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Author (up) Alcorn, G. url  openurl
  Title The youth health specialty in New Zealand: Collaborative practice and future development Type Journal Article
  Year 2007 Publication New Zealand Family Physician Abbreviated Journal The Royal New Zealand College of General Practitioners website  
  Volume 34 Issue 3 Pages 162-167  
  Keywords Adolescents; Community health nursing; Primary health care; Nurse practitioners; School nursing  
  Abstract This paper details the workforce capacity of youth health nursing and medical staffing required for community-based and school-based youth health services. The author shows how youth health services seek to complement the care delivered by Primary Health Organisations (PHOs) and other allied health care services in the community. She outlines the development and operation at VIBE, a community-based youth health service in the Hutt Valley with school-based youth health services delivered at four low deciles secondary schools. She explains that developing workforce capacity for youth health services is a primary health care priority and an important means to address inequalities and to improve the health services of young people.  
  Call Number NRSNZNO @ research @ Serial 518  
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Author (up) Allan, J. openurl 
  Title What is it like for older women to live with depression? Type
  Year 2007 Publication Abbreviated Journal Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz  
  Volume Issue Pages  
  Keywords Mental health; Older people  
  Abstract The author's interest in this study came from working as a mental health nurse with mainly older women with depression and developed from her concern that depression for older people is frequently misdiagnosed, not recognised or is under-treated. To date, research has rarely paid attention to the voices of people who have actually experienced depression and even less is known from the perspective of older women. This hermeneutic phenomenological study, informed by Martin Heidegger and Max van Manen, describes what it is like for four older women to live with depression. Multiple interviews were conducted with the participants. Heidegger's philosophical concepts of Being-in-the-world and Being-with-others structured the analysis. Depression was found to have a significant effect on the participants' Being-in-the-world. The themes that emerged were: something is wrong; the search for reasons; self-loathing; being overwhelmed by the feelings; hiding from the world; loss of self; loss of meaning; the struggle of everyday life; and living circumspectly. Being-with-others was difficult for the participants and the themes that emerged were: maintaining relationships when well; Being-alone; misinterpreting self and other people; the stigma of mental illness – society and self; and seeking understanding from other people. The author suggests that the findings have implications for nurses and other health professionals.  
  Call Number NRSNZNO @ research @ Serial 917  
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Author (up) Alleyne, D. openurl 
  Title The context of nursing in New Zealand prisons from historical and contemporary perspectives Type
  Year 2007 Publication Abbreviated Journal NZNO Library  
  Volume Issue Pages 94 pp.  
  Keywords  
  Abstract This dissertation by Deborah Alleyne explores the current context of nursing in New Zealand prisons through rediscovering the history of its introduction and development, and review of relevant literature. Prison nursing is recognised as a unique branch of the wider nursing profession by virtue of the environment in which nurses work and the population for whom they provide care. Four key themes are identified from the literature review: custody versus caring; nurses' relationship with custody staff; nurses' relationship with prisoners; isolation.  
  Call Number NZNO @ research @ Serial 1377  
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Author (up) Barber, M url  openurl
  Title Nursing and living in rural New Zealand communities: an interpretive descriptive study Type
  Year 2007 Publication Abbreviated Journal NZNO Library  
  Volume Issue Pages 116pp  
  Keywords  
  Abstract A thesis submitted in partial fulfilment of the requirements of the degree of Master of Nursing at Otago Polytechnic, Dunedin, New Zealand. June 2007

This study used an interpretive descriptive method to gain insight into and

explore key issues for rural nurses working and living in the same

community. Four Rural Nurse Specialists were recruited as participants. The

nurses had lived and nursed in the same rural community for a minimum of

12 months. Participants were interviewed face to face and their transcribed

interviews underwent thematic analysis.

The meta-theme was: the distinctive nature of rural nursing. The themes

identified were: interwoven professional and personal roles; complex role of

rural nurses and relationships with the community. A conceptual model was

developed to capture the relationship between the meta-theme and the

themes. A definition for rural nursing was developed from the findings.

This research identified some points of difference in this group of rural

nurses from the available rural nursing literature. It also provides a better

understanding of the supports Rural Nurse Specialists need to be successful

in their roles, particularly around the recruitment and retention of the rural

nursing workforce.
 
