| Records |
| Author |
Thompson, R. |
| Title |
On call but not rostered |
Type |
Book Chapter |
| Year |
2008 |
Publication |
Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 67-78) |
Abbreviated Journal |
Ministry of Health publications page |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Rural nursing; Ethics; Registered nurses |
Abstract  |
In this chapter the author uses storytelling to explore the legal and ethical issues she experiences as a rural volunteer registered nurse. She describes the relationship between the nurse and community embodied in areas such as the public perception of nurses, and discusses aspects of her practice in the light of the particular legal and ethical context of rural areas. |
| Call Number |
NRSNZNO @ research @ 768 |
Serial |
752 |
| Permanent link to this record |
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| Author |
Fernandez, Carole; Wilson, Denise |
| Title |
Maori women's views on smoking cessation initiatives |
Type |
Journal Article |
| Year |
2008 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
| Volume |
24 |
Issue |
2 (Jul) |
Pages |
27-40 |
| Keywords |
Maori health; Smoking cessation; Primary health-care nursing; Maori-centred research |
| Abstract |
Interviews a group of Maori women who have successfully ceased smoking and asks about influences and supportive interventions that helped them quit smoking. Analyses the data using Boyatzis' (1998) approach and identifies two primary themes providing insight for nurses working with Maori women smokers: transmission of whanau values; and factors crucial in influencing change. |
| Call Number |
NZNO @ research @ |
Serial |
1431 |
| Permanent link to this record |
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| Author |
Harry, J. |
| Title |
Professional development in nursing through the pages of Kai Tiaki: A comparative analysis – 1920 to 1930 and 2000 to 2006 |
Type |
|
| Year |
2008 |
Publication |
|
Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Professional development; Nursing |
| Abstract |
Kai Tiaki, first published in New Zealand in 1908, provides a means of communication among New Zealand nurses. It is currently the journal of the New Zealand Nurses Organisation members and previously was aligned to the New Zealand Trained Nurses' Association in the 1920s. This dissertation examines what nurses write about professional development through the pages of Kai Tiaki. Two time periods are examined, 1920 to 1930 and 2000 to 2006.
Central to the discussion on professional development is post-registration education. Post-registration education in nursing commenced in New Zealand in 1928, and has progressed to the current day where nurses can engage in post-graduate nursing to master and doctoral level. Kai Tiaki provides a channel for nurses to discuss and debate their thoughts on post-registration and post-graduate education. Two key themes emerge from analysis. Firstly, the survival mode of nurses highlights oppression as a contributing factor to professional development. Secondly, examining the role of the New Zealand Trained Nurses Association (1920s) and the New Zealand Nurses Organisation (2000s) presents an understanding of the political nature of the journal itself and how this influences professional development. This dissertation provides critical reflection on professional development for nurses through the pages of Kai Tiaki and provides suggestions for future research. |
| Call Number |
NRSNZNO @ research @ |
Serial |
916 |
| Permanent link to this record |
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| Author |
Smythe, Liz |
| Title |
Re-collecting and 'thinking' the story of New Zealand's postgraduate nursing scholarship development |
Type |
Journal Article |
| Year |
2008 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
| Volume |
24 |
Issue |
3 |
Pages |
27-40 |
| Keywords |
Scholarship; Postgraduate education; Heidegger |
| Abstract |
Looks at the history of postgraduate scholarly nursing study over the past 40 years. Performs hermeneutic analysis of nurse scholars' reflections on nursing finding its own body of knowledge and moving into research. |
| Call Number |
NZNO @ research @ |
Serial |
1437 |
| Permanent link to this record |
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| Author |
Watson, Paul |
| Title |
Preschool children frequently seen but seldom heard in nursing care |
Type |
Journal Article |
| Year |
2008 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
| Volume |
24 |
Issue |
3 |
Pages |
41-48 |
| Keywords |
Preschool children; Children's voices; Paediatric nursing |
| Abstract |
Maintains that children's voices are largely unheard in nursing practice. Recommends the need for research that seeks to understand how preschool children experience being ill and how they communicate those experiences to others. |
| Call Number |
NZNO @ research @ |
Serial |
1438 |
| Permanent link to this record |
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| Author |
Murphy, S.E.E. |
| Title |
Through mothers' eyes: The lived experience of caring for a child who has undergone and recovered from a liver transplantation |
Type |
|
| Year |
2008 |
Publication |
|
Abbreviated Journal |
ResearchArchive@Victoria |
| Volume |
|
Issue |
|
Pages |
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| Keywords |
Parents and caregivers; Paediatric nursing; Children; Surgery |
| Abstract |
