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Author |
Trimmer, W.C. |
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Title |
The way things are done around here: Perceptions of clinical leadership in mental health nursing |
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Year |
2006 |
Publication |
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Abbreviated Journal |
coda, An Institutional Repository for the New Zealand ITP Sector |
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Volume |
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Issue |
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Pages |
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Keywords |
Leadership; Psychiatric Nursing; Clinical supervision: Mental health |
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Abstract |
This research project explored nurses' perceptions of clinical leadership in mental health nursing practice. Within New Zealand no research exists that evaluates the role and impact the clinical leadership has in mental health nursing practice. From personal experience and discussion with colleagues the author argues that clinical leadership in terms of support and guidance for nurses is often minimal and that there is a relationship between qualities of clinical leadership and poor retention rates of mental health nurses. The prime objective of this study was to increase knowledge about clinical leadership in mental health nursing practice. This research used a quantitative descriptive methodology, utilising survey design. A questionnaire was used to rank the attributes of the person the respondents identified as a clinical leader. The data was collected from 30 registered nurses working in mental health settings within the central region of New Zealand. Findings indicate that there is room for improvement with regard to clinical leadership in mental health nursing practice. Clinical leadership is perceived to be more effective by nurses in their second year of practice and in community settings. A statistically significant difference was indicated between nurses in their second year of practice and nurses in their third year of practice in terms of their ranking of clinical leadership abilities. Overall the respondents perceived poor communication and poor attitude as the biggest barriers to effective leadership. Support and good role models were said to influence nursing practice positively and the skills that were identified as being helpful in assisting and retaining nurses were mentorship and good communication. The results of the study are discussed in relation to the literature on transformational leadership skills. Finally, the general limitations of the study are outlined and implications for future research are discussed. |
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Call Number |
NRSNZNO @ research @ |
Serial  |
1149 |
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Author |
Woodgyer, A.R. |
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Title |
Living without the song of the tui: A nursing lecturer's experience in India facilitating a New Zealand degree programme for registered nurses |
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Year |
2006 |
Publication |
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Abbreviated Journal |
Victoria University of Wellington Library |
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Volume |
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Issue |
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Pages |
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Keywords |
Curriculum; Nursing; Education; Culture |
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Abstract |
This research considers the issues raised by the transfer from New Zealand to India of a degree for registered nurses. In the context of globalisation and the continuing migration of nurses, many countries are actively facilitating the transfer of educational programmes from other countries into their own. This transfer brings with it particular challenges for educators establishing and implementing programmes in a new environment and culture. Based on the experience and reflections of one educator involved in such a transfer, this research considers pedagogical issues such as addressing cultural safety in course content and delivery, expectations of teaching and learning styles, as well as the ethical issues raised by transferring a programme to another country in order to facilitate nurses' migration from it. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1141 |
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Author |
Williams, H. |
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Title |
One for the boys: An evaluative study of primary health care access by men in Tairawhiti |
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Year |
2006 |
Publication |
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Abbreviated Journal |
NZNO Library |
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Volume |
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Issue |
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Pages |
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Keywords |
Gender; Primary health care; Access; Male |
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Abstract |
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Call Number |
NRSNZNO @ research @ |
Serial |
1138 |
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Author |
Spence, D.; Anderson, M. |
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Title |
Implementing a prescribing practicum within a Masters programme in advanced nursing practice. A pilot study |
Type |
Report |
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Year |
2006 |
Publication |
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Abbreviated Journal |
NZNO theses and research material webpage |
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Issue |
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Pages |
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Keywords |
Prescription authority; Nursing; Education; Students; Advanced nursing practice |
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Abstract |
