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Author Honey, M.; North, N.; Gunn, C.
Title Improving library services for graduate nurse students in New Zealand Type Journal Article
Year 2006 Publication Health Information & Libraries Journal Abbreviated Journal
Volume 23 Issue (up) 2 Pages 102-109
Keywords Nursing; Education; Evidence-based medicine; Teaching methods
Abstract This paper describes a collaboration between library staff and nurse educators, where information literacy skills are strengthened and embedded in the curriculum. A case-study approach was used with both quantitative and qualitative data. An anonymous questionnaire was distributed to all nurses enrolled in graduate courses in the second semester of 2002. Interviews were then undertaken with library staff. It was found that the university library services were not used by 43% of graduate nursing students . The library staff responded by developing a number of initiatives which aimed to improve awareness of services, access and provide education in a bid to improve literacy skills.
Call Number NRSNZNO @ research @ Serial 708
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Author Hughes, F.
Title Nurses at the forefront of innovation Type Journal Article
Year 2006 Publication International Nursing Review Abbreviated Journal
Volume 53 Issue (up) 2 Pages 94-101
Keywords Organisational culture; Technology; Policy; Nursing
Abstract This paper explores the concept of innovation in nursing, the inherent set of characteristics that need to be present in order for innovations to succeed, and the barriers that impede innovation from occurring. Successful innovations developed and implemented by nurses are featured, and organisational factors necessary to support innovation are described. This paper is based on a presentation given by the author at the 23rd Quadrennial ICN Congress and 7th International Regulation Congress in Taipei in May 2005.
Call Number NRSNZNO @ research @ 796 Serial 780
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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
Volume 5 Issue (up) 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 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
Volume 12 Issue (up) 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 Simon, V.N.
Title Characterising Maori nursing practice Type Journal Article
Year 2006 Publication Contemporary Nurse Abbreviated Journal
Volume 22 Issue (up) 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 Hughes, F.; Duke, J.; Bamford-Wade, A.; Moss, C.
Title Enhancing nursing leadership through policy, politics, and strategic alliances Type Journal Article
Year 2006 Publication Nurse Leader Abbreviated Journal
Volume 4 Issue (up) 2 Pages 24-27
Keywords Policy; Nursing; Leadership
Abstract This paper looks at the links between nursing roles and health policy in New Zealand. Strategic alliances between key professional leaders in different nursing roles can help the profession by directly influencing policy development and implementation. This form of policy entrepreneurship is an important component of professional leadership.
Call Number NRSNZNO @ research @ 955 Serial 939
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Author Polley, H.
Title Treating wounds with oxygen Type Journal Article
Year 2006 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 12 Issue (up) 2 Pages 16-17
Keywords Technology; Evidence-based medicine
Abstract This article overviews the use of hyperbaric oxygen treatment in New Zealand primarily for chronic wounds, those who have had radiation therapy and those who are having or who have had head and neck surgery. In New Zealand there are just three hyperbaric oxygen treatment units: The Devonport Naval Base and The Oxygen Therapy Clinic, both in Auckland; and the Hyperbaric Medicine Unit in Christchurch; thus access to this treatment is limited.
Call Number NRSNZNO @ research @ 1012 Serial 996
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Author Smye, V.; Rameka, M.; Willis, E.
Title Indigenous health care: Advances in nursing practice Type Journal Article
Year 2006 Publication Contemporary Nurse Abbreviated Journal
Volume 22 Issue (up) 2 Pages 142-154
Keywords Cultural safety; Transcultural nursing; Cross-cultural comparison; Nursing; Education
Abstract In this introduction to a special issue on nursing with indigenous peoples, the authors affirm the need for continued application of tools and strategies for thinking critically about issues of culture, history and race. Without these things, evidence of discriminatory policies and practices in the health system remain hidden to many health professionals. Attention to socio-political structures is as essential to promoting health and preventing illness as are nurses' activities with the individual clients. To develop critical consciousness in nursing requires educational strategies and frameworks that focus on the responsibilities and implications of practicing nursing in a postcolonial context where race and power continue to create patterns of inclusion and exclusion in health care settings. The authors suggest that many contemporary nursing programmes fail to provide such strategies and frameworks, and argue that nursing must view critical analyses of these issues as central aspects of nursing education, research, theory and practice. They go on to engage with the notion of cultural safety as a means of fostering a critical political and social consciousness in nursing to create an opportunity for social transformation.
