| |
Records |
Links |
|
Author |
Tuitea, I. |
|
| |
Title |
Solution focused nursing: An alternative model for assessing psychosis and mai aitu in mental health |
Type  |
|
| |
Year |
2006 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Pacific peoples; Mental health; Psychiatric Nursing; Culture |
|
| |
Abstract |
The objective of this paper is to establish if there is any documented research and literature evidence that describe what the presenting clinical symptoms of Mai Aitu is, and also to explore an alternative frame-work to assess Pacific Islanders who present to mental health in crisis. As a community mental health nurse in the Crisis Assessment and Treatment Team (CATT), the author reports being confronted almost every day with an increasing number of Pacific Islanders presenting in crisis with symptoms consistent with the well documented signs of psychosis. For instance, symptoms like hallucinations, delusion and paranoid ideation which are also well known for describing schizophrenia. Her concern is that mental health nurses may be compromising their practice, the safety of the Pacific Island population and possibly the credibility of the profession with what appears like a lack of knowledge and awareness regarding the clinical symptoms of some Pacific Island mental illness. In Tonga it is called Avea Avanga, in Fiji it is referred to as Lialia, in Samoa it is known as Mai Aitu. The author notes that the issue becomes apparent when Samoan clients present in crisis with what appears to be psychosis but the fanau believe their love one is not mentally unwell, that he or she is simply suffering a traditional Samoan illness. Therefore they insist he or she be treated at home, instead of through admission to the psychiatric hospital, and also that they be seen by a Samoan healer instead of a psychiatrist. |
|
| |
Call Number |
NRSNZNO @ research @ 753 |
Serial |
739 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Lindsay, N.M. |
|
| |
Title |
Skeletal attraction: Childcare provisions and the recruitment and retention of orthopaedic nurses in New Zealand |
Type |
|
| |
Year |
2006 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Recruitment and retention; Nursing specialties |
|
| |
Abstract |
New Zealand's ageing population is predicted to have increasing degenerative musculoskeletal changes affecting both mobility and morbidity. In response, the New Zealand government is supporting a one hundred per cent increase in the number of elective joint replacements performed across the country from 2004 to 2008. However, like other specialties, orthopaedic nursing is experiencing shortages. In order to improve the recruitment and retention of orthopaedic nurses, as with other nursing specialties, childcare is offered as a strategy for consideration. In 2005, New Zealand parents indicated in an online survey, that in order for them to work, they needed affordable, quality and conveniently located childcare. Nurses have similarly indicated the importance of childcare when considering and managing a balance between their work and home lives. This paper explores contextual work and home life balance dialogues in relationship to nursing recruitment and retention issues and New Zealand nursing. Childcare as a recruitment and retention strategy, is explored in the context of New Zealand nursing and compared with the childcare strategies employed for nurses by Britain and Australia – New Zealand's major competitors for New Zealand nurses. The author concludes that, in light of the international shortage of nurses, childcare is an important recruitment and retention strategy which is currently absent in many of New Zealand's district health boards. Recommendations are offered to support the balance between work and home life for nurses and reconcile orthopaedic nurses to the clinical setting in order to provide the quality and efficient care that is needed for New Zealand's ageing society. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
740 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Kupa, S. |
|
| |
Title |
Psychogeriatric nursing: A review of the literature |
Type |
|
| |
Year |
2006 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Mental health; Older people; Geriatric nursing; Age factors |
|
| |
Abstract |
This paper is a literature review of the psychogeriatric specialty and describes the clinical role, practice and knowledge of the psychogeriatric nurse. Literature reviews provide a useful means for evaluating what is currently known and understood in a particular area of interest to help nurses' build current opinion into practice. Psychogeriatric nursing is a specialised field of practice that focuses on the mental health needs of people over the age of 65 (including younger people who have acquired needs that are similar in 'like' and age and 'interest'). The literature asserts the urgent need to develop the role and practice of the psychogeriatric nurse in order to address the complex needs of our ageing population in areas such as home care, hospitals, primary health, and long term care institutions. The findings highlight aspects of nursing care that are essential to the role and practice of the psychogeriatric nurse. Knowledge that is necessary for best practice in psychogeriatric nursing care is drawn mainly from the field of general psychiatry and gerontology but also from general medicine, psychology, neurology, and disability. Nurses' working with older adults affected by psychogeriatric conditions must possess a broad knowledge of physical and mental health issues that affect the elderly, including also knowledge and understanding of psychosocial risk factors that can also have an impact on the health and behaviour of older people and their carers. Despite these literal assertions however there appears to be a dearth of literature available to support the requirements for developing the psychogeriatric nursing specialty in clinical practice, research, and education. The author notes that authorities in this specialised field of practice generally agree that with an increasing aging population looming in the future more research in the field of “old age psychiatry” will be critical. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
775 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Atkinson,J. |
|
| |
Title |
Experiences of relatives in an emergency department accompanying a non-critically ill family member [electronic resource] : a hermeneutic study |
