| Records |
| Author |
Horsburgh, M.; Merry, A.; Seddon, M.; Baker, H.; Poole, P.; Shaw, J.; Wade, J. |
Title  |
Educating for healthcare quality improvement in an interprofessional learning environment: A New Zealand initiative |
Type |
Journal Article |
| Year |
2006 |
Publication |
Journal of Interprofessional Care |
Abbreviated Journal |
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| Volume |
20 |
Issue |
5 |
Pages |
555-557 |
| Keywords |
Quality of health care; Multidisciplinary care teams; Nursing; Education; Maori; Patient safety |
| 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. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1042 |
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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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| 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 |
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| Volume |
4 |
Issue |
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 |
van Rooyen, P.; Dixon, D.A.; Dixon, G.; Wells, C.C. |
| Title |
Entry criteria as predictor of performance in an undergraduate nursing degree programme |
Type |
Journal Article |
| Year |
2006 |
Publication |
Nurse Education Today |
Abbreviated Journal |
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| Volume |
27 |
Issue |
7 |
Pages |
593-600 |
| Keywords |
Nursing; Education; Curriculum; Evaluation |
| Abstract |
This research explored the relationship between entry criteria and academic performance in the first and second year bioscience papers at Otago Polytechnic School of Nursing. The School's inclusion of a bioscience requirement varies from the Nursing Council criteria for acceptance into undergraduate nursing programmes. Six hundred and nineteen academic records of 1994-2002 graduates were sampled. Chi-square and correlational analyses found a relationship between entry qualifications and students' academic performance in the two papers. The entry criteria had a stronger relationship with the students' performance in the first year bioscience paper than the second year paper. Performance in the first year was predicative of second year performance. Age was also found to be a useful predictor of grades. These findings support the School's Bioscience entry criteria and provide important information for admission committees. |
| Call Number |
NRSNZNO @ research @ |
Serial |
693 |
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| Author |
Patel, R. |
| Title |
Evaluation and assessment of the online postgraduate intensive care nursing course |
Type |
|
| Year |
2006 |
Publication |
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Abbreviated Journal |
University of Otago Library |
| Volume |
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Issue |
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Pages |
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| Keywords |
Education; Intensive care nursing; Nursing specialties |
| Abstract |
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| Call Number |
NRSNZNO @ research @ 519 |
Serial |
505 |
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| Author |
Voice, D.M. |
| Title |
Everyday district nurses' experiences revealed through distillation: Palliative care in the community |
Type |
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| Year |
2006 |
Publication |
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Abbreviated Journal |
Victoria University of Wellington Library |
| Volume |
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Issue |
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Pages |
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| Keywords |
District nursing; Palliative care; Community health nursing; Nursing |
| Abstract |
This modified action research inquiry focused on the everyday, palliative care practice experiences of a group of district nurses. The intent was to develop an understanding of common issues of concern for this group of district nurses when providing palliative home care in a specific community context and to implement practical, achievable strategies in response to these local issues. Five district nurses identified four broad areas for action through four praxis group meetings and comprising one full cycle. These four areas have been named as methods of enhancing support for people and families, possibilities for creatively managing workloads, mechanisms to enrich working partnership with other palliative care providers and possible vehicles for supporting nurses' self care. Implementation of action from this action research project focused on enhancing care and outcomes for people and family served by this group of district nurses in their local community. This study illuminates everyday essences of the district nurse role and the elements articulated by this group in supporting their practice in one New Zealand community. This study also reveals some of the tensions and messiness when employing an action research methodology with nurses in the workplace. The author notes that this research focused on a little known area (palliative care delivered by district nurses in New Zealand) in a local community (a culturally vibrant and ethnically diverse yet with poor health and socioeconomic statistics). She goes on to say that it has resonance with other nurses, particularly those working in community settings who may experience similar issues and concerns. This research also offers important insights for nurses working in any practice setting. |
| Call Number |
NRSNZNO @ research @ 520 |
Serial |
506 |
| Permanent link to this record |
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| Author |
Bolitho, S.; Huntington, A.D. |
| Title |
Experiences of Maori families accessing health care for their unwell children: A pilot study |
Type |
Journal Article |
| Year |
2006 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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| Volume |
22 |
Issue |
1 |
Pages |
23-32 |
| Keywords |
Maori; Qualiltative research; Access; Children; Parents and caregivers |
| Abstract |