Mothers, whose children had undergone a liver transplant more than one year ago at time of interview and whose children were outpatients of Starship Children's Hospital, were invited to participate in this research. A Heideggerian hermeneutic phenomenological approach, informed by the work of van Manen (1990) was used. Three mothers of children who had received a liver transplant were interviewed to reveal the meanings of the phenomenon – what is the meaning of lived experience of mothers in caring for their child who has undergone and recovered following liver transplantation? Little previous study regarding mothers' lived experience of caring for their child, who had recovered from a liver transplant, was found in the literature. The emerging themes were punctuated with stress being a consistent feature. Utilising Ruddick's (1983) concepts of maternal thinking, the emerging themes were merged within the three interests governing maternal practice; preservation, growth and acceptability. The absolute capacity for attentive love draws the experience together. An essential theme identified out of the analysis was the concept of survival relating to the unique features of liver transplantation and the consequences of liver rejection and failure. The findings contribute to the understanding of the phenomenon, emphasising the need for good support systems for families of children who have undergone transplantation; assistance in the establishment of maternal coping strategies and regular feedback on the children's progress acknowledging the role and care provided by mothers. |
| Call Number |
NRSNZNO @ research @ 1242 |
Serial |
1227 |
| Permanent link to this record |
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| Author |
Barton, Pipi; Wilson, Denise |
| Title |
Te Kapunga Putohe (the restless hands) : a Maori centred nursing practice model |
Type |
Journal Article |
| Year |
2008 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
| Volume |
24 |
Issue |
2 (Jul) |
Pages |
6-15 |
| Keywords |
Maori-centred practice; Nursing model; Maori health; Indigenous; Kaupapa Maori; Maori health |
| Abstract |
Notes an absence of nursing practice models focussing on the traditional beliefs of Maori amongst nursing literature. Presents Te Kapunga Putohe (the restless hands) model of Maori centred nursing practice. Illustrates how Maori knowledge and nursing knowledge can be incorporated to deliver nursing care that is both culturally appropriate and can improve the nursing experience for Maori clients. |
| Call Number |
NZNO @ research @ |
Serial |
1434 |
| Permanent link to this record |
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| Author |
Butters, Katheryn Janine |
| Title |
A qualitative study of the ethical practice of newly-graduated nurses working in mental health |
Type |
Book Whole |
| Year |
2008 |
Publication |
|
Abbreviated Journal |
|
| Volume |
|
Issue |
|
Pages |
184 p. |
| Keywords |
Newly-graduated nurses; Nursing ethics; Mental health nurses; Surveys |
| Abstract |
Presents a qualitative exploration of factors that influence eight newly-graduated nurses as they endeavour to practice ethical mental health nursing. Gathers data from in-depth interviews with the participants, analysed using a thematic analysis method. Considers aspects of the social and political context within which the participants are situated. |
| Call Number |
NZNO @ research @ |
Serial |
1861 |
| Permanent link to this record |
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| Author |
Wilkinson, Jillian Ann |
| Title |
Constructing consensus : developing an advanced nursing practice role |
Type |
Journal Article |
| Year |
2008 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
| Volume |
24 |
Issue |
3 |
Pages |
17-26 |
| Keywords |
Nurse practitioner; Consensus; Autonomy; Unionism |
| Abstract |
Presents a study using a discourse analytical approach to trace the ongoing struggle between nursing groups for power to control the future of advanced nursing practice. Outlines the political discourses dominant in nursing during the period that led to the Nursing Council of New Zealand having regulatory control of the nurse practitioner role. |
| Call Number |
NZNO @ research @ |
Serial |
1436 |
| Permanent link to this record |
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| Author |
Diers, D. |
| Title |
“Noses and eyes”: Nurse practitioners in New Zealand |
Type |
Journal Article |
| Year |
2008 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
| Volume |
24 |
Issue |
1 (Mar) |
Pages |
4-10 |
| Keywords |
Cross-cultural comparison; Nurse practitioners; History of nursing |
| Abstract |
Principles for understanding and evolving nurse practitioner practice, politics and policy are distilled from 40 years of experience in the United States and Australia. The issues in all countries are remarkably similar. The author suggests that some historical and conceptual grounding may assist the continuing development of this expanded role for nursing in New Zealand. |
| Call Number |
NRSNZNO @ research @ |
Serial |
965 |
| Permanent link to this record |
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| Author |
Brinkman, A.; Wilson-Salt, R.; Walker, L. |
| Title |
Education survey report: Implications for practice |
Type |
Report |
| Year |
2008 |
Publication |
|
Abbreviated Journal |
http://www.nzno.org.nz |
| Volume |
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Issue |
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Pages |
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| Keywords |
Professional development; Professional Competence; Nursing |
| Abstract |
