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Author Chang, E.M.; Bidewell, J.W.; Huntington, A.D.; Daly, J.; Johnson, A.; Wilson, H.; Lambert, V.; Lambert, C.E.
Title A survey of role stress, coping and health in Australian and New Zealand hospital nurses Type Journal Article
Year 2008 Publication Intensive & Critical Care Nursing Abbreviated Journal
Volume 44 Issue 8 Pages (down) 1354-1362
Keywords Stress; Psychology; Cross-cultural comparison; Nursing
Abstract The aim of this study was to examine and compare Australian and New Zealand nurses' experience of workplace stress, coping strategies and health status. A postal survey was administered to 328 New South Wales (Australia) and 190 New Zealand volunteer acute care hospital nurses (response rate 41%) from randomly sampled nurses. The survey consisted of a demographic questionnaire, the Nursing Stress Scale, the WAYS of Coping Questionnaire and the SF-36 Health Survey Version 2. More frequent workplace stress predicted lower physical and mental health. Problem-focused coping was associated with better mental health. Emotion-focused coping was associated with reduced mental health. Coping styles did not predict physical health. New South Wales and New Zealand scored effectively the same on sources of workplace stress, stress coping methods, and physical and mental health when controlling for relevant variables. Results suggest mental health benefits for nurses who use problem-solving to cope with stress by addressing the external source of the stress, rather than emotion-focused coping in which nurses try to control or manage their internal response to stress. Cultural similarities and similar hospital environments could account for equivalent findings for New South Wales and New Zealand.
Call Number NRSNZNO @ research @ Serial 970
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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 (down) 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
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Author Rydon, S.E.; Rolleston, A.; Mackie, J.
Title Graduates and initial employment Type Journal Article
Year 2008 Publication Nurse Education Today Abbreviated Journal
Volume 28 Issue 5 Pages (down) 610-619
Keywords New graduate nurses; Curriculum; Work
Abstract This research project was undertaken to inform nurse educators in the Department of Nursing and Health Studies of Manukau Institute of Technology of the employment opportunities for new graduate nurses emerging from the three year degree and registration programme. Graduates from the programme for the previous three years were surveyed for their experiences in gaining employment. 89.8% of graduates were successful in gaining employment in the first three months post registration. The number of graduates employed within a district health board declined across the three years but there were no significant differences between cohorts. Overall, 73% of graduates were employed into new graduate positions. The majority of graduates felt that their nursing education prepared them well for their role as a registered nurse. The findings of the qualitative data identified a strong need for science throughout the degree; longer clinical blocks; increased hands on experience; more practice with skills and less theory in relation to practical experience.
Call Number NRSNZNO @ research @ Serial 701
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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 (down) 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
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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 (down) 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
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Author Peri, K.; Kerse, N.; Kiata, L.; Wilkinson, T.; Robinson, E.; Parsons, J.; Willingale, J.; Parsons, M.; Brown, P.; Pearson, J.R.; von Randow, M.; Arroll, B.
Title Promoting independence in residential care: Successful recruitment for a randomized controlled trial Type Journal Article
Year 2008 Publication Journal of the American Medical Directors Association Abbreviated Journal
Volume 9 Issue 4 Pages (down) 251-256
Keywords Research; Geriatric nursing; Rest homes; Evaluation; Attitude of health personnel
Abstract The aim of this study was to describe the recruitment strategy and association between facility and staff characteristics and success of resident recruitment for the Promoting Independence in Residential Care (PIRC) trial. A global impression of staff willingness to facilitate research was gauged by research nurses, facility characteristics were measured by staff interview. Forty-one (85%) facilities and 682 (83%) residents participated, median age was 85 years (range 65-101), and 74% were women. Participants had complex health problems. Recruitment rates were associated (but did not increase linearly) with the perceived willingness of staff, and were not associated with facility size. Design effects from the cluster recruitment differed according to outcome. The recruitment strategy was successful in recruiting a large sample of people with complex comorbidities and high levels of functional disability despite perceptions of staff reluctance. Staff willingness was related to recruitment success.
Call Number NRSNZNO @ research @ 803 Serial 787
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Author Gardner, A.; Hase, S.; Gardner, G.; Dunn, S.; Carryer, J.B.
Title From competence to capability: A study of nurse practitioners in clinical practice Type Journal Article
Year 2008 Publication Journal of Clinical Nursing Abbreviated Journal Author copy available 12 months after publication from QUT ePrints
Volume 17 Issue 2 Pages (down) 250-258
Keywords Nurse practitioners; Professional competence; Advanced nursing practice; Evaluation
Abstract This research aimed to understand the level and scope of practice of the nurse practitioner in Australia and New Zealand further using a capability framework. The original study, from which the present paper was developed, sought to identify competency standards for the extended role of the nurse practitioner in Australia and New Zealand. In doing so the researchers became aware that while competencies described many of the characteristics of the nurse practitioner they did not manage to tell the whole story. In a search of the literature, the concept of capability appeared to provide a potentially useful construct to describe the attributes of the nurse practitioner that went beyond competence. A secondary analysis of data obtained from the interviews with 15 nurse practitioners working in Australia and New Zealand was undertaken. The analysis showed that capability and its dimensions is a useful model for describing the advanced level attributes of nurse practitioners. Thus, nurse practitioners described elements of their practice that involved: using their competences in novel and complex situations as well as the familiar; being creative and innovative; knowing how to learn; having a high level of self-efficacy; and working well in teams. This study suggests dimensions of capability need to be considered in the education and evaluation of nurse practitioners.
Call Number NRSNZNO @ research @ 945 Serial 929
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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 (down) 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
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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 (down) 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
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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 (down) 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
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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 (down) 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
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Author Wilson, D.; Neville, S.J.
Title Nursing their way not our way: Working with vulnerable and marginalised populations Type Journal Article
Year 2008 Publication Contemporary Nurse Abbreviated Journal
Volume 27 Issue 2 Pages (down) 165-176
Keywords Maori; Geriatric nursing; Nurse-patient relations
Abstract This paper uses the findings of two studies to explore the nature of nurses' practice when working with vulnerable and marginalised populations, particularly with regard to the attributes of holism and individualised care. The first study was with the elderly with delirium and used a critical gerontological methodology informed by postmodernism and Foucault's understanding of discourse. The other study with indigenous Maori women utilised Glaserian grounded theory informed by a Maori-centred methodology. The findings show that a problem focussed approach to health care is offered to patients that does not incorporate individual health experiences. In addition, the social context integral to people's lives outside of the health care environment is ignored. Consequently, the foundations of nursing practice, that of holism, is found to be merely a rhetorical construct.
Call Number NRSNZNO @ research @ 799 Serial 783
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Author Spackman, N. E.
Title Nurses' early experiences with patient death Type
Year 2008 Publication Abbreviated Journal NZNO Library
Volume Issue Pages (down) 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
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Author DeSouza, R.
Title Wellness for all: The possibilities of cultural safety and cultural competence in New Zealand Type Journal Article
Year 2008 Publication Journal of Research in Nursing Abbreviated Journal
Volume 13 Issue 2 Pages (down) 125-135
Keywords Cultural safety; Nursing models; Cross-cultural comparison; Maori
Abstract The author contends that responses to cultural diversity in nursing need to consider the theory and practice developments of the profession, whilst also responding to broader social and historical process that prevent marginalised groups from utilising universal health services. A combination of approaches is suggested in this paper to meet these two imperatives. Cultural safety is one indigenous New Zealand nursing approach derived in response to inequalities for Maori, whereas cultural competence is an imported paradigm derived from a multicultural context. Furthermore, research and dialogue are required to examine points of complementarity and tension. This paper offers a beginning for this process.
Call Number NRSNZNO @ research @ 943 Serial 927
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Author Cumming, Glynis
Title From a generic to a gynaecological oncology Clinical Nurse Specialist: an evolving role Type Book Whole
Year 2008 Publication Abbreviated Journal
Volume Issue Pages (down) 106 p.
Keywords Clinical Nurse Specialist; Nursing role; Patient outcomes; Patient satisfaction; Gynaecology nursing; Oncology nursing
Abstