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Author McBride-Henry, K.; Foureur, M. openurl 
  Title Medication administration errors: Understanding the issues Type Journal Article
  Year 2006 Publication (up) Australian Journal of Advanced Nursing Abbreviated Journal  
  Volume 23 Issue 3 Pages 33-41  
  Keywords Nursing; Patient safety; Medical errors; Drug administration; Quality assurance  
  Abstract This literature review focused on research that primarily addresses the issues related to medications that arise in tertiary care facilities. It finds that investigations into medication errors have primarily focused on the role of nurses, and tended to identify the nurse as deliverer of unsafe practice. Over the past few years a shift in how medication errors are understood has led to the identification of systems-related issues that contribute to medication errors. The author suggests that nurses should contribute to initiatives such as the 'Quality and Safe Use of Medicines' and develop nursing led research, to address some of the safety related issues with a view to enhancing patient safety.  
  Call Number NRSNZNO @ research @ Serial 715  
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Author Gardner, G.; Dunn, S.; Carryer, J.B.; Gardner, A. url  openurl
  Title Competency and capability: Imperative for nurse practitioner education Type Journal Article
  Year 2006 Publication (up) Australian Journal of Advanced Nursing Abbreviated Journal The author-version of article, available online from Queensland University of Technology ePrints arc  
  Volume 24 Issue 1 Pages 8-14  
  Keywords Nursing; Education; Nurse practitioners; Curriculum  
  Abstract The objective of this study was to conduct research to inform the development of standards for nurse practitioner education in Australia and New Zealand and to contribute to the international debate on nurse practitioner practice. The research was conducted in all states of Australia where the nurse practitioner is authorised, and in New Zealand. The research was informed by multiple data sources including nurse practitioner programme curricula documents from relevant universities in Australia and New Zealand, interviews with academic convenors of these programmes and interviews with nurse practitioners. Findings include support for masters level of education as preparation for the nurse practitioner. These programs need to have a strong clinical learning component and in-depth education for the sciences of specialty practice. Additionally an important aspect of education for the nurse practitioner is the centrality of student directed and flexible learning models. This approach is well supported by the literature on capability.  
  Call Number NRSNZNO @ research @ Serial 882  
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Author McLauchlan, M.F. openurl 
  Title Mobile computing in a New Zealand Bachelor of nursing programme Type Book Chapter
  Year 2006 Publication (up) Consumer-Centered Computer-Supported Care for Healthy People. Studies in health technology and informatics, 122 (pp. 605-608) Abbreviated Journal  
  Volume Issue Pages  
  Keywords Technology; Curriculum; Nursing; Education; Professional competence  
  Abstract Mobile computing is rapidly becoming a reality in New Zealand health care settings. Personal Digital Assistants (PDAs) are the most frequently used of these mobile technologies, giving nurses access to clinical learning resources, including drug references, medical encyclopaedias and diagnostic information. The implementation of mobile computing at Waikato Institute of Technology (Wintec) will ensure graduates of our Bachelor of Nursing Programme are able to meet health care service demands for knowledge in contemporary information technologies as well as the information technology requirements defined by the Nursing Council of New Zealand and the Health Practitioners Competency Assurance Act 2003 for registration as a nurse in New Zealand. This paper presents strategies for the implementation of mobile computing as a core element of the curriculum for the Bachelor of Nursing Programme at Wintec in Hamilton.  
  Call Number NRSNZNO @ research @ Serial 1192  
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Author O'Brien, A.J.; Hughes, F.; Kidd, J.D. openurl 
  Title Mental health nursing in New Zealand primary health care Type Journal Article
  Year 2006 Publication (up) Contemporary Nurse Abbreviated Journal  
  Volume 21 Issue 1 Pages 142-152  
  Keywords Mental health; Primary health care; Nursing specialties; Community health nursing  
  Abstract This article describes the move in mental health from institutional care to community arrangements. It draws on international literature and New Zealand health policy, which gives increased emphasis to the role of the primary health care sector in responding to mental health issues. These issues include the need for health promotion, improved detection and treatment of mild to moderate mental illness, and provision of mental health care to some of those with severe mental illness who traditionally receive care in secondary services. These developments challenge specialist mental health nurses to develop new roles which extend their practice into primary health care. In some parts of New Zealand this process has been under way for some time in the form of shared care projects. However developments currently are ad hoc and leave room for considerable development of specialist mental health nursing roles, including roles for nurse practitioners in primary mental health care.  