Type |
|
| |
Year |
2006 |
Publication |
|
Abbreviated Journal |
Held by Lakes DHB Library (ROM) |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
|
|
| |
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 |
| |
|
| |
|
Author |
Hetaraka, B. |
|
| |
Title |
A study of nurses working in a community development model |
Type |
|
| |
Year |
2006 |
Publication |
|
Abbreviated Journal |
Auckland University of Technology Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Community health nursing; Health promotion; Nursing |
|
| |
Abstract |
|
|
| |
Call Number |
NRSNZNO @ research @ 486 |
Serial |
472 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Davies, D.C. |
|
| |
Title |
Practice nurses' perceptions of their contribution to the care of individuals with chronic health conditions |
Type |
|
| |
Year |
2006 |
Publication |
|
Abbreviated Journal |
Massey University Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Primary health care; Chronic diseases; Patient satisfaction; Nursing |
|
| |
Abstract |
Table of Contents: 1. Background and overview; 2. Research design and method; 3. Literature review; 4. Preparation of the individual for an appointment at the general practice; 5. Care provided by the practice nurse at the general practice; 6. The giving of information; 7. A discussion of the dualities of the contribution of practice nurses to the care of individuals with chronic conditions; 8. Study summary and conclusions. |
|
| |
Call Number |
NRSNZNO @ research @ 492 |
Serial |
478 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Blanchard, D.L. |
|
| |
Title |
Developing the place and role of family within the culture of critical care nursing: An action research approach |
Type |
|
| |
Year |
2006 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Relationships; Nurse-family relations; Intensive care nursing; Nursing research |
|
| |
Abstract |
This research examines how nurses negotiate the context of the Intensive Care Unit (ICU) while working with families. The action research described in this thesis developed through a series of meetings and conversations where the conversations supported the reflexive intent of the research. In commissioning the research, the design of the meetings and conversations were as a series of overlapping actions. Data collection and data analysis occurred in the action research by meetings, reflective conversations, ad libitum observations, and in a research journal. Conceptual maps explain the progress and findings of the research in this thesis while categories distilled from the conversations also support the findings in the research. The Family Action Research Group that was established within this project proposed a Family Assessment Form for the family to provide an assessment of themselves and the patient. Implementing this assessment tool demonstrated that clear information was needed for the family in the ICU. Findings in this research focus on developing action research and family care in ICU. Findings also focused on the role of the researcher being of and not being of the context where action research is undertaken. Recommendations include staff examining relationships for potential asymmetries and seeking ways to address these to support families and staff. Suggested strategies for developing action research in a clinical context include detailed planning, clear focusing, transparency of data, and working to explain change initiatives through the research are also included. |
|
| |
Call Number |
NRSNZNO @ research @ 494 |
Serial |
480 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Findlay, W. |
|
| |
Title |
The effect of peer learning and review groups on practice nurses' clinical practice: A mixed method survey |
Type |
|
| |
Year |
2006 |
Publication |
|
Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Primary health care; Nursing; Education; Clinical supervision |
|
| |
Abstract |
The aim of the study was to explore how practice nurses perceive engagement in Peer Learning and Review Groups impacts personally and professionally on their clinical practice. An anonymous self-administered postal questionnaire was completed by 55 practice nurses who attend Peer Learning and Review Groups in the South Island. A mixed method design was utilised to obtain both qualitative and quantitative data. Practice nurses considered group attendance was important for professional development with the majority perceiving that their attendance had a positive effect on their clinical practice. The nurses perceived clear linkages between the significant learning that occurred in the groups and changes in delivery of patient care. Additional benefits included improved collegial relationships, professional awareness and personal growth. The author concludes that, together, these findings underline the importance of Peer Learning and Review Groups as an effective tool for ongoing personal and professional development within nursing. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
490 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Lilley, S. |
|
| |
Title |
Experiences of mentoring in primary health care settings: Registered nurses' and students' perspectives |
Type |
|
| |
Year |
2006 |
Publication |
|
Abbreviated Journal |
University of Otago Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Mentoring; Students; Registered nurses; Primary health care |
|
| |
Abstract |
|
|
| |
Call Number |
NRSNZNO @ research @ 505 |
Serial |
491 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Rolls, S. |
|
| |
Title |
An exploration of workplace violence in the emergency department: Are emergency nurses safe? |
Type |
|
| |
Year |
2006 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Workplace violence; Emergency nursing; Guidelines |
|
| |
Abstract |
