| |
Records |
Links |
|
Author  |
Pullon, S.; McKinlay, E.M. |
|
| |
Title |
Interprofessional learning: The solution to collaborative practice in primary care |
Type |
Journal Article |
| |
Year |
2007 |
Publication |
New Zealand Family Physician |
Abbreviated Journal |
The Royal New Zealand College of General Practitioners website |
|
| |
Volume |
34 |
Issue |
6 |
Pages |
404-408 |
|
| |
Keywords |
Interprofessional relations; Education; Primary health care; Communication |
|
| |
Abstract |
In this paper the authors outline the basis of interprofessional education, which occurs when members of two or more professions are engaged in learning together. They describe its relationship to primary care clinical practice, where it can lead to collaborative problem-solving approaches, mutual decision making and interdisciplinary teamwork. A New Zealand model of postgraduate interprofessional education is presented. Barriers to the implementation of interprofessional education in New Zealand are identified along with possible solutions. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
458 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Primary Health Care Nurse Innovation Evaluation Team, |
|
| |
Title |
The evaluation of the eleven primary health care nursing innovation projects: A report to the Ministry of Health |
Type |
Report |
| |
Year |
2007 |
Publication |
|
Abbreviated Journal |
|
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Primary health care; Evaluation; Nursing |
|
| |
Abstract |
In 2003, as part of implementing the Primary Health Care Strategy, the Ministry of Health announced contestable funding, available over three years, for the development of primary health care nursing innovation projects throughout Aotearoa/New Zealand. The Ministry looked for proposals that would: support the development of innovative models of primary health care nursing practice to deliver on the objectives of the Primary Health Care Strategy; allow new models of nursing practice to develop; reduce the current fragmentation and duplication of services; and assist in the transition of primary health care delivery to primary health organisations. This report describes the findings from the evaluation of the 11 primary health care nursing innovations selected for funding by the Ministry of Health. It provides an overview of the innovations' success and of the lessons learnt from this policy initiative. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
819 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Prebble, K. |
|
| |
Title |
Ordinary men and uncommon women: A history of psychiatric nursing in New Zealand public mental hospitals, 1939-1972 |
Type |
|
| |
Year |
2007 |
Publication |
|
Abbreviated Journal |
University of Auckland Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Psychiatric Nursing; Mental health; History; Gender |
|
| |
Abstract |
This social-cultural history explores the changing context, culture, and identity of psychiatric nurses working in New Zealand public mental hospitals between 1939 and 1972. Primary documentary sources and oral history interviews provided the data for analysis. The thesis is divided into two periods: 1939 to 1959 when asylum-type conditions shaped the culture of the institutional workforce, and 1960 to 1972 when mental health reform and nursing professionalisation challenged the isolation and distinct identity of mental hospital nurses. Between 1939 and 1959 the introduction of somatic treatments did not substantially change nursing practice in mental hospitals. Overcrowding, understaffing and poor resources necessitated the continuance of custodial care. The asylum-type institutions were dependent on a male attendant workforce to ensure the safety of disturbed male patients, and the maintenance of hospital farms, gardens, and buildings. Although female nurses provided all the care and domestic work on the female side, the belief that psychiatric nursing was physically demanding, potentially dangerous, and morally questionable, characterised the work as generally unsuitable for women. Introduction of psychiatric nursing registration which was a move toward professionalisation did little to change the dominance of a male, working-class culture. From 1960 to 1972 psychiatric nurses' identity was contested. New therapeutic roles created the possibility of the nurses becoming health professionals. Their economic security and occupational power, however, was tied to an identity as unionised, male workers. As psychiatric nurses were drawn closer to the female-dominated nursing profession through health service changes and nursing education reform, both men and women acted to protect both their working conditions and their patients' welfare. To achieve these ends, they employed working-class means of industrial action. By accepting the notion that psychiatric nurses' identity was socially constructed, this thesis provides an interpretation that goes beyond the assumption that nursing is a woman's profession. Instead, it presents psychiatric nursing as a changing phenomenon shaped by contested discourses of gender, class and professionalisation. Nursing in public mental hospitals attracted ordinary men and uncommon women whose collective identity was forged from the experience of working in a stigmatised role. |
|
| |
Call Number |
NRSNZNO @ research @ 763 |
Serial |
749 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Polaschek, L.; Polaschek, N. |
|
| |
Title |
Solution-focused conversations: A new therapeutic strategy in Well Child health nursing telephone consultations |
Type |
Journal Article |
| |
Year |
