |
| Abstract |
The aim of this qualitative study was to evaluate the usefulness of formal reflection in the context of undergraduate nursing education during the teaching of a disability module. Reflection is defined as examination and exploration of an issue of concern to help create or clarify meaning.Twelve reflection assignments written by second-year nursing students were analysed. The analysis indicated that students' reflection focused less on their experience of working with people with disabilities and more on their overall learning experience and coping with clinical practice. A central theme, Coping with Clinical Practice, and four sub-themes were identified. Students acknowledged reflection as beneficial to their learning and linked to their clinical practice. |
| Call Number |
NRSNZNO @ research @ |
Serial |
839 |
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| Author |
Hamer, H.P.; Finlayson, M.; Thom, K.; Hughes, F.; Tomkins, S. |
| Title |
Mental health nursing and its future: A discussion framework: Report from the Expert Reference Group to the Deputy Director-General Dr Janice Wilson |
Type |
Report |
| Year |
2006 |
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 |
Mental health; Psychiatric Nursing; Policy; Leadership; Nurse practitioners; Nursing; Education; Careers in nursing |
| Abstract |
This project was initiated by the Ministry of Health to ensure a nationally coordinated approach to mental health nursing. The purpose of the project is to provide a national strategic framework for mental health nursing that will strengthen both nursing leadership and practice within the multi-disciplinary clinical environment. The framework reviews a range of key workforce issues identified by the Ministry of Health and provides strategies to move mental health nursing forward. The framework integrates directions from government mental health strategies, policies and directions, national and international literature as well as professional nursing requirements which aim to create a sustainable mental health nursing workforce using evidence based practice. The framework considers a range of key workforce issues identified by the Ministry of Health including: nursing leadership, nurse practitioners, standards, skill mix, clinical career pathways, professional supervision, education, research and recruitment and retention. |
| Call Number |
NRSNZNO @ research @ |
Serial |
865 |
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| Author |
Greenwood, S.; Wright, T.; Nielsen, H. |
| Title |
Conversations in context: Cultural safety and reflexivity in child and family health nursing |
Type |
Journal Article |
| Year |
2006 |
Publication |
Journal of Family Nursing |
Abbreviated Journal |
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| Volume |
12 |
Issue |
2 |
Pages |
201-224 |
| Keywords |
Cultural safety; Nursing; Education; Curriculum; Nursing philosophy; Teaching methods; Biculturalism |
| Abstract |
This article outlines some key aspects of the practice of a number of nurse educators and researchers, and their commitment to the needs of their specific region. The group has been based at the Waikato Institute of Technology (WINTEC) over the last decade and have worked collaboratively across primary health, cultural safety, and child and family health domains of the nursing curriculum. They share a common philosophy underpinned by notions of diversity and health equity. The philosophy informs their theoretical inquiry, practice and research interests, and pedagogical concerns. In this article, the nurse researchers begin by situating themselves within the region, its people, and influences before moving into a consideration of the wider political and policy environment. They then consider the destabilising effects of cultural safety education and the tension between biculturalism and multiculturalism in their context. Finally, they reflect on how these ideas inform their work with postgraduate child and family nurses. |
| Call Number |
NRSNZNO @ research @ |
Serial |
883 |
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| Author |
Strickland, A. |
| Title |
Nurse-initiated retinoblastoma service in New Zealand |
Type |
Journal Article |
| Year |
2006 |
Publication |
Insight: The Journal of the American Society of Ophthalmic Registered Nurses |
Abbreviated Journal |
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| Volume |
31 |
Issue |
1 |
Pages |
8-10 |
| Keywords |
Case studies; Nursing specialties; Children; Quality of health care; Evaluation |
| Abstract |
This article describes the implementation of a nurse-led, dedicated support network and service for children with a diagnosis of retinoblastoma and their families. Nurses with an interest in retinoblastoma at an Auckland Ophthalmology Department realised that the service provided was not meeting the needs of patients and families, particularly since the numbers had increased over the past two years. This article outlines the development of a cost-effective approach that improved the service. |
| Call Number |
NRSNZNO @ research @ |
Serial |
884 |
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| Author |
Simon, V.N. |
| Title |
Characterising Maori nursing practice |
Type |
Journal Article |
| Year |
2006 |
Publication |
Contemporary Nurse |
Abbreviated Journal |
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| Volume |
22 |
Issue |
2 |
Pages |
203-213 |
| Keywords |
Registered nurses; Maori; Nursing models; Culture |
| Abstract |
This paper summarises research which addresses the question What might constitute Maori nursing practice? The research design adopted was influenced by kaupapa Maori methodology and used a semi-structured, qualitative, in-depth interview process. It was found that by understanding the current experiences of Maori registered nurses, their reflections on their preparation for practice, and their current practice, it is possible to identify the present and future training and practice needs of Maori nurses. Maori nursing practice can be characterised as having five features: the promotion of cultural affirmation including cultural awareness and identity; the support of, and access to Maori networks; the adoption of Maori models of health; the enabling of visibility and pro-activity as Maori nurses; and, the validation of Maori nurses as effective health professionals. Three recommendations for promoting Maori nursing practice are made in relation to staff in the workplace and in nurse education programmes: all nursing staff need to be alert to: 1. the impact of western scientific models on Maori healthcare; 2. the (often passive) non-acceptance of Maori within mainstream institutions; and iii) the benefits of valuing indigenous nursing programmes. |
| Call Number |
NRSNZNO @ research @ |
Serial |
936 |
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| Author |
Horsburgh, M.; Perkins, R.; Coyle, B.; Degeling, P. |
| Title |
The professional subcultures of students entering medicine, nursing and pharmacy programmes |
Type |
Journal Article |
| Year |
2006 |
Publication |
Journal of Interprofessional Care |
Abbreviated Journal |
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| Volume |
20 |
Issue |
4 |
Pages |
425-431 |
| Keywords |
Interprofessional relations; Attitude of health personnel; Nurse managers; Nursing; Education; Organisational culture |
| Abstract |
This study sought to determine the attitudes, beliefs and values towards clinical work organisation of students entering undergraduate medicine, nursing and pharmacy programmes in order to frame questions for a wider study. University of Auckland students entering medicine, nursing and pharmacy programmes completed a questionnaire based on that used by Degeling et al. in studies of the professional subcultures working in the health system in Australia, New Zealand, England and elsewhere. Findings indicate that before students commence their education and training medical, nursing and pharmacy students as groups or sub-cultures differ in how they believe clinical work should be organised. Medical students believe that clinical work should be the responsibility of individuals in contrast to nursing students who have a collective view and believe that work should be systemised. Pharmacy students are at a mid-point in this continuum. There are many challenges for undergraduate programmes preparing graduates for modern healthcare practice where the emphasis is on systemised work and team based approaches. These include issues of professional socialisation which begins before students enter programmes, selection of students, attitudinal shifts and interprofessional education. |
| Call Number |
NRSNZNO @ research @ |
Serial |
937 |
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| Author |
Hughes, F. |
| Title |
Reconnecting with policy: Requirements for survival as a mental health nurse |
Type |
Journal Article |
| Year |
2006 |
Publication |
Journal of Psychosocial Nursing & Mental Health Services |
Abbreviated Journal |
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| Volume |
44 |
Issue |
8 |
Pages |
30-39 |
| Keywords |
Policy; Mental health; Nursing specialties |
| Abstract |
This article discusses the disconnection between mental health nurses and policy, and the importance of reconnecting such relationships. It is suggested this will benefit consumers, provide influence in health care policies and, ultimately, contribute to strategies to improve the health of our nation. In this article, the author draws on her own experiences and applies these to a discussion of how mental health nurses can influence and strengthen their relationships with nursing policy. |
| Call Number |
NRSNZNO @ research @ |
Serial |
938 |
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| Author |
Macfie, B. |
| Title |
Assessing health needs and identifying risk factors |
Type |
Journal Article |
| Year |
2006 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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| Volume |
12 |
Issue |
6 |
Pages |
16-18 |
| Keywords |
Infants; Parents and caregivers; Clinical assessment; Risk factors; Plunket |
| Abstract |
In 2004, Plunket nurses from eight areas around New Zealand participated in collecting data for a research project on health needs assessment practices. This project aimed to examine risk factors identified by Plunket nurses, what areas of health need considered to be priorities; grading of health needs; and how closely the results of health need assessment aligned with the individual clients' deprivation score. The researchers examine the assessment of health needs against the use of the Deprivation Index, which indicates a specific population in a specific area, as a funding model. This study appeared to show there are two distinct groups of clients assessed as high needs: those with risk factors such as family violence and severe parental mental illness, and who may live in an area of 1-7 deprivation; and those with multiple risk factors which include poverty, low education, and/or reluctance to access services and support, and who usually live in dep 8-10 areas. This research supports the anecdotal evidence that significant health needs exist outside the lower deprivation areas. |
| Call Number |
NRSNZNO @ research @ |
Serial |
974 |
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| Author |
Manning, J. |
| Title |
Building trust with families in neonatal intensive care units |
Type |
Journal Article |
| Year |
2006 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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| Volume |
12 |
Issue |
6 |
Pages |
18-20 |
| Keywords |
Paediatric nursing; Neonatal nursing; Parents and caregivers; Communication |
| Abstract |