Professional development is an ongoing requirement of nurses as a result of the Health Practitioners Competence Assurance Act. The Act?s principal purpose is to protect the health and safety of the public by ensuring health practitioners are fit and competent to practise. This survey was designed to explore the avenues nurses have taken, and would prefer to take, for their professional development. The questionnaire was sent to a random sample of the New Zealand Nurses Organisation's registered and enrolled nurse members. Nurses overwhelmingly favoured professional development in the workplace. More than half the respondents reported a conflict with other time commitments, while a number of respondents wrote of their desire for work-life balance. The cost of fees, ability to take time off work, and time and travelling distance were all hurdles to professional development. Nurses cited information technology, conflict resolution, managing challenging behaviour, and dealing with rostered & rotating shifts as aspects of their current work for which their nursing education (pre and post) had not adequately prepared them. Nurses also indicated that their pre-registration education in health systems and political processes was inadequate for their current work. As nurses aged, their interest in professional development increased, though many still preferred workplace options. The authors conclude that, in order for professional development opportunities to be accessible and relevant, resources and time must be made available. This is vital to achieve ongoing education of nurses and improved patient outcomes. Management support, combined with effective assessment of learning needs guiding professional development opportunities, are fundamental to ensuring nurse competence. |
| Call Number |
NZNO @ research @ |
Serial |
1329 |
| Permanent link to this record |
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| Author |
Rose, L.; Nelson, S.; Johnston, L.; Presneill, J.J. |
| Title |
Workforce profile, organisation structure and role responsibility for ventilation and weaning practices in Australia and New Zealand intensive care units |
Type |
Journal Article |
| Year |
2008 |
Publication |
Journal of Clinical Nursing |
Abbreviated Journal |
|
| Volume |
17 |
Issue |
8 |
Pages |
1035-1043 |
| Keywords |
Advanced nursing practice; Clinical decision making; Intensive care nursing; Cross-cultural comparison |
| Abstract |
The aim of this research is to provide an analysis of the scope of nursing practice and inter-professional role responsibility for ventilatory decision-making in Australian and New Zealand intensive care units (ICU). Self-administered questionnaires were sent to nurse managers of eligible ICUs within Australia and New Zealand. Survey responses were available from 54/180 ICUs. The majority (71%) were located within metropolitan areas and categorised as a tertiary level ICU (50%). The mean number of nurses employed per ICU bed was 4.7 in Australia and 4.2 in New Zealand, with 69% (IQR: 47-80%) of nurses holding a postgraduate specialty qualification. All units reported a 1:1 nurse-to-patient ratio for ventilated patients with 71% reporting a 1:2 nurse-to-patient ratio for non- ventilated patients. Key ventilator decisions, including assessment of weaning and extubation readiness, were reported as predominantly made by nurses and doctors in collaboration. Overall, nurses described high levels of autonomy and influence in ventilator decision-making. Decisions to change ventilator settings, including FiO(2) (91%, 95% CI: 80-97), ventilator rate (65%, 95% CI: 51-77) and pressure support adjustment (57%, 95% CI: 43-71), were made independently by nurses. The authors conclude that the results of the survey suggest that, within the Australian and New Zealand context, nurses participate actively in ventilation and weaning decisions. In addition, they suggest, the results support an association between the education profile and skill-mix of nurses and the level of collaborative practice in ICU. |
| Call Number |
NRSNZNO @ research @ |
Serial |
962 |
| Permanent link to this record |
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| Author |
Kool, B.; Thomas, D.; Moore, D.; Anderson, A.; Bennetts, P.; Earp, K. |
| Title |
Innovation and effectiveness: Changing the scope of school nurses in New Zealand secondary schools |
Type |
Journal Article |
| Year |
2008 |
Publication |
Australian & New Zealand Journal of Public Health |
Abbreviated Journal |
|
| Volume |
32 |
Issue |
2 |
Pages |
177-180 |
| Keywords |
School nursing; Maori; Pacific peoples; Socioeconomic factors; Evaluation; Scope of practice |
| Abstract |
The aim of this research was to describe the changing role of school nurses in eight New Zealand secondary schools from low socio-economic areas with high Pacific Island and Maori rolls. An evaluation of a pilot addressing under-achievement in low-decile schools in Auckland(2002-05) was made. Annual semi-structured school nurse interviews and analysis of routinely collected school health service data were undertaken. Two patterns of school nurse operation were identified: an embracing pattern, where nurses embraced the concept of providing school-based health services; and a Band-Aid pattern, where only the basics for student health care were provided by school nurses. The researchers conclude that school nurses with an embracing pattern of practice provided more effective school-based health services. School health services are better served by nurses with structured postgraduate education that fosters the development of a nurse-practitioner role. The researchers go on to say that co-ordination of school nurses either at a regional or national level is required. |