2007 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
|
|
| |
Volume |
59 |
Issue |
2 |
Pages |
111-119 |
|
| |
Keywords |
Telenursing; Communication; Evaluation |
|
| |
Abstract |
This paper reports a study to explore Well Child nurses' perceptions of outcomes resulting from the use of solution-focused conversations in their telephone consultations with clients. The standard problem-solving approach used to address physical issues is less effective for various non-physical concerns, where different communication strategies may be helpful. In this qualitative, action-oriented study, a small group of Well Child telenurses in New Zealand was introduced to a specific communication strategy, called 'solution-focused conversations', during 2005. They applied this approach in their practice and then reflected together on their experiences in focus groups. The nurses considered that the solution-focused conversations enabled clients to: recognise the nature of the parenting issue of concern that had motivated their call; identify more effective parenting practices to address specific issues with their child; increase their confidence in their own parenting capabilities. This study suggested the value of learning a specific communication strategy for the practice of a group of Well Child telenurses. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
973 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Pitama, S.; Robertson, P.; Cram, F.; Gillies, M.; Huria, T.; Dalla-Katoa, W. |
|
| |
Title |
Meihana model: A clinical assessment framework |
Type |
Journal Article |
| |
Year |
2007 |
Publication |
New Zealand Journal of Psychology |
Abbreviated Journal |
|
|
| |
Volume |
36 |
Issue |
3 |
Pages |
118-125 |
|
| |
Keywords |
Nursing models; Clinical assessment; Maori; Mental health |
|
| |
Abstract |
In 1984 Mason Durie documented a framework for understanding Maori health, Te Whare Tapa Wha, which has subsequently become embedded in Maori health policy. This article presents a specific assessment framework, the Meihana Model, which encompasses the four original cornerstones of Te Whare Tapa Wha, and inserts two additional elements. These form a practice model (alongside Maori beliefs, values and experiences) to guide clinical assessment and intervention with Maori clients and whanau accessing mental health services. This paper outlines the rationale for and background of the Meihana Model and then describes each dimension: whanau, wairua, tinana, hinengaro, taiao and iwi katoa. The model provides a basis for a more comprehensive assessment of clients/whanau to underpin appropriate treatment decisions. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
459 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Pirret, A.M. |
|
| |
Title |
The level of knowledge of respiratory physiology articulated by intensive care nurses to provide rationale for their clinical decision-making |
Type |
Journal Article |
| |
Year |
2007 |
Publication |
Intensive & Critical Care Nursing |
Abbreviated Journal |
|
|
| |
Volume |
23 |
Issue |
3 |
Pages |
145-155 |
|
| |
Keywords |
Evaluation; Intensive care nursing; Clinical decision making; Nursing; Education |
|
| |
Abstract |
The objective of this paper is to outline a study firstly, assessing ICU nurses' ability in articulating respiratory physiology to provide rationale for their clinical decision-making and secondly, the barriers that limit the articulation of this knowledge. Using an evaluation methodology, multiple methods were employed to collect data from 27 ICU nurses who had completed an ICU education programme and were working in one of two tertiary ICUs in New Zealand. Quantitative analysis showed that nurses articulated a low to medium level of knowledge of respiratory physiology. Thematic analysis identified the barriers limiting this use of respiratory physiology as being inadequate coverage of concepts in some ICU programmes; limited discussion of concepts in clinical practice; lack of clinical support; lack of individual professional responsibility; nurses' high reliance on intuitive knowledge; lack of collaborative practice; availability of medical expertise; and the limitations of clinical guidelines and protocols. These issues need to be addressed if nurses' articulation of respiratory physiology to provide rationale for their clinical decision-making is to be improved. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
933 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Phillips, B.N. |
|
| |
Title |
Nursing care and understanding the experiences of others: A Gadamerian perspective |
Type |
Journal Article |
| |
Year |
2007 |
Publication |
Nursing Inquiry |
Abbreviated Journal |
|
|
| |
Volume |
14 |
Issue |
1 |
Pages |
89-94 |
|
| |
Keywords |
Nursing philosophy; Nurse-patient relations |
|
| |
Abstract |
This article investigates the process where nurses attempt to understand the experience of patients. The author argues that this transcends particular models of ill-health. Gadamerian hermeneutics, which has been used in nursing research to articulate the process of understanding, is elaborated on. Gadamer's exposition of understanding shows that practitioners need to be aware that understanding of other people is developed through a fusion of one's own history, language and culture with that of the other person. This occurs through a hermeneutic question-answer dialogue in which practitioners put their ideas at risk of being modified or rejected in the process. Understanding then, is a perceptual and conceptual process. In this way, the experience of nurses seeking to understanding those they nurse increases self-awareness, as well as enhancing their ability to further understand others. |
