| |
Records |
Links |
|
Author  |
Horner, C. |
|
| |
Title |
Emergency health provision and maintaining competency |
Type |
Book Chapter |
| |
Year |
2008 |
Publication |
Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 125-136) |
Abbreviated Journal |
Ministry of Health publications page |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Rural nursing; Professional competence; Emergency nursing |
|
| |
Abstract |
This chapter focuses on issues associated with rural nursing and the provision of emergency care for patient(s) located remotely from secondary hospital services. All emergencies have diverse characteristics, but the rural practitioner also contends with having sole practice, professional and geographical isolation, and the lack of regular experience. The chapter reviews the PRIME (Primary Response in Medical Emergency) recommendations and training, and looks in particular at the issues around the maintenance of competency for the rural nurse providing emergency on call health care that includes managing medical and accident emergencies in the absence of a medical practitioner. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
756 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Horsburgh, M.; Goodyear-Smith, F.; Yallop, J. |
|
| |
Title |
Nursing initiatives in primary care: An approach to risk reduction for cardiovascular disease and diabetes |
Type |
Journal Article |
| |
Year |
2008 |
Publication |
New Zealand Family Physician |
Abbreviated Journal |
The Royal New Zealand College of General Practitioners website |
|
| |
Volume |
35 |
Issue |
3 |
Pages |
176-182 |
|
| |
Keywords |
Cardiovascular diseases; Diabetes Type 2; Risk factors; Nursing models |
|
| |
Abstract |
The authors evaluated a nurse-led cardiovascular disease and diabetes (CVD) management project. The Ministry of Health funded the project to implement models of nurse service delivery, with care pathways for risk reduction of CVD and diabetes based on national guidelines, with quality assurance, audit and nurse leadership. The paper presents the components required to implement and sustain a nurse CVD risk assessment and management service, which were identified and clarified through the action research process. |
|
| |
Call Number |
NRSNZNO @ research @ 527 |
Serial |
513 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Horsburgh, M.; Goodyear-Smith, F.; Yallop, J.; O'Connor, S. |
|
| |
Title |
Implementation of a nursing initiative in primary care: A case report, cardiovascular disease risk reduction |
Type |
Journal Article |
| |
Year |
2008 |
Publication |
New Zealand Family Physician |
Abbreviated Journal |
|
|
| |
Volume |
35 |
Issue |
3 |
Pages |
183-186 |
|
| |
Keywords |
Multidisciplinary care teams; Cardiovascular diseases; Case studies; Primary health care |
|
| |
Abstract |
The aim was to report on implementation of a nursing initiative of cardiovascular disease (CVD) screening risk assessment at the Mornington Health Centre, Dunedin, with initial outcomes after six months. The practice aim was 80% of their eligible population assessed within three to four years, particularly targeting high-risk groups. The audit indicates that in their first six months, Mornington Health Centre had screened 42% of their eligible patients. This is described as very successful progress towards their goal of 80%. A number of key organisational factors are identified that are likely to have contributed to the development and success of the nurse CVD risk assessment programme at Mornington Health Centre. The authors suggest that this case study demonstrates how organisational change, where the practice nurse role in the multidisciplinary team is clear, can facilitate a practice to meet a population-based goal. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
514 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Howie, L. |
|
| |
Title |
Rural society and culture |
Type |
Book Chapter |
| |
Year |
2008 |
Publication |
Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 3-18 ) |
Abbreviated Journal |
Ministry of Health publications page |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Rural nursing; Culture |
|
| |
Abstract |
The author takes a multidisciplinary approach to examine how the location and concept rural is defined and provides a critique of the disparate definitions available. Definitions encompass different disciplines such as sociology and anthropology, and there are national distinctions based on historical factors. The chapter also investigates the way researchers speak about rural people, particularly as the human aspect of health is a primary concern to nursing. The focus is on the socio-cultural, occupational, ecological, and health aspects of rurality. The Rural Framework Wheel is introduced, which is a method to categorise rural contextual definitions. Rurality is presented as a variable and evolving concept that provides particular challenges to nursing practice. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
460 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Howie, L. |
|
| |
Title |
Contextualised nursing practice |
Type |
Book Chapter |
| |
Year |
2008 |
Publication |
Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 33-49) |
Abbreviated Journal |
Ministry of Health publications page |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Rural nursing; Nursing models; Nursing research |
|
| |
Abstract |
This is the first of three chapters that describe nursing practice. The author presents the Rural Framework Wheel to elaborate aspects of the rural context. The Framework comprises four systems which describe aspects of rurality; being are socio-cultural, occupational, ecological, and health. These systems each comprise of subsystems, which provide a detailed analysis of the way nursing practice is particular in diverse rural settings. The Framework is presented as a work in progress, and is grounded in international nursing literature. It highlights rural nursing as a unique and challenging field, with the dominant themes of partnership and nursing emerging as underpinning the practice when nurses live and work in small, sometimes isolated communities. |
