| |
Records |
Links |
|
Author  |
Smith, M.C. |
|
| |
Title |
Reviewing the role of a mental health nurse practitioner |
Type |
Journal Article |
| |
Year |
2008 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
14 |
Issue |
3 |
Pages |
20-22 |
|
| |
Keywords |
Psychiatric Nursing; Nurse practitioners; Evaluation research; Professional competence |
|
| |
Abstract |
The author describes his experience of five years as a nurse practitioner in mental health at Waikato District Health Board. A recent review of the role gave him the opportunity to reflect on the learning associated with assuming the nurse practitioner role. A key area of learning has been in negotiating the shifting responsibilities and changing relationships associated with his role as an nurse practitioner and also as a Responsible Clinician, a role traditionally held by psychiatrists. The Responsible Clinician role is a statutory one under the Mental Health Act (1992), generally performed by psychiatrists but open to other suitably qualified professionals. He reports the results of a review based on feedback from fellow professionals, clients and their families, along with quantitative data from basic statistics connected to the role, such as a time and motion study. The review asked fellow professionals to rate the performance of the nurse practitioner against the Nursing Council competencies. These results indicate the nurse practitioner role is of some value and that other professionals and clients seem satisfied with the role. There is some evidence it is delivering outcomes acceptable to clients and other professionals. The study has many limitations which are discussed, such as a poor response rate and short time frame. Further research is planned to evaluate this role. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
993 |
|
| Permanent link to this record |
| |
|
| |
|
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 |
| |
|
| |
|
Author |
Spackman, N. E. |
|
| |
Title |
Nurses' early experiences with patient death |
Type |
|
| |
Year |
2008 |
Publication |
|
Abbreviated Journal |
NZNO Library |
|
| |
Volume |
|
Issue |
|
Pages |
156 pp |
|
| |
Keywords |
New graduate nurses; Terminal care |
|
| |
Abstract |
Chronic stress and 'burnout' have been extensively researched in nursing populations, but very little is known about the impact of specific acutely stressful or significant events. A novice nurse's first encounter with patient death may pose considerable cognitive, emotional and clinical challenges. Using a mixed methods design, this study explored the clinical circumstances, impact and challenges and rewards of nurses' early experiences with patient death. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1292 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Sutton, D.M. |
|
| |
Title |
Nurses have an important role in managing intermittent claudication |
Type |
Journal Article |
| |
Year |
2008 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
14 |
Issue |
4 |
Pages |
20-22 |
|
| |
Keywords |
Diseases; Nursing; Quality of life |
|
| |
Abstract |
The author reviews the diagnosis, treatment, and management of intermittent claudation. She uses a case study to illustrate successful management of the condition. |
|
| |
Call Number |
NRSNZNO @ research @ 1006 |
Serial |
990 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Sye, J. |
|
| |
Title |
A fine balance |
Type |
|
| |
Year |
2008 |
Publication |
|
Abbreviated Journal |
AUT University Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
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 |
| |
|
| |
|
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 |
| |
|
| |
|
Author |
Tielemans, W. |
|
| |
Title |
Encouraging young women to have regular smear tests |
Type |
Journal Article |
| |
Year |
2008 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
14 |
Issue |
7 |
Pages |
16-18 |
|
| |
Keywords |
Nursing research; Sexual and reproductive health; Screening; Attitude to health; Cancer |
|
| |
Abstract |
The author presents the results of a study carried out as part of a research project with two nurse researchers from Maastricht University in the Netherlands. The aim of this study was to examine awareness among female students aged 18 to 25 about cervical cancer and to identify factors associated with their decision or intention to enter the cervical screening programme. Students aged 18-25 were recruited from four tertiary institutions in the Wellington region. A questionnaire was available online and distributed by student health centres and the researchers. Questions covered the following areas: intentions, attitude, knowledge, awareness, modelling, and support systems and efficacy. Data was analysed using descriptive statistics, multiple regression and independent t-tests. The findings are presented, and factors associated with intention and participation in cervical screening are discussed. The results indicate that the information concerning the national screening programme needs to be adjusted for the different age groups. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
984 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Trenberth, D. |
|
| |
Title |
New Zealand families' beliefs about what constitutes successful management of unsupervised childcare |
Type |
|
| |