|
| |
Call Number |
NRSNZNO @ research @ 797 |
Serial |
781 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Payne, Sharon |
|
| |
Title |
The nurse's role in promoting health of vulnerable children (0-5 yr olds) through coordinated care: Margaret May Blackwell Study Fellowship |
Type |
Report |
| |
Year |
2007 |
Publication |
|
Abbreviated Journal |
|
|
| |
Volume |
|
Issue |
|
Pages |
50 p. |
|
| |
Keywords |
Child health services; Hospitals; Emergency services; Reports |
|
| |
Abstract |
Explores the provision of emergency paediatric care internationally. Visits children's hospitals in the US, Canada, the UK and Australia. Part of the Margaret May Blackwell Scholarship Reports series. |
|
| |
Call Number |
NZNO @ research @ |
Serial |
1416 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Payne, D.; Goedeke, S. |
|
| |
Title |
Holding together: Caring for clients undergoing assisted reproductive technologies |
Type |
Journal Article |
| |
Year |
2007 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
|
|
| |
Volume |
60 |
Issue |
6 |
Pages |
645-653 |
|
| |
Keywords |
Nursing specialties; Sexual and reproductive health; Communication; Multidisciplinary care teams |
|
| |
Abstract |
This paper reports a study to investigate the roles and experiences of nurses caring for clients undergoing assisted reproductive technologies (ART). Nurses are in a potentially unique position in the assisted reproductive technology environment as they maintain a more constant contact with the client. A qualitative approach was taken and a convenience sample of 15 nurses from New Zealand was interviewed in 2005. Data were analysed using interpretive description. The overarching theme identified was that of the potential role of the nurse to 'hold together' multiple components of the assisted reproductive technology process: holding together clients' emotional and physical experiences of assisted reproductive technologies; holding together the roles of different specialist team members; and holding together personal own emotions. It encompasses practices such as information-giving, interpreting, supporting and advocating. The researchers note that recognition of and support for the complexity of the role of ART nurses may positively contribute to clients' experiences. |
|
| |
Call Number |
NRSNZNO @ research @ 985 |
Serial |
969 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Patrick, S. |
|
| |
Title |
A nursing role in rural adolescent sexual health |
Type |
|
| |
Year |
2007 |
Publication |
|
Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Sexual health; Adolescents; Nursing; Rural health services |
|
| |
Abstract |
This dissertation explores the nurse's role in addressing the sexual health needs of a rural adolescent community in New Zealand. The increasing incidence of adolescent sexual activity is widely recognised and it is acknowledged that youth face unique barriers to health care. These barriers are particularly apparent in access to contraception with a resulting increase in the rates of sexually transmitted infections, unintended pregnancies and termination of pregnancies. These deteriorating adolescent sexual health statistics are of particular concern within New Zealand's health sector. A review of national and international literature examined the potential nursing role in adolescent sexual health. Results provide strong evidence that experienced nurses can competently and confidently assist in meeting the needs of this population group, especially in rural areas. Literature consistently concluded that nurses could provide care that is as effective as that provided by a doctor. School-based health clinics are identified as a viable way to improve access to adolescent sexual health services. In conclusion, the author suggests that nurses are in a key position to provide an alternative model of health care delivery that can improve adolescent sexual health. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
821 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
O'Shea, M.; Reddy, L. |
|
| |
Title |
Action change in New Zealand mental health nursing: One team's perspective |
Type |
Journal Article |
| |
Year |
2007 |
Publication |
Practice Development in Health Care |
Abbreviated Journal |
|
|
| |
Volume |
6 |
Issue |
2 |
Pages |
137-142 |
|
| |
Keywords |
Experiential learning; Psychiatric Nursing; Communication; Community health nursing |
|
| |
Abstract |
This paper describes an attempt at effecting change with specific relevance to the discharge planning of clients from a New Zealand inpatient mental health unit to a community setting. It explores how a team of community mental health nurses, practising in an urban/rural area, used the concepts of practice development to endeavour to bring about change while still retaining a client-centred focus. It describes how, in their enthusiasm, they embarked on the road to practice change without undertaking some of the essential ground work, Although they did not achieve all they set out to achieve, much was learnt in the process. In this paper, the authors outline their key learning points concerning the importance of engagement, communication, consistency and cooperation to the process and outcomes of practice change. |
|
| |
Call Number |
NRSNZNO @ research @ 897 |
Serial |
881 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
North, N. |
|
| |
Title |
International nurse migration: Impacts on New Zealand |
Type |
Journal Article |
| |
Year |
2007 |
Publication |
Policy, Politics, & Nursing Practice |
Abbreviated Journal |
|