This report presents the findings and recommendations derived from a collaborative action research pilot project undertaken alongside the implementation of two nurse prescribing practicum courses. The students, teachers and supervisors participating in year long Masters' level prescribing practica at Auckland University of Technology (AUT) and Eastern Institute of Technology (EIT) were interviewed about their perceptions, concerns and actions relating the first time implementation of their respective practicum papers. Research findings suggest that the practicum implementation has been successful overall, however there is a need to refine delivery, and to review current funding arrangements. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1136 |
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Author |
Morgan, F.A. |
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Title |
Primary health care nurses supporting families parenting pre-term infants |
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Year |
2006 |
Publication |
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Abbreviated Journal |
NZNO Library, University of Otago Library |
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Issue |
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Pages |
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Keywords |
Primary health care; Community health nursing; Paediatric nursing; Premature infants |
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Abstract |
This thesis reviews the role of primary health care nurses, who have an opportunity to play a unique role in teaching, touching and empowering families with newly discharged pre-term babies. Birth of a baby earlier than 37 weeks gestation ushers in a period of uncertainty and stress for parents. Uncertainties may centre on whether their infant will survive and what ongoing growth and developmental issues their infant will face. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1132 |
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Author |
McKenna, B.; Simpson, A.I.F.; Coverdale, J. |
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Title |
Best practice management strategies for mental health nurses during the clinical application of civil commitment: An overview |
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Journal Article |
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Year |
2006 |
Publication |
Contemporary Nurse |
Abbreviated Journal |
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Volume |
21 |
Issue |
1 |
Pages |
62-70 |
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Keywords |
Psychiatric Nursing; Law and legislation; Nurse-patient relations; Patient satisfaction |
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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 |
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Call Number |
NRSNZNO @ research @ |
Serial |
1051 |
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Author |
Crowe, M.; Ward, N.; Dunnachie, B.; Roberts, M.H. |
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Title |
Characteristics of adolescent depression |
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Journal Article |
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Year |
2006 |
Publication |
International Journal of Mental Health Nursing |
Abbreviated Journal |
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Volume |
15 |
Issue |
1 |
Pages |
10-18 |
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Keywords |
Psychiatric Nursing; Mental health; Adolescents |
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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. |
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Call Number |
NRSNZNO @ research @ 1065 |
Serial |
1050 |
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Author |
O'Brien, A.J.; Kar, A. |
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Title |
The role of second health professionals under New Zealand mental health legislation |
Type |
Journal Article |
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Year |
2006 |
Publication |
Journal of Psychiatric & Mental Health Nursing |
Abbreviated Journal |
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Volume |
13 |
Issue |
3 |
Pages |
356-363 |
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Keywords |
Scope of practice; Psychiatric Nursing; Nurse-patient relations |
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Abstract |
The development of generic statutory roles in mental health care has been the subject of discussion by New Zealand nurses for the past decade. One such role is that of second health professional in judicial reviews of civil commitment. Issues identified by New Zealand nurses have also been raised in England, where it seems that nurses are likely to assume the role of Approved Mental Health Worker under English mental health law. A survey of mental health nurses found that few had received any preparation for the role of second health professional and 45% did not feel adequately prepared for the role. Some of these issues are reflected in a New Zealand inquiry which resulted in the Ministry of Health developing a written report form for second health professionals. However, the form has the potential to reduce the mental health nursing role to a narrow legal role. Statutory roles such as that of second health professional challenge mental health nurses to critically reflect on the conceptual and ethical basis of their practice. While traditional concepts such as therapeutic relationships and advocacy need to be reviewed in light of these changes, nurses need to be vigilant in articulating the moral and clinical basis of their roles. The development of guidelines for the second health professional role is suggested as a way of supporting clinical practice in this area. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1045 |
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Author |
McKenna, B.; O'Brien, A.J.; Dal Din, T.; Thom, K. |
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Title |
Registered nurses as responsible clinicians under the New Zealand Mental Health (Compulsory Assessment and Treatment) Act 1992 |
Type |
Journal Article |
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Year |
2006 |
Publication |
International Journal of Mental Health Nursing |
Abbreviated Journal |
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Volume |
15 |
Issue |
2 |
Pages |
128-134 |
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Keywords |
Advanced nursing practice; Psychiatric Nursing; Law and legislation |
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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. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1044 |
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Author |