| Call Number |
NRSNZNO @ research @ |
Serial |
963 |
| Permanent link to this record |
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| Author |
Kuehl, S. |
| Title |
Emergency Department re-presentations following intentional self-harm |
Type |
|
| Year |
2008 |
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 |
Emergency nursing; Psychiatric Nursing; Mental health; Clinical assessment |
| Abstract |
The aim of this research was to describe what factors contribute to people re-presenting to the emergency department (ED) within one week of a previous visit for intentional self-harm. Objectives identified were to describe the people using demographic and clinical features; describe and evaluate ED management; and identify possible personal or system reasons as to why people re-present to ED within one week. A retrospective observational design was selected for a period of one year. The data was collected from electronic clinical case notes. The sample consisted of 48 people with 73 presentations and re-presentations. Missing data limited the number of inferential analyses. Outcome measures were divided into information regarding the person and the presentation. This study made several discoveries: many representations (55%) occurred within one day; the exact number of people who represented many times to ED is unknown, but is far higher than reported in other studies; fewer support people were present for the second presentation; the documentation of triage and assessments by ED staff was often minimal, though frequently portrayed immense distress of this population; cultural input for Maori was missing; physical health complaints and psychosis were found with some intentional self-harm presentations; challenging behaviours occurred in at least a quarter of presentations; and the medical and mental health inpatient admission rates were approximately 50% higher for second presentations. Recommendations in regard to the use of a triage assessment tool, the practice of reviewing peoples' past presentations and the need for a mental health consultation liaison nurse in ED are made. Staff education, collaboration between services with consumer involvement and further research of this group are required. This study supports the need for holistic and expert care for people who present at emergency departments with intentional self-harm. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1214 |
| Permanent link to this record |
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| Author |
Sye, J. |
| Title |
A fine balance |
Type |
|
| Year |
2008 |
Publication |
|
Abbreviated Journal |
AUT University Library |
| Volume |
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Issue |
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Pages |
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| Keywords |
Paediatric nursing; Community health nursing; Nurse-patient relations; Children; Patient rights |
| Abstract |
The aim of this study is to analyse the discourses drawn upon by community paediatric nurses in relation to children's rights to health. The philosophy of Michel Foucault has been used to underpin the analysis of the interviews and exemplars of five experienced community nurses, revealing conflicting power relationships and discourses. Rights are formalised morality and so from a children's rights perspective, discourses reflect both the moral and ethical positions of the nurses. Children are constructed as developing human beings whose moral status gradually changes and who, through a lack of developmental autonomy, entrust their decision-making to their representatives (parents and caregivers) as their trustees. Rights are correlative with the obligations and duties toward children by both families and society. Society constructs legislative and politically organised structures to govern raising children because children are an intrinsic social concern. Whilst representing society's interest in children's rights to health, nurses in the home act as a conduit for multiple governing structures. The nurses in this study construct their “truths” and knowledge about children's health rights from nursing, medicine, law, education, and social policy. However, the values of individual parents can conflict with universal values for children's health and wellbeing. Therefore representing society positions nurses as “agents of the state”, a role that potentially holds power over parents and children and leads to the epithet of “the health police”. Within the institution of the family, and in the privacy of the home, there are also mechanisms of power that can resist the mechanisms of the state and its representatives. Therefore the discourse “it takes a village to raise a child” competes with the “my home is my castle” discourse. Nurses negotiate a fine balance between these power relations. Nurses are challenged with using power productively to promote children's rights whilst respecting the role of parents and families. The author argues that children's rights are central to the moral and ethical work of nurses but that such work is often obscured and invisible. She proposes that children's community nurses are excellent at negotiating networking and connecting at a micro level, but need to create a more sophisticated and cohesive entity at a macro level to become fully political children's rights advocates. |
| Call Number |
NRSNZNO @ research @ 911 |
Serial |
895 |
| Permanent link to this record |