Call Number NRSNZNO @ research @ Serial 1037
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Author McKenna, B.; O'Brien, A.J.; Dal Din, T.; Thom, K.
Title Registered nurses as responsible clinicians under the New Zealand Mental Health (Compulsory Assessment and Treatment) Act 1992 Type Journal Article
Year 2006 Publication International Journal of Mental Health Nursing Abbreviated Journal
Volume 15 Issue (up) 2 Pages 128-134
Keywords Advanced nursing practice; Psychiatric Nursing; Law and legislation
Abstract The objectives of this research were to determine how many registered nurses are working as 'responsible clinicians', under what phases of the legislation they are functioning, and to describe the enabling processes and barriers to nurses undertaking this statutory role. An anonymous descriptive survey was distributed to the 11 nurses who were currently responsible clinicians as well as five senior nurses selected from each of the 21 district health boards and the Auckland Regional Forensic Psychiatry Services (n=121). The response rate was 88.4% (n=107). The survey questioned respondents on statutory roles currently undertaken. Respondents were asked whether the responsible clinician role was a legitimate one for nurses and whether they were motivated to attain it. They were also asked which competencies of the role they believed they met, their perceptions of credentialing processes and the educational requirements needed to achieve the role. Of the approximately 395 responsible clinicians nationally, 11 (2.8%) are nurses. Most nurses viewed the role as legitimate. However, many were unaware of competencies for the role and credentialing processes, and were somewhat ambivalent about achieving the role due to current workload, role conflict and lack of remuneration. Competency deficits were highlighted. The authors conclude that there are grounds to encourage nurses as responsible clinicians given the intent of the legislation. This will require the promulgation of appropriate mental health policy, and a concerted effort by major stakeholders in mental health service delivery.
Call Number NRSNZNO @ research @ Serial 1044
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Author Marcinkowski, K.; McDonald, B.
Title Changing blood transfusion practice in elective joint arthroplasty: A nursing initiative Type Journal Article
Year 2006 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 22 Issue (up) 3 Pages 15-21
Keywords Surgery; Hospitals; Economics
Abstract This study analysed the use of re-infusion drains on 99 consecutive patients undergoing total knee arthroplasty surgery at a large hospital. The primary aim was to ascertain the cost effectiveness of the drains. Secondary aims were to assess safety of the drains, whether or not they reduced the need for allogeneic blood transfusion and whether they decreased the length of stay in hospital. As a control group the records of 99 patients treated without re-infusion were analysed retrospectively. The direct cost of consumables increased for the evaluation period. There was a smaller proportion of allogeneic blood transfusion (27% vs 38%) and a smaller mean number of units transfused (0.92 vs 0.54) in the re-infusion group compared to the control group. Patients benefited directly in that the mean length of stay was also significantly shorter in the re-infusion group. The researchers anticipate more direct cost saving with experience and best practice and conclude that the use of re-infusion drains is a cost effective blood saving method in total knee joint arthroplasty.
Call Number NRSNZNO @ research @ 533 Serial 519
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Author Minto, R.
Title The future of practice nursing Type Journal Article
Year 2006 Publication New Zealand Family Physician Abbreviated Journal
Volume 33 Issue (up) 3 Pages 169-172
Keywords Primary health care; Interprofessional relations; Professional development; Physicians; Practice nurses
Abstract The author describes and discusses the main barriers to practice nurses achieving their potential as a profession. She identifies key obstacles as the funding model, GP attitudes and the current employment model. Shared governance, the development of a patient-centred services, and new employment models are proposed as the basis of a new model of primary care delivery.