  Call Number NZNO @ research @ Serial 1386  
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Author (up) Barber, M. openurl 
  Title Nursing and living in rural New Zealand communities: An interpretive descriptive study Type
  Year 2007 Publication Abbreviated Journal Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz  
  Volume Issue Pages  
  Keywords Rural nursing; Rural health services; Recruitment and retention  
  Abstract This study used an interpretive descriptive method to gain insight into and explore key issues for rural nurses working and living in the same community. Four Rural Nurse Specialists were recruited as participants. The nurses had lived and nursed in the same rural community for a minimum of 12 months. Participants were interviewed face to face and their transcribed interviews underwent thematic analysis. The meta-theme was: the distinctive nature of rural nursing. The themes identified were: interwoven professional and personal roles; complex role of rural nurses and relationships with the community. A conceptual model was developed to capture the relationship between the meta-theme and the themes. A definition for rural nursing was developed from the findings. This research identified some points of difference in this group of rural nurses from the available rural nursing literature. It also provides a better understanding of the supports Rural Nurse Specialists need to be successful in their roles, particularly around the recruitment and retention of the rural nursing workforce.  
  Call Number NRSNZNO @ research @ Serial 820  
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Author (up) Barber, M. openurl 
  Title Exploring the complex nature of rural nursing Type Journal Article
  Year 2007 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal  
  Volume 13 Issue 10 Pages 22-23  
  Keywords Rural nursing; Scope of practice; Community health nursing  
  Abstract This article reports the results of a research study undertaken to examine how nurses manage their professional and personal selves while working in small rural communities. The participants were a small group of rural nurses on the West Coast. The rationale for the study was the long-term sustainability and viability of the service to this remote area. The research showed that the rural nurse specialists' role is a complex and challenging one, performed within the communities in which nurses live.  
  Call Number NRSNZNO @ research @ 1212 Serial 1197  
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Author (up) Bell, J. openurl 
  Title Blood glucose control using insulin therapy in critically ill adult patients with stress hyperglycaemia: A systematic review Type
  Year 2007 Publication Abbreviated Journal Massey University Library  
  Volume Issue Pages  
  Keywords Intensive care nursing  
  Abstract  
  Call Number NRSNZNO @ research @ 824 Serial 808  
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Author (up) Bigwood, S. openurl 
  Title Got to be a soldier: Mental health nurses experiences of physically restraining patients Type
  Year 2007 Publication Abbreviated Journal University of Otago Library  
  Volume Issue Pages  
  Keywords Psychiatric Nursing; Workplace violence; Mental health; Stress  
  Abstract  
  Call Number NRSNZNO @ research @ 829 Serial 813  
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Author (up) Blake-Palmer, E. url  openurl
  Title Seeing the world through orthopaedic eyes: The experience of being an orthopaedic nurse: A hermeneutic study Type
  Year 2007 Publication Abbreviated Journal  
  Volume Issue Pages  
  Keywords Nursing specialties  
  Abstract This study explores the experience of being an orthopaedic nurse. As an orthopaedic nurse the author had concerns that the validity of orthopaedic nursing as a unique scope of practice was being questioned. In this thesis, the case for orthopaedic nursing is argued, by showing it as a specialty in its own right. A qualitative approach informed by the author's interpretation of philosophical hermeneutics as articulated by Heidegger (1927/1962) and Gadamer (1976; 1989) was undertaken. Phenomenology seeks to uncover 'taken-for granted' meanings in everyday experience and hermeneutic research recognises that the historical and cultural horizons of participants and researcher influence the interpretation. Eight nurses working in various orthopaedic settings were interviewed. Data was analysed using the interpretive thematic approach described by van Manen (1990). The nurses' stories from practice yielded two essential themes, 'being part', and 'gaining and maintaining integrity'. The author concludes that these themes interrelate and together reveal meanings and insights about being an orthopaedic nurse. 'Being part', shows the essential nature of relationships between orthopaedic nurses and others. 'Gaining and maintaining integrity' describes the embodied nature of the phenomenon. The overall thematic finding 'seeing the world through orthopaedic eyes' reveals the nature of orthopaedic nursing as a unique scope of practice.  
  Call Number NRSNZNO @ research @ 479 Serial 466  
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Author (up) Bland, M.F. openurl 
  Title Betwixt and between: A critical ethnography of comfort in New Zealand residential aged care Type Journal Article
  Year 2007 Publication Journal of Clinical Nursing Abbreviated Journal  
  Volume 16 Issue 5 Pages 937-944  
  Keywords Geriatric nursing; Rest homes; Patient satisfaction; Quality of health care  
  Abstract This research sought to explore the nature of comfort within the context of three New Zealand nursing homes and examine how nursing and other actions contribute to residents' comfort. A critical ethnographic approach was used and fieldwork included 90 days of participant observation, interviews with 27 residents and 28 staff and extensive document examination. Comfort was multidimensional, idiosyncratic, dynamic and context dependent, rather than merely the absence of discomfort. This multidimensional nature meant residents could be 'betwixt and between' comfort and discomfort simultaneously. The constraints of one-size-fits-all care delivery practices and the tensions inherent in communal living compounded residents' discomfort. The findings show that individualised care, based on comprehensive and accurate nursing assessment, is fundamental to the comfort of residents.  
  Call Number NRSNZNO @ research @ Serial 657  
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Author (up) Bradshaw, W. openurl 
  Title Helping clients move towards health change Type Journal Article
  Year 2007 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal  
  Volume 13 Issue 7 Pages 16-18  
  Keywords Health promotion; Psychology; Nursing; Case studies; Smoking  
  Abstract The author reflects on his use of the American psychotherapist James Prochaska's stages of change theory. This model deals with individuals and how they move towards change, through stages of pre-contemplation to maintenance of changed behaviours. He presents examples of his use of the model with clients, when dealing with issues of smoking cessation and weight loss. He analyses his practice and interactions with clients, and affirms that stages of change model can be a useful tool to bring about change within clients. He suggests it gives clients the opportunity to contemplate change and gives nurses working in health promotion the opportunity to be part of the change process.  
  Call Number NRSNZNO @ research @ Serial 985  
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Author (up) Bridgen, A.F. url  openurl
  Title A heuristic journey of discovery: Exploring the positive influence of the natural environment on the human spirit Type
  Year 2007 Publication Abbreviated Journal Victoria University of Wellington Library  
  Volume Issue Pages  
  Keywords Spirituality; Nursing; Nursing philosophy  
  Abstract The intention of this heuristic study was to explore and discover the essence of the positive influence of the natural environment on the human spirit. The study quest was identified as a central concern that evolved from the author's personal experience of spiritual awakening in the natural environment and an interest in the concept of connectedness in nursing care and practice. The study also focused on the self of the nurse and the qualities of holistic nursing care. Guided by heuristic methodology developed by Moustakas (1990) the thesis traces a journey of discovery. Using conversational interviews, six nurses were asked to describe their experiences of their spirit being positively influenced in the natural environment. These nurses were also asked if these beneficial experiences had any flow-on effect to their nursing practice. From these interviews various commonalities of experience were identified as well as some experiences unique to the individual participants. The participant knowing was articulated using Reed's (1992) dimensions of relatedness in spirituality as a framework. Reed describes these dimensions as being able to be experienced intrapersonally, interpersonally and transpersonally. A substantive body of nursing and non-nursing literature was explored to support the participant knowing and provide strength to the discussion. The study discovered that the human spirit is positively influenced in the natural environment. The three actions of personal healing and wellbeing in the natural environment, knowing self – knowing others and sustaining self in nursing practice were valued by the participants as contributing to the quality of their nursing care. In bringing together spirituality, the natural environment and nursing, holism was discovered to be the significant and connecting constituent. The study has some implications for the discipline of nursing that are also discussed by the author.  
  Call Number NRSNZNO @ research @ 831 Serial 815  
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Author (up) Bunn, S. url  openurl
  Title An exploration of the transition of patients from intensive care to the ward environment: A ward nursing perspective Type
  Year 2007 Publication Abbreviated Journal Victoria University of Wellington Library  
  Volume Issue Pages  
  Keywords Clinical decision making; Nursing; Communication  
  Abstract The transition of patients from intensive care to the ward environment is a regular occurrence in intensive care. Today patients are often transferred earlier and sicker due to the demands for intensive care beds. This results in patients with higher acuity being cared for in the wards. Here ward nurses have to meet the ongoing complex demands of caring for higher acuity patients, alongside managing high patient-to-nurse ratios, staffing concerns, and varying levels of experienced nurses. This research explored the experiences of ward nurses receiving patients transferred from intensive care. The aims were to identify any areas of concern, highlight specific problems that occur on transition and to address what information is pertinent to ward nurses when receiving patients from intensive care. A qualitative descriptive methodology using focus groups was utilised to gather information about these experiences. Three focus groups were held with ward nurses from various wards within the study setting hospital. All participants had considerable contact with intensive care and were familiar with the processes of transferring patients. Five themes emerged from the focus groups – Patients as intensive care staff say they are; Time to prepare the biggest thing; Documentation as a continuation of patient care; They forget what its like; and Families, a need to know about them. The theme Patients as intensive care staff say they are relates to reliable information sharing focused on the patient, their needs and condition. Participants expressed their concern that patients were not always in the condition that the intensive care staff stated they were on the referral. Having adequate time to prepare was considered important for the majority of ward nurses receiving patients from intensive care. Documentation was highlighted in the theme Documentation as a continuation of patient care particularly in relation to fluid balances and vital sign history. The theme They forget what its like suggests there is a perception that intensive care nurses have a lack of understanding of what the ward staff can actually manage. Decreased staffing levels during certain shift patterns and a lack of appropriately experienced staff on the wards is a common concern for ward nurses. Ward nurses also recognised that caring for families was part of their role. Patients and families may respond differently to the transfer process and their inclusion in transfer planning was seen as essential. Communication was a reoccurring element throughout all themes.The author concludes that communication is the paramount factor that impacts on a 'smooth transition' for ward nurses. A 'smooth transition' refers to the transfer of patients from intensive care to the next level of care. Subsequently, nurses' perceptions need to change, whereby transfer planning from ICU should be the focus rather than discharge planning. Transfer planning and education for all nursing staff is vital if the transfer process is to be improved. Consequently, transitional care within the context of ICU aims to ensure minimal disruption and optimal continuity of care for the patient. The knowledge gained from this research may provide better understanding of the multifaceted issues linked with transitional care that may be adapted for a wider range of patients in various clinical environments.  
  Call Number NRSNZNO @ research @ 827 Serial 811  
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Author (up) Buxton, J. openurl 
  Title Factors which may influence parental decisions about childhood vaccinations Type
  Year 2007 Publication Abbreviated Journal Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz  
  Volume Issue Pages  
  Keywords Immunisation; Practice nurses; Children; Parents and caregivers  
  Abstract Practice nurses are primarily responsible for the administration of vaccinations in New Zealand, although many other health professionals contribute to the success of the National Immunisation Schedule by providing vaccination information and advice to parents. Vaccination uptake remains relatively low, indicating many parents choose not to vaccinate their children. A literature review was undertaken to gain an understanding of factors which may influence parents when they are making decisions about childhood vaccinations. Four key themes were identified within the literature: Perceived risk; Vaccine safety and efficacy; Child characteristics; and the Influence of health professionals/supporting vaccination structures. Increased knowledge and awareness about influential factors creates opportunities for health professionals and policy makers to develop strategies to increase vaccination uptake. Implications and recommendations are made for practice, with particular emphasis on the role of the primary healthcare nurse.  
  Call Number NRSNZNO @ research @ Serial 919  
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Author (up) Carryer, J.B.; Gardner, G.; Dunn, S.; Gardner, A. openurl 
  Title The core role of the nurse practitioner: Practice, professionalism and clinical leadership Type Journal Article
  Year 2007 Publication Journal of Clinical Nursing Abbreviated Journal  
  Volume 16 Issue 10 Pages 1818-1825  
  Keywords Professional competence; Nurse practitioners; Evaluation research; Cross-cultural comparison  
  Abstract This article draws on empirical evidence to illustrate the core role of nurse practitioners in Australia and New Zealand. A study jointly commissioned by both countries' Regulatory Boards developed information of the newly created nurse practitioner role, to develop shared competency and educational standards. This interpretive study used multiple data sources, including published and grey literature, policy documents, nurse practitioner programme curricula and interviews with 15 nurse practitioners from the two countries. The core role of the nurse practitioner was identified as having three components: dynamic practice, professional efficacy and clinical leadership. Nurse practitioner practice is dynamic and involves the application of high level clinical knowledge and skills in a wide range of contexts. The nurse practitioner demonstrates professional efficacy, enhanced by an extended range of autonomy that includes legislated privileges. The nurse practitioner is a clinical leader with a readiness and an obligation to advocate for their client base and their profession at the systems level of health care.  
  Call Number NRSNZNO @ research @ Serial 932  
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