This thesis arises from the author's experience of several years of working in the emergency department and being exposed to workplace violence from patients and their families. Emergency nurses in New Zealand experience workplace violence every day. Registered nurses and the institutions in which they work manage workplace violence to varying degrees and in an ad hoc manner. The author notes that New Zealand has no national guidelines, or consensus on the management of workplace violence in the health sector. This research explores emergency nurses' encounters during their work when they have experienced workplace violence. The purpose of this study is to demonstrate the experience and the consequences when nurses are confronted with episodes of violence while working in the emergency department. The essence of this research is gaining an understanding of how registered nurses have managed workplace violence and the impact of that violence on themselves, their colleagues, and the patients in the emergency department. Recommendations are made regarding nationally consistent guidelines, education on the management of workplace violence, improved security, and emergency department design. The discussion concludes with suggestions for further research on workplace violence in the health sector |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
492 |
|
| Permanent link to this record |
| |
|
| |
|
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 |
|
| |
Year |
2006 |
Publication |
|
Abbreviated Journal |
University of Otago Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
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 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Hickson, E.K. |
|
| |
Title |
Developing clinical learning environment evaluation tools using an action research methodology |
Type |
|
| |
Year |
2006 |
Publication |
|
Abbreviated Journal |
|
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Education; Nursing; Teaching methods; Evaluation |
|
| |
Abstract |
The author notes that learning nurses require real clinical experiences in order to apply learnt theory to actual practice. Clinical learning environments have consistently been found to function variably and sub-optimally for both learners and teachers. In order to improve the quality of the clinical learning environment it is necessary to first evaluate how effectively a clinical learning environment is functioning. A number of different methodologies have been used to evaluate clinical learning environments, a recent and successful method being the use of questionnaires or clinical learning environment evaluation tools. The objective of the present study was to develop clinical learning environment evaluation tools for use in a New Zealand hospital health service. Four tools appropriate to evaluate the clinical learning environment from the different perspectives of any type of clinical learner, clinical teacher, clinical manager and programme co-ordinator or nurse lecturer were developed. Six newly graduated nurses, three senior nurses, and the researcher were involved in the development of the evaluation tools over a five month period. A participatory action research methodology was employed. The resultant tools had a unique local focus and were suitably similar to other internationally developed tools. After testing the clinical learning environment evaluation tools, it is hoped that the implementation of the tools will support all stakeholders to understand and consequently optimise the functionality of their clinical learning environment. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
504 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Patel, R. |
|
| |
Title |
Evaluation and assessment of the online postgraduate intensive care nursing course |
Type |
|
| |
Year |
2006 |
Publication |
|
Abbreviated Journal |
University of Otago Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Education; Intensive care nursing; Nursing specialties |
|
| |
Abstract |
|
|
| |
Call Number |
NRSNZNO @ research @ 519 |
Serial |
505 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Voice, D.M. |
|
| |
Title |
Everyday district nurses' experiences revealed through distillation: Palliative care in the community |
Type |
|
| |
Year |
2006 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
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 |
| |
|
| |
|
Author |
Dillon, D.R. |
|
| |
Title |
Islands, islandness and nursing: Advanced nursing practice in rural remote and small island areas |
Type |
|
| |
Year |
2006 |
Publication |
|
Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Rural nursing; Primary health care |
|
| |
Abstract |
This dissertation focuses on the concepts of island, island-ness, and isolation. It aims to further advance the national and international literature relating to the health beliefs of island people as linked to the provision of primary health care services within New Zealand. New Zealand is an island nation made up of two main islands and numerous outlying islands, relatively isolated from the rest of the world by water. This geography means going anywhere from New Zealand involves traveling either “over” or “on” the sea. All people of New Zealand since the first inhabitants, whether residents or visitors, have arrived to New Zealand either by sea or more recently by plane. The population of New Zealand is 25% rural, with most of these rural dwellers residing in the South Island, and several of the smaller off shore Islands. This builds a sense of culture of the people, or tangata whanua (the people of the land), for whom there are degrees of island-ness, and the characteristics of this can be seen amongst the people of New Zealand. A further challenge which is discussed comes in the form of the “island penalty” which encompasses high transport costs, long distances to travel to main centres, lack of specialists and trained health workers, effects of migration and tourism, and communication difficulties. The more isolated people are, the tougher the challenges become. Most rural island populations are served by lay care workers, volunteers, and rural and remote nurses. Nurses are often the main health care providers to small island populations, and they demonstrate advanced nursing practice which is acknowledged internationally as meeting Nurse Practitioner competencies. As a group these nurses possess knowledge of the extrinsic and intrinsic factors involved in the health needs and health determinants of these island communities. Researching these advanced nursing roles adds to the body of knowledge around isolated and island communities. The author suggests that studying the concepts of islands, islandness, and isolation in relation to health beliefs will bring more understanding of services for the advanced rural nurse to consider in developing appropriate, accessible, affordable and adaptable Primary Health Care which is fair and equitable. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
507 |
|
| Permanent link to this record |