Call Number NRSNZNO @ research @ 537 Serial 523
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Author McKinlay, E.M.
Title New Zealand practice nursing in the third millennium: Key issues in 2006 Type Journal Article
Year 2006 Publication New Zealand Family Physician Abbreviated Journal
Volume 33 Issue (up) 3 Pages 162-168
Keywords Primary health care; Practice nurses; Careers in nursing
Abstract The author looks at the accelerated change in the role of practice nurses, due to factors such as the effects of the Primary Health Care Strategy. She reviews the current role of practice nurses, which is influenced by a population approach and new funding streams that encourage preventative, maintenance and chronic illness management activities. She highlights the positive effects of increased visibility of nursing leaders in the sector, increasing interdisciplinary education, and new career pathways which include advanced roles. She addresses some of the professional and systemic structural barriers which impact on practice nurses' ability to work effectively and equally within a general practice team.
Call Number NRSNZNO @ research @ 541 Serial 527
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Author Vallant, S.R.; Neville, S.J.
Title The relationship between student nurse and nurse clinician: Impact on student learning Type Journal Article
Year 2006 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 22 Issue (up) 3 Pages 23-33
Keywords Teaching methods; Students; Nursing
Abstract The purpose of this descriptive interpretive study was to explore relationships between student nurses and nurse clinicians. Eleven student nurses at the end of a three year Bachelor of Nursing programme in one institution participated in focus group interviews. Data gathered from the three focus groups were analysed using an inductive approach. Five categories, namely 'being invisible in the relationship', 'not stepping on toes', 'lost opportunities for learning', 'nurturance' and 'reciprocity' emerged from data analysis. These are presented with appropriate quotes to demonstrate the essence of participant experiences. Findings indicated that when students experienced relationships with clinicians as not being positive, this inhibited learning. Conversely, when students saw the clinician as participating actively and positively in the student/clinician relationship then student learning was enhanced. This evidence forms the basis for recommending further complementary research into the clinician's attitudes and perceptions related to their teaching role.
Call Number NRSNZNO @ research @ Serial 529
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Author Murrell-McMillan, K.A.
Title Why nurses in New Zealand stay working in rural areas Type Journal Article
Year 2006 Publication New Zealand Family Physician Abbreviated Journal
Volume 33 Issue (up) 3 Pages 173-175
Keywords Rural nursing; Recruitment and retention; Job satisfaction; Teamwork; Primary health care
Abstract The author investigates why nurses in New Zealand stay working in rural areas when their Australian counterparts and medical colleagues are leaving rural areas at alarming rates. She looks at international recruitment and retention issues, and particularly compares rural nursing in Australia with New Zealand. Local research shows that over 50% of rural nursing is in the practice environment. Practice nurses report high job satisfaction, specifically around working with diverse populations, autonomy, and working with GPs, the local community, and local iwi. The only perceived barrier identified in the New Zealand literature to job satisfaction and collaborative team behaviour has been the funding of nursing services in rural areas. This contrasts with many barriers to rural nursing in Australia, and the author suggests New Zealand policy makers may learn from Australia's retention issues.
Call Number NRSNZNO @ research @ Serial 530
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Author Framp, A.
Title Diffuse gastric cancer Type Journal Article
Year 2006 Publication Gastroenterology Nursing Abbreviated Journal
Volume 29 Issue (up) 3 Pages 232-238
Keywords Maori; Nursing; Diseases; Case studies; Cancer; Oncology
Abstract This article provides an overview of gastric cancer using a unique case study involving a Maori family genetically predisposed to diffuse gastric cancer. The pathophysiology of diffuse gastric cancer, including prognosis, diagnosis, and treatment, along with important patient considerations is highlighted.
Call Number NRSNZNO @ research @ Serial 691
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