The aim of this study was to explore with a small number of Maori families their experiences of accessing health care when their children were unwell with a respiratory condition. A qualitative research methodology was used in the study. Participating families were among those experiencing an admission to a children's ward between July and December 2003. Four families were interviewed. They discussed in depth their experience of accessing health care for their unwell children. Data were analysed using thematic analysis, and three common themes were evident: family resources, choice of health service provider and parents' feelings of vulnerability. The findings highlight that while socio-economic status plays a large part in determining the ease with which families can access the needed health care, there are other barriers within the health system which also pose difficulties for Maori. |
| Call Number |
NRSNZNO @ research @ 535 |
Serial |
521 |
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| Author |
Lilley, S. |
| Title |
Experiences of mentoring in primary health care settings: Registered nurses' and students' perspectives |
Type |
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| Year |
2006 |
Publication |
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Abbreviated Journal |
University of Otago Library |
| Volume |
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Issue |
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Pages |
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| Keywords |
Mentoring; Students; Registered nurses; Primary health care |
| Abstract |
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| Call Number |
NRSNZNO @ research @ 505 |
Serial |
491 |
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| Author |
Atkinson,J. |
| Title |
Experiences of relatives in an emergency department accompanying a non-critically ill family member [electronic resource] : a hermeneutic study |
Type |
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| Year |
2006 |
Publication |
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Abbreviated Journal |
Held by Lakes DHB Library (ROM) |
| Volume |
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Issue |
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Pages |
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| Keywords |
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| Abstract |
A dissertation presented in part fulfillment of the requirements for Master of Health Science, Auckland University of Technology. |
| Call Number |
NZNO @ research @ |
Serial |
1368 |
| Permanent link to this record |
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| Author |
Armstrong, S.E. |
| Title |
Exploring the nursing reality of the sole on-call primary health care rural nurse (PHCRN) interface with secondary care doctors |
Type |
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| Year |
2006 |
Publication |
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Abbreviated Journal |
University of Otago Library |
| Volume |
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Issue |
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Pages |
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| Keywords |
Rural nursing; Rural health services; Relationships |
| Abstract |
A qualitative framework was used to explore the nature and the quality of interactions between sole on-call primary health care rural nurses and secondary care doctors as a component of rural nursing practice and representative of the primary-secondary care interface. Crucial to patient centred care, the premise was that the quality of this interface would be variable due to multiple influences such as: the historical nurse/doctor relationship that has perpetuated medical dominance and nursing subordination; current policy direction encouraging greater inter-professional collaboration; and changing role boundaries threatening traditional professional positioning. A total of 11 nurses representing 10 separate rural areas participated in semi-structured interviews. Rural nurses typically interact with secondary care doctors for acute clinical presentations with two tiers of interaction identified. The first tier was presented as a default to secondary care doctors for assistance with managing primary care level clinical presentations in the absence of access to a general practitioner or an appropriate Standing Order enabling appropriate management. The second tier presented itself as situations where, in the professional judgement of the nurse, the client status indicated a need for secondary level expertise and/or referral to secondary care. The needs of the rural nurse in these interactions were identified as access to expertise in diagnosis, therapy and management, authorisation to act when intervention would exceed the nurse's scope of practice; the need to refer clients to secondary care; and the need for reassurance, encompassing emotional and professional issues. The quality of the interactions was found to be variable but predominantly positive. Professional outcomes of positive interactions included professional acknowledgement, support and continuing professional development. For the patient, the outcomes included appropriate, timely, safe intervention and patient centred care. The infrequent but less than ideal interactions between the participants and secondary care doctors led to professional outcomes of intraprofessional discord, a sense of invisibility for the nurse, increased professional risk and professional dissatisfaction; and for the client an increased potential for deleterious outcome and suffering. Instead of the proposition of variability arising from interprofessional discord and the current policy direction, the data suggested that variability arose from three interlinking factors; appropriate or inappropriate utilisation of secondary care doctors; familiarity among individuals with professional roles and issues of rurality; and acceptance by the primary care doctor of the sole on-call primary health care rural nurse role and the responsibility to assist with the provision of primary health care. Recommendations for improving interactions at the interface include national, regional and individual professional actions. |
| Call Number |
NRSNZNO @ research @ |
Serial |
493 |
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| Author |