Neville, S.J.; Henderson, H.M. |
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Title |
Perceptions of lesbian, gay and bisexual people of primary healthcare services |
Type |
Journal Article |
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Year |
2006 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
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Volume |
55 |
Issue |
4 |
Pages |
407-415 |
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Keywords |
Sexuality; Attitude of health personnel; Primary health care |
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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. |
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Call Number |
NRSNZNO @ research @ 1059 |
Serial |
1043 |
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Author |
Horsburgh, M.; Merry, A.; Seddon, M.; Baker, H.; Poole, P.; Shaw, J.; Wade, J. |
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Title |
Educating for healthcare quality improvement in an interprofessional learning environment: A New Zealand initiative |
Type |
Journal Article |
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Year |
2006 |
Publication |
Journal of Interprofessional Care |
Abbreviated Journal |
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Volume |
20 |
Issue |
5 |
Pages |
555-557 |
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Keywords |
Quality of health care; Multidisciplinary care teams; Nursing; Education; Maori; Patient safety |
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Abstract |
This article describes two interprofessional learning modules offered by the Faculty of Medical and Health Sciences at the University of Auckland to undergraduate medicine, nursing and pharmacy students. The modules, 'Maori Health“ and ”Patient Safety", have a focus on quality improvement in healthcare and are used to bring together students for a shared learning programme.The specific dimensions of healthcare quality covered in the programme are: patient safety, equity, access, effectiveness, efficacy and patient-centeredness. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1042 |
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Author |
Trimmer, W.C. |
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Title |
The way things are done around here: Perceptions of clinical leadership in mental health nursing |
Type |
Journal Article |
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Year |
2006 |
Publication |
Whitireia Nursing Journal |
Abbreviated Journal |
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Volume |
13 |
Issue |
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Pages |
68-69 |
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Keywords |
Psychiatric Nursing; Leadership; Clinical supervision |
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Abstract |
Based on the author's thesis, this research project explored nurses' perceptions of clinical leadership in mental health nursing practice. From personal experience and discussion with colleagues the author argues that clinical leadership in terms of support and guidance for nurses is often minimal and that there is a relationship between qualities of clinical leadership and poor retention rates of mental health nurses. |
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Call Number |
NRSNZNO @ research @ 1057 |
Serial |
1041 |
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Author |
Pearson, J.R.; Holloway, K. T. |
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Title |
A postgraduate primary health care programme for experienced registered nurses and newly graduated nurses |
Type |
Journal Article |
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Year |
2006 |
Publication |
Whitireia Nursing Journal |
Abbreviated Journal |
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Volume |
13 |
Issue |
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Pages |
44-52 |
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Keywords |
Primary health care; New graduate nurses; Registered nurses; Nursing; Education |
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Abstract |
This paper outlines the historical development of the Postgraduate Certificate in Primary Health Care Specialty Nursing programme. The paper discusses the multiple contextual considerations for the programme in terms of New Zealand health policy direction, academic level, and appropriate level of competency development for nurses new to primary health care and newly graduated nurses. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1040 |
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Author |
Pool, L. |
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Title |
Why do young people choose nursing as a career? |
Type |
Journal Article |
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Year |
2006 |
Publication |
Whitireia Nursing Journal |
Abbreviated Journal |
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Volume |
13 |
Issue |
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Pages |
25-33 |
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Keywords |
Careers in nursing; Nursing; Education |
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Abstract |
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Call Number |
NRSNZNO @ research @ |
Serial |
1039 |
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Author |
Arcus, K.J.; Wilson, D. |
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Title |
Choosing Whitireia as a political act: Celebrating 20 years of a nurse education at Whitireia Community Polytechnic 1986-2006 |
Type |
Journal Article |
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Year |
2006 |
Publication |
Whitireia Nursing Journal |
Abbreviated Journal |
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Volume |
13 |
Issue |
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Pages |
12-24 |
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Keywords |
Cultural safety; Curriculum; Nursing; Education |
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Abstract |
In 2006, Whitireia Community Polytechnic celebrates 20 years of tertiary education. Nursing was one of the first courses to start at the new Parumoana Community College in February 1986. Oral histories, gathered from the women who have been the leaders of the undergraduate nursing programme throughout these two decades, form the basis of this article. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1038 |
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