|
| |
Volume |
8 |
Issue |
3 |
Pages |
220-228 |
|
| |
Keywords |
Recruitment and retention; Registered nurses |
|
| |
Abstract |
Nurse migration flows in and out of New Zealand are examined to determine impacts and regional contexts. A descriptive statistics method was used to analyse secondary data on nurses added to the register, New Zealand nurse qualifications verified by overseas authorities, nursing workforce data, and census data. It found that international movement of nurses was minimal during the 1990s, but from 2001 a sharp jump in the verification of locally registered nurses by overseas authorities coincided with an equivalent increase in international registered nurses added to the local nursing register. This pattern has been sustained to the present. Movement of local registered nurses to Australia is expedited by the Trans-Tasman Agreement, whereas entry of international registered nurses to New Zealand is facilitated by nursing being an identified “priority occupation”. The author concludes that future research needs to consider health system and nurse workforce contexts and take a regional perspective on migration patterns. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
711 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Neville, S.J.; Gilmour, J.A. |
|
| |
Title |
Differentiating between delirium and dementia |
Type |
Journal Article |
| |
Year |
2007 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
13 |
Issue |
9 |
Pages |
22-25 |
|
| |
Keywords |
Dementia; Psychiatric Nursing; Clinical assessment; Older people |
|
| |
Abstract |
Accurate nursing assessment is a critical element in the identification of health problems and treatment strategies for older adults who have delirium and/or dementia. This practice update provides information on the differentiation between these two debilitating and adverse health events, along with some useful assessment frameworks and other resources. Comments from people with delirium and dementia are interspersed throughout the article to draw attention to the impact of these conditions on people's lives and well-being. The article includes the 'A presenting concern framework', useful mnemonic devices to help nurses assess an older person who may have delirium or dementia, and a list of online resources. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
983 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Naidu, A. |
|
| |
Title |
Is scholarship an integral component of advanced nursing practice? |
Type |
Journal Article |
| |
Year |
2007 |
Publication |
Whitireia Nursing Journal |
Abbreviated Journal |
|
|
| |
Volume |
14 |
Issue |
|
Pages |
50-53 |
|
| |
Keywords |
Advanced nursing practice; Professional development |
|
| |
Abstract |
This article defines scholarship and how it links to nursing. It explores how nurses perceive scholarship and how it can enhance their practice. While agreeing that scholarship plays a vital role in the image of nursing as a professional practice, the article's main focus is on scholarship as an integral component of advanced nursing practice. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1035 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Mitchell, P. |
|
| |
Title |
Grade-1 pressure ulcer: Review of prevention evidence for “at risk” patients in an acute environment |
Type |
|
| |
Year |
2007 |
Publication |
|
Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Nursing |
|
| |
Abstract |
This dissertation is a review of evidence underpinning the recommendations for pressure ulcer prevention from four national guidelines frequently used as a foundation for best practice. The focus is on grade-1 pressure ulcer prevention for “at risk” patients, in the acute environment. Rationale: Prevention is better than cure. While preventive strategies maybe effective are they supported by evidence? Results: The strongest evidence for best practice appears to be limited to an established fact that standard hospital mattresses should at least be replaced by high specification foam, pressure reducing mattresses for patients “at risk” or vulnerable to pressure ulcer development. Repositioning, skin assessment, skin protection and maintenance, traditionally the basis of pressure ulcer prevention, appear to have a paucity of strong supportive evidence. Further evidence is emerging on clinically important areas such as erythema and mattresses. Implications for Nursing: The organisational or ministerial support for education of the multidisciplinary team, especially nurses in risk assessment and prevention strategies. This support is required both in release time and finances for education and in adequate funding for preventive strategies. The author concludes that strong evidence to support the recommendations of the guidelines appears to remain limited, particularly in the acute environment. Expert opinion would appear to remain the basis for current best practice for pressure ulcer prevention. The volume and consistency of this evidence worldwide is substantial and adds validity to the recommendations. Best practice includes firstly risk assessment, skin assessment, maintenance of skin temperature, moisture, and condition, and the importance of repositioning, in conjunction with an appropriate support surface. However gaps remain in the supportive evidence in many of these fields. Advances in practice include pressure relief or reduction considerations for all surfaces the patients encounter. There appears to be no gold standard for prevention of pressure ulcer development. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
814 |
|
| Permanent link to this record |