Establishing a trusting relationship is a key therapeutic intervention for nurses working with families of hospitalised children. This article is an exploration of the definition of trust. Specifically, it considers how parents come to trust (or not) nurses in neonatal intensive care unit (NICU) helps to reveal the meaning of parent-nurse trust and how this affects nursing practice. Understanding and meeting parental needs is important in developing and sustaining trust. The medical model of care often dominates in NICU. This is a deficit model that focuses on illness and treatment. However, the use of a nursing framework, such as developmentally supportive family centred care, focuses on recognising and building on the strengths of the family, by fostering trust to equip the family with the capacity to manage their infant's health care. |
| Call Number |
NRSNZNO @ research @ |
Serial |
976 |
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| Author |
Challis-Morrison, S. |
| Title |
Caring for a community wanderer |
Type |
Journal Article |
| Year |
2006 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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| Volume |
12 |
Issue |
11 |
Pages |
20-22 |
| Keywords |
Case studies; Older people; Community health nursing; Dementia |
| Abstract |
A community based registered nurse from Waikato District Health Board's Older Persons Assessment Team (OPAT) presents her experiences of working with older people with dementia. She uses a case study approach to highlight the issue of wandering, behaviour which can be difficult to modify and can cause carer distress. She outlines a team approach to the condition which requires good communication and co-ordination. Key aspects of management included a risk assessment plan, support for caregivers, and encouraging activity. |
| Call Number |
NRSNZNO @ research @ |
Serial |
977 |
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| Author |
McKenna, B.; O'Brien, A.J.; Dal Din, A.; Them, K. |
| Title |
Responsible clinician role offers opportunities for nurses |
Type |
Journal Article |
| Year |
2006 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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| Volume |
12 |
Issue |
11 |
Pages |
12-14 |
| Keywords |
Psychiatric Nursing; Advanced nursing practice; Law and legislation; Mental health |
| Abstract |
The authors report on a recent study investigating the statutory role of responsible clinician. Statutory roles under mental health legislation offer mental health nurses a means of having advanced practice skills recognised, as well as contributing to improved access to services. There is a proliferation of roles intended to develop nursing readership, but in most cases they are not primarily clinical roles. The concept of “advanced practice” has become a means of developing clinical leadership roles in nursing. Research on responsible clinician role is presented along with the results of a survey of the 11 Registered Nurses practicing as responsible clinicians, five senior nurses from each of the 21 district health boards, and the Auckland Regional Forensic Psychiatry Services (n = 121). Respondents were asked whether the responsible clinician role was a legitimate one for nurses and whether they were motivated to attain or maintain that role. They were also asked which competencies for the role they believed they met, their perceptions of credentialing processes and the educational requirements needed to achieve the role. A clear majority of the respondents felt the role of the responsible clinician was a legitimate advanced practice role for mental health nurses. Despite this, some respondents expressed ambivalence about taking on the role. The research highlighted deficits in knowledge and skills that could become a focus of education for advanced practitioners seeking appointment as responsible clinicians. Deficits included some assessment skills, knowledge of a range of interventions and knowledge of other legislation affecting mental health legislation. |
| Call Number |
NRSNZNO @ research @ |
Serial |
992 |
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| Author |
Mockett, L.; Horsfall, J.; O'Callaghan, W. |
| Title |
Education leadership in the clinical health care setting: A framework for nursing education development |
Type |
Journal Article |
| Year |
2006 |
Publication |
Nurse Education in Practice |
Abbreviated Journal |
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| Volume |
6 |
Issue |
6 |
Pages |
404-410 |
| Keywords |
Organisational change; Law and legislation; Nursing; Education; Leadership |
| Abstract |
This paper describes how a new framework for clinical nursing education was introduced at Counties Manukau District Health Board. The project was initiated in response to the significant legislative and post registration nursing education changes within New Zealand. The journey of change has been a significant undertaking, and has required clear management, strong leadership, perseverance and understanding of the organisation's culture. The approach taken to managing the change had four stages, and reflects various change management models. The first stage, the identification process, identified the impetus for change. Creating the vision is the second stage and identified what the change would look like within the organisation. To ensure success and to guide the process of change a realistic and sustainable vision was developed. Implementing the vision was the third stage, and discusses the communication and pilot phase of implementing the nursing education framework. Stage four, embedding the vision, explores the process and experiences of changing an education culture and embedding the vision into an organisation. The paper concludes by discussing the importance of implementing robust, consistent, strategic and collaborative processes that reflect and evaluate best educational nursing practice. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1036 |
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