Year |
2008 |
Publication |
|
Abbreviated Journal |
ResearchArchive@Victoria |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Children; Parents and caregivers |
|
| |
Abstract |
This study explored what some New Zealand families believe constitutes the successful management of unsupervised childcare. It was designed to increase social understanding and practitioner knowledge of the issue by exploring families' beliefs, practices and perspectives. The researcher was concerned with the professional role nurses may play with this group of children. A qualitative descriptive approach was used to obtain a straight description of successful unsupervised childcare, using the everyday language of the participating families. Data was collected in semi structured interviews with five family groups, and subjected to content and thematic analysis. Findings suggest unsupervised childcare is both choice and solution, though parents are fearful of the legal and social consequences of using it. Context of the care is important, with the child's preference, community context and availability of adults through distal supervision critical components of its success. Trust between parent and child, the use of rules and boundaries to regulate child behaviour, the teaching of skills and strategies to build child competency, and parental support of children while unsupervised are identified by parents as factors linked to success. Parents identify increasing child independence and self responsibility as positive outcomes from the successful use of unsupervised childcare. This study has helped to identify positive factors resulting in good outcomes from which successful interventions could be developed, provides information that will be of particular interest to practitioners and policy makers, and provides a platform to launch larger studies into the issue of unsupervised children. |
|
| |
Call Number |
NRSNZNO @ research @ 1252 |
Serial |
1237 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Tustin-Payne, W. |
|
| |
Title |
Self esteem, competence assessment and nurses ability to write reflectively: Is there any connection? |
Type |
|
| |
Year |
2008 |
Publication |
|
Abbreviated Journal |
Wintec Research Archive |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Professional competence; Nursing; Psychology; Quality of health care; Feminist critique |
|
| |
Abstract |
The Health Practitioners Competence Assurance Act 2003 requires nurses to have evidence to support they are competent to practice. Many nurses have become distraught and / or angry at this prospect, and the researcher suggests that this response appears to be more commonly related to the expectation of undertaking reflective writing, which is a key component of the competence evidence. This study explores the predisposing factors relating to nursing, reflective writing and competence to determine how this may impact on a nurse's self esteem. Utilisation of Critical Social Theory informed by feminist framework allows for exploration of the historical, social, political and cultural factors that shape and form female nurses reality in practice. It is a theory that relates to oppression and power, with the primary intent being to raise consciousness in order to emancipate. Although no definitive findings were made, there are multiple factors relating to nurse's history, socialisation, political imperatives and cultural beliefs that have the potential to impact on their self esteem. Competence, competence assessment and reflective practice are complex, therefore presenting multiple challenges. In order for nurses to understand their contextual reality and opportunities for change there is a need for them to engage in critical reflection. |
|
| |
Call Number |
NRSNZNO @ research @ 1198 |
Serial |
1183 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Tweed, C.; Tweed, M. |
|
| |
Title |
Intensive care nurses' knowledge of pressure ulcers: Development of an assessment tool and effect of an educational program |
Type |
Journal Article |
| |
Year |
2008 |
Publication |
American Journal of Critical Care |
Abbreviated Journal |
|
|
| |
Volume |
17 |
Issue |
4 |
Pages |
338-347 |
|
| |
Keywords |
Intensive care nursing; Training; Evaluation |
|
| |
Abstract |
The aim of this study was to assess intensive care nurses' knowledge of pressure ulcers and the impact of an educational programme on knowledge levels. A knowledge assessment test was developed. A cohort of registered nurses in a tertiary referral hospital in New Zealand had knowledge assessed three times: before an educational programme, within two weeks after the programme, and 20 weeks later. Completion of the educational programme resulted in improved levels of knowledge. Mean scores on the assessment test were 84% at baseline and 89% following the educational programme. The mean baseline score did not differ significantly from the mean 20-week follow-up score of 85%. No association was detected between demographic data and test scores. Content validity and standard setting were verified by using a variety of methods. Levels of knowledge to prevent and manage pressure ulcers were good initially and improved with an educational programme, but soon returned to baseline. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
958 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Walsh, K.; Moss, C.; Lawless, J.; McKelvie, R.; Duncan, L. |
|
| |
Title |
Puzzling practice: A strategy for working with clinical practice issues |
Type |
Journal Article |
| |
Year |
2008 |
Publication |
International Journal of Law and Psychiatry |
Abbreviated Journal |
|
|
| |
Volume |
14 |
Issue |
2 |
Pages |
94-100 |
|
| |
Keywords |
Nursing philosophy; Clinical decision making; Problem solving |
|
| |
Abstract |
The authors share the evolution of innovative ways to explore, 'unpack' and re-frame clinical issues that exist in everyday practice. The elements of these processes, which they call 'puzzling practice', and the techniques associated with them, were delineated over a two year period by the authors using action theory based processes. The authors have evolved several different frameworks for 'puzzling practice' which they draw on and use in their practice development work and in research practice. This paper pays attention to a particular form of puzzling practice that they found to be useful in assisting individual clinicians and teams to explore and find workable solutions to practice issues. In this example 'puzzling practice' uses seven different elements; naming the issue; puzzling the issue; testing the puzzle; exploring the heart of out practice; formulating the puzzle question; visualising the future; and generating new strategies for action. Each of the elements is illustrated by the story and the key foundations and ideas behind each element is explored. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
838 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Water, T. |
|
| |
Title |
The meaning of being in dilemma in paediatric practice: A phenomenological study |
Type |
|
| |
Year |
2008 |
Publication |
|
Abbreviated Journal |
NZNO Library |
|
| |
Volume |
|
Issue |
|
Pages |
259 pp |
|
| |
Keywords |
Psychology; Paediatric nursing; Paedetric practice; Problem solving |
|
| |
Abstract |
This study explores the phenomenon of dilemma in paediatric practice. Using a hermeneutic phenomenological method informed by the writings of Heidegger [1889-1976] and Gadamer [1900-2002] this study provides an understanding of the meaning of 'being in dilemma' from the perspective of predominantly paediatric health care professionals but also families in New Zealand. Study participants include four families who had a child requiring health care and fifteen health care practitioners from the disciplines of medicine, nursing, physiotherapy, play specialist and occupational therapy who work with families and children requiring health care. Participants' narratives of their experiences of 'being in dilemma' were captured via audio taped interviewing. These stories uncover the everyday realities facing health professionals and families and provide an ontological understanding for the notion of dilemma. The findings of this study suggest that experience of dilemma for health professionals reveals a world that is uncertain and questionable where they are thrown into having to make uncomfortable choices and must live with the painful consequences of their actions. The consequences of being in such dilemma are having to find ways of living with the angst, or risk becoming too sensitive or desensitizing. For families the experience of dilemma reveals a similar phenomenon most evident in circumstances where they feel totalized by the impact of heath care encounters. This study has uncovered that the perspectives that health professionals and families bring to the experience of dilemma reveal different concerns and commitments and may be hidden from each other. This thesis proposes that health professionals and families need support in living with their own personal encounters of enduring experiences of dilemma. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1234 |
|
| Permanent link to this record |
| |
|
| |
|
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 |
| |
|
| |
|
Author |
Webby, A. |
|
| |
Title |
Should non-Maori research and write about Maori? |
Type |
Journal Article |
| |
Year |
2008 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
14 |
Issue |
5 |
Pages |
20-21 |
|
| |
Keywords |
Maori; Nursing research |
|
| |
Abstract |
The author examines the complexities surrounding non-Maori nurse researchers working on Maori issues. She suggests that as long as respect and observation of Maori processes is shown, and work is undertaken collaboratively with Maori, then such a role is appropriate. |
|
| |
Call Number |
NRSNZNO @ research @ 1046 |
Serial |
1030 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Wilkinson, Jillian Ann |
|
| |
Title |
Ministerial Taskforce on Nursing : a struggle for control |
Type |
Journal Article |
| |
Year |
2008 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
24 |
Issue |
3 |
Pages |
5-16 |
|
| |
Keywords |
Nurse practitioner; Politics; Autonomy; Unionism |
|
| |
Abstract |
Traces the constitution and work of the Taskforce, along with the struggle that arose between nursing groups for power to control the future of advanced nursing practice. Backgrounds the factors that led to the withdrawal of the NZ Nurses' Organisation (NZNO) from the Taskforce. |
|
| |
Call Number |
NZNO @ research @ |
Serial |
1435 |
|
| Permanent link to this record |