Janssen, J. |
| Title |
Fat simple: A nursing tool for client education |
Type |
Journal Article |
| Year |
2006 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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| Volume |
22 |
Issue |
2 |
Pages |
21-32 |
| Keywords |
Health education; Nursing; Diet |
| Abstract |
This article summarises the current level of knowledge regarding dietary effects on serum cholesterol. Information from a literature review was used to design a table that identifies how changes in diet and activity can alter components of a person's lipid profile. Nurses can use the resulting table as a simple tool to give clients targeted education based on their individual cholesterol results. This tool illustrates that not all dietary recommendations to the public are beneficial to serum cholesterol levels and it also explains why popular diets such as the Atkins, Mediterranean, and glycaemic index / load can produce more cardio-protective profiles than the traditional low fat diet. |
| Call Number |
NRSNZNO @ research @ 536 |
Serial |
522 |
| Permanent link to this record |
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| Author |
Phibbs, S.; Curtis, B. |
| Title |
Gender, nursing and the PBRF |
Type |
Journal Article |
| Year |
2006 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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| Volume |
22 |
Issue |
2 |
Pages |
4-11 |
| Keywords |
Research; Sex discrimination; Administration; Education |
| Abstract |
The authors examine gender based disparities for academics with respect to remuneration, academic grading and Perfomance Based Research Fund (PBRF) scores, whereby women do less well than men in each of these areas. In this article individualised explanations for the failure of women to progress are set in the context of a critical exploration of the PBRF evaluation methodology. It is argued that both academia and the PBRF research assessment exercise embody a form of academic masculinity that systematically disadvantages women in general and nursing in particular. |
| Call Number |
NRSNZNO @ research @ 538 |
Serial |
524 |
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| Author |
Smillie, A. |
| Title |
Historical investigations: Risk management in a New Zealand hospital, 1888-1904 |
Type |
Journal Article |
| Year |
2006 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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| Volume |
22 |
Issue |
2 |
Pages |
33-38 |
| Keywords |
Risk management; History; Patient safety |
| Abstract |
This article examines historical events within one hospital and compares them with contemporary risk management practices. The examples involve a nurse sustaining injury in the course of her work, a fire in the hospital and two instances of patient complaints – one concerning nursing care and the other relating to a time lag between admission to hospital and receiving medical attention. Analysis of the processes followed in investigating these occurrences reveals that these historic investigations were small in scale and less bureaucratic than contemporary practice, and were based on a culture of blame. This is contrasted with modern risk management practices which are more focused on understanding what can be learned from the incident with respect to preventing recurrence. |
| Call Number |
NRSNZNO @ research @ 539 |
Serial |
525 |
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| Author |
Clissold, C. |
| Title |
How discourses stifle the Primary Health Care Strategy's intent to reduce health inequalities |
Type |
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| Year |
2006 |
Publication |
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Abbreviated Journal |
ResearchArchive@Victoria |
| Volume |
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Issue |
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Pages |
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| Keywords |
Community health nursing; Policy; Primary health care |
| Abstract |
The Primary Health Care Strategy (PHCS) has a stated commitment to defined populations who suffer disproportionately from ill health. This thesis examines whether some prevailing discourses actually decrease the focus on health inequalities. A study of the nursing and medical media found that it focused predominantly on professional and industrial issues, leaving health workers focused mainly on their own professional interests, rather than considering the effects on health inequalities. She goes on to suggest that current Ministry of Health discourse values decentralised community health decision making. This may gloss over factors in community health which are affected by Government policy such as employment policy, and thus should be dealt with centrally by legislation. These factors have been found to be the most pertinent in health inequalities. So while models of community partnerships may seem to place communities as agents in their own health, this downplays the determinants of health which are beyond their control. Having shown that discourse can decrease the focus on health inequalities due to other professional and political drivers, the author then looked at health initiative concepts which are effective, efficient and equitable given the current set up of PHOs and nursing innovations. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1196 |
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| Author |
Spence, D.; Anderson, M. |
| Title |
Implementing a prescribing practicum within a Masters programme in advanced nursing practice. A pilot study |
Type |
Report |
| Year |
2006 |
Publication |
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Abbreviated Journal |
NZNO theses and research material webpage |
| Volume |
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Issue |
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Pages |
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| Keywords |
Prescription authority; Nursing; Education; Students; Advanced nursing practice |
| 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. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1136 |
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