|
| |
Call Number |
NRSNZNO @ research @ 766 |
Serial |
750 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Jacobs, S.; Boddy, J.M. |
|
| |
Title |
The genesis of advanced nursing practice in New Zealand: Policy, politics and education |
Type |
Journal Article |
| |
Year |
2008 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
24 |
Issue |
1 (Mar) |
Pages |
11-22 |
|
| |
Keywords |
Nurse practitioners; History of nursing; Policy; Scope of practice |
|
| |
Abstract |
This contemporary historical study examines the health sector environment of the 1990s and the turn of the 21st century, and assesses the policy initiatives undertaken to advance nursing in New Zealand during that period. The authors look at the conditions and forces that saw nursing achieve a new emphasis on advanced and expanded scope of nursing practice, less than a decade after the commencement of New Zealand's first pre-registration nursing degrees. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
452 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
James, G.G. |
|
| |
Title |
Woven threads: A case study of chemotherapy nursing practice in a rural New Zealand setting |
Type |
|
| |
Year |
2008 |
Publication |
|
Abbreviated Journal |
ResearchArchive@Victoria |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Case studies; Rural health services; Nursing specialties; Cancer; Oncology |
|
| |
Abstract |
This descriptive case study was undertaken to provide an account of chemotherapy practice in a nurse-led clinic located within a rural New Zealand area. The researcher, an oncology nurse specialist, worked alongside colleagues for thirteen months to enable practice development. This clinic developed out of a need to have services closer to rural patients in order to address issues of equity, access, care integration and the fiscal and social constraints associated with the cancer burden of care. Capturing the range of data applicable to this case; the ability to conceptualise it as a service within its context was possible using case study research methods. Four nurses involved in the chemotherapy clinic were participants in this study. The findings of this study reveal that what could be perceived as barriers to outcomes and practice can in essence be turned into opportunities to develop new ways of caring for the patient and supporting nursing practice. These nurses view their practice as safe within the clinic despite resource constraints. They work in many ways to support each other and to cushion the patient from the impact of situational and contextual influences. Nursing practice was shown to evolve as a direct result of internal and external influences which were the impetus for nurses taking responsibility for their own competency. This study also explored what it meant to be an experienced nurse but novice in a speciality practice. It challenges previously held assumptions that, to deliver chemotherapy successfully, a nurse needs to be operating from a previously held body of oncology nursing knowledge. Many challenges are faced on a day to day basis in a rural practice environment to just maintain consistent care and promote good patient outcomes. The nurses are well aware of their role in contributing to patients' quality of life and the roles they take to meet the growing needs of the patient as a consumer. This study delves into the multifarious nature of this nurse-led clinic and discusses the processes and relationships that are forged to deliver care. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1166 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Jamieson, I. |
|
| |
Title |
The mobile operating theatre project |
Type |
Book Chapter |
| |
Year |
2008 |
Publication |
Jean Ross (Ed.), Rural nursing: Aspects of practice (pp.81-97) |
Abbreviated Journal |
Ministry of Health publications page |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Rural nursing; Surgery; Training; Evaluation |
|
| |
Abstract |
This chapter firstly presents the development of a mobile operating theatre project, which was implemented in 2002 to provide rural day-stay surgery. Secondly, it discusses the process and findings of a research project undertaken with the purpose of evaluating a perioperative (theatre and recovery) reskilling programme offered to 42 rural nurses from nine secondary hospitals, conducted over nine months in 2001. The training was given to nurses prior to the introduction of a mobile operating theatre service, and was seen as a key part of the service contract. |
|
| |
Call Number |
NRSNZNO @ research @ 769 |
Serial |
753 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Johnson, H. |
|
| |
Title |
Clinical trials in the intensive care setting: A nursing perspective |
Type |
|
| |
Year |
2008 |
Publication |
|
Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Evaluation; Intensive care nursing |
|
| |
Abstract |
As carers of patients who are clinical research participants, nurses' contribution to the success of clinical trials is acknowledged in the literature. Ethical dilemmas and challenges that clinical trials may present for nurses are also recognised. Although there is some discussion regarding these issues, few studies explore and identify the perceptions of intensive care nurses regarding clinical trials and how they may impact on nursing practice. This thesis explores and describes the viewpoints and experiences of sixty intensive care nurses from a tertiary level referral centre in New Zealand engaged in clinical research activities. The descriptive study utilised a self-administered questionnaire to gather information regarding nurses' roles in clinical trials, associated issues encountered and contributory factors, and the impact of issues on nursing practice, stress and satisfaction levels. Suggestions for potential strategies to minimise the impact of issues on nurses' practice were also sought. Descriptive statistical and content data analyses identified three key areas in which nurses' encounter issues associated with clinical trials and their practice: nurses' workload; ethical concerns; educational preparation and support. The findings indicate that, when issues exist in these areas, routine patient care can be delayed, the enactment of nurses' patient advocacy role can be affected, and nurses' stress and satisfaction levels can be negatively impacted upon. The perceptions of a group of intensive care nurses who are enveloped in the daily balance of patient care, the need for clinical research, and their professional obligations are discussed in this thesis. While the study's findings are reflective of one group of nurses in a distinct practice setting, their experiences can prompt other nurses, research teams and clinical leaders to reflect upon their own clinical research environment. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
923 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Kennedy, W. |
|
| |
Title |
How do Registered Nurses utilise self assessment and performance appraisal to inform their professional practice? |
Type |
|
| |
Year |
2008 |
Publication |
|
Abbreviated Journal |
Eastern Institute of Technology Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Professional development; Registered nurses |
|
| |
Abstract |
This thesis describes an exploratory study of registered nurses within a local district health board which pursued 'if' and 'how' professional practice frameworks assisted nurses in their individual professional practice. Self assessment and performance appraisal are identified as critical elements of professional development by the Nursing Council of New Zealand, and this became the focus of the author's research. A qualitative descriptive framework was utilised to explore the research question, where experiences of registered nurses employed within inpatient adult medical and surgical settings were collected through questionnaire. Analysis of the data was through general inductive thematic approach. Eight themes arose, of which, two have sub-themes. The first four themes relate to self assessment and performance appraisal and the second four themes relate to professional practice. The findings from the participant's perspective provide an understanding of how participants' utilised self assessment and performance appraisal to inform their professional practice. There are significant implications for professional practice within the findings of this study, which are presented along with recommendations for future practice, and future avenues for research. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1161 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Kennedy, Wendy Lynette |
|
| |
Title |
How do Registered Nurses utilise self assessment and performance appraisal to inform their professional practice? |
Type |
Book Whole |
| |
Year |
2008 |
Publication |
|
Abbreviated Journal |
|
|
| |
Volume |
|
Issue |
|
Pages |
97 p. |
|
| |
Keywords |
Registered Nurses; Self-assessment; Performance appraisal; Surveys |
|
| |
Abstract |
Describes an exploratory study of Registered Nurses (RNs) within a local District Health Board which pursued the question of 'if' and 'how' professional practice frameworks assisted nurses in their individual professional practice, specifically self-assessment and performance appraisal. Utilises a qualitative descriptive framework to explore the experiences of RNs in inpatient settings, via questionnaire. Identifies 8 themes related to self-assessment, performance appraisal, and professional practice. |
|
| |
Call Number |
NZNO @ research @ |
Serial |
1703 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Kent, B. |
|
| |
Title |
Surgeon assistant's role within the New Zealand health care setting |
Type |
Journal Article |
| |
Year |
2008 |
Publication |
Dissector |
Abbreviated Journal |
|
|
| |
Volume |
36 |
Issue |
1 |
Pages |
20-27 |
|
| |
Keywords |
|
|
| |
Abstract |
This article examines the role of the surgeon assistant, identifying and discussing the factors that have stimulated the development globally and the present situation within the New Zealand health care setting. This article offers thought-provoking material that aims to provide the perioperative nurse with a clearer direction and purpose to practice, and to what the future may hold. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
961 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Kidd, J.D. |
|
| |
Title |
Aroha mai: Nurses, nursing and mental illness |
Type |
|
| |
Year |
2008 |
Publication |
|
Abbreviated Journal |
University of Auckland Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Mental health; Nursing; Culture |
|
| |
Abstract |
This research takes an autoethnographical approach to exploring the connections between being a nurse, doing nursing work, and experiencing a mental illness. Data is comprised of autoethnographical stories from 18 nurses. Drawing on Lyotard's (1988) postmodern philosophy of 'regimes of phrases' and 'genres of discourse,' the nurses' stories yielded three motifs: Nursing, Tangata Whaiora (people seeking wellness) and Bullying. Interpretation of the motifs was undertaken by identifying and exploring connected or dissenting aspects within and between the motifs. |
|
| |
Call Number |
NRSNZNO @ research @ 478 |
Serial |
465 |
|
| Permanent link to this record |
| |
|
| |
|
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 |
| |
|
| |
|
Author |
Koorey, R. |
|
| |
Title |
Is there a place for clinical supervision in perioperative nursing? |
Type |
Journal Article |
| |
Year |
2008 |
Publication |
Dissector |
Abbreviated Journal |
|
|
| |
Volume |
35 |
Issue |
4 |
Pages |
15-17 |
|
| |
Keywords |
Nursing models; Clinical supervision; Nursing specialties |
|
| |
Abstract |
This article explores the concept of clinical supervision and outlines a brief history of implications for nursing practice. Models of clinical supervision are outlined and examples of how they may be applicable to the clinical setting of perioperative nursing are provided. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
928 |
|
| Permanent link to this record |