  Call Number NRSNZNO @ research @ 730 Serial 716  
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Author Simon, V.N. openurl 
  Title Characterising Maori nursing practice Type Journal Article
  Year 2006 Publication (up) Contemporary Nurse Abbreviated Journal  
  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 Smye, V.; Rameka, M.; Willis, E. openurl 
  Title Indigenous health care: Advances in nursing practice Type Journal Article
  Year 2006 Publication (up) Contemporary Nurse Abbreviated Journal  
  Volume 22 Issue 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.; Simpson, A.I.F.; Coverdale, J. openurl 
  Title Best practice management strategies for mental health nurses during the clinical application of civil commitment: An overview Type Journal Article
  Year 2006 Publication (up) Contemporary Nurse Abbreviated Journal  
  Volume 21 Issue 1 Pages 62-70  
  Keywords Psychiatric Nursing; Law and legislation; Nurse-patient relations; Patient satisfaction  
  Abstract The aim of this article is to outline best practice management strategies for nurses during the clinical application of civil commitment of mentally ill persons. A literature search on 'coercion' and 'civil commitment' was undertaken. Published and unpublished research undertaken by the authors in New Zealand on this topic was drawn upon. This research considered the use of civil commitment during admission to acute mental health services, acute forensic mental health services and community mental health services. The experience of coercion by service users coincides with the degree of restriction associated with the service they are involved in. Socio-demographic factors, clinical factors and the experience of coercive events have little bearing on the amount of coercion experienced. Rather, it is the pattern of communication and the use of 'procedural justice' that has the potential to ameliorate the amount of perceived coercion. The authors conclude that 'Procedural justice' aligns with the emphasis placed on the therapeutic relationship in mental health nursing and is an important consideration for nurses during the clinical application of civil commitment  
  Call Number NRSNZNO @ research @ Serial 1051  
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Author Framp, A. openurl 
  Title Diffuse gastric cancer Type Journal Article
  Year 2006 Publication (up) Gastroenterology Nursing Abbreviated Journal  
  Volume 29 Issue 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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Author Honey, M.; North, N.; Gunn, C. openurl 
  Title Improving library services for graduate nurse students in New Zealand Type Journal Article
  Year 2006 Publication (up) Health Information & Libraries Journal Abbreviated Journal  
  Volume 23 Issue 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 Strickland, A. openurl 
  Title Nurse-initiated retinoblastoma service in New Zealand Type Journal Article
  Year 2006 Publication (up) Insight: The Journal of the American Society of Ophthalmic Registered Nurses Abbreviated Journal  
  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 McKenna, B.; O'Brien, A.J.; Dal Din, T.; Thom, K. openurl 
  Title Registered nurses as responsible clinicians under the New Zealand Mental Health (Compulsory Assessment and Treatment) Act 1992 Type Journal Article
  Year 2006 Publication (up) International Journal of Mental Health Nursing Abbreviated Journal  
  Volume 15 Issue 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 Crowe, M.; Ward, N.; Dunnachie, B.; Roberts, M.H. openurl 
  Title Characteristics of adolescent depression Type Journal Article
  Year 2006 Publication (up) International Journal of Mental Health Nursing Abbreviated Journal  
  Volume 15 Issue 1 Pages 10-18  
  Keywords Psychiatric Nursing; Mental health; Adolescents  
  Abstract This is a descriptive study of the characteristics of depression in a sample of 121 adolescents attending an outpatient specialist adolescent mental health service in New Zealand. The adolescents were required to complete two self-report measures to assess presence of depressive symptoms, severity of depression, and particular characteristics of the depression. The findings revealed that irritability was the most common characteristic along with other interpersonal and thought processing symptoms. It is important that mental health nurses are able to identify the specific characteristics of adolescent depression that may differ from adult depression in order to manage this patient population effectively.  
  Call Number NRSNZNO @ research @ 1065 Serial 1050  
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Author Hughes, F. openurl 
  Title Nurses at the forefront of innovation Type Journal Article
  Year 2006 Publication (up) International Nursing Review Abbreviated Journal  
  Volume 53 Issue 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 Crowe, M. openurl 
  Title Psychiatric diagnosis: Some implications for mental health nursing care Type Journal Article
  Year 2006 Publication (up) Journal of Advanced Nursing Abbreviated Journal  
  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 Neville, S.J.; Henderson, H.M. openurl 
  Title Perceptions of lesbian, gay and bisexual people of primary healthcare services Type Journal Article
  Year 2006 Publication (up) Journal of Advanced Nursing Abbreviated Journal  
  Volume 55 Issue 4 Pages 407-415  
  Keywords Sexuality; Attitude of health personnel; Primary health care  
  Abstract This paper reports a study exploring people's perceptions of disclosure about lesbian, gay and bisexual identity to their primary healthcare providers. Disclosure of sexual identity to healthcare professionals is integral to attending to the health needs of lesbian, gay and bisexual populations, as non-disclosure has been shown to have a negative impact on the health of these people. From April to July 2004, a national survey of lesbian, gay and bisexual persons was carried out in New Zealand. Participants were recruited through mainstream and lesbian, gay and bisexual media and venues, and 2269 people completed the questionnaire, either electronically or via hard copy. The 133-item instrument included a range of closed-response questions in a variety of domains of interest. In this paper, we report results from the health and well-being domain. More women than men identified that the practitioner's attitude toward their non-heterosexual identity was important when choosing a primary healthcare provider. Statistically significantly more women than men reported that their healthcare provider usually or always presumed that they were heterosexual and in addition more women had disclosed their sexual identity to their healthcare provider. The authors advise that nurses reconsider their approach to all users of healthcare services by not assuming everyone is heterosexual, integrating questions about sexual identity into health interviews and ensuring that all other aspects of the assessment process are appropriate and safe for lesbian, gay and bisexual people.  
  Call Number NRSNZNO @ research @ 1059 Serial 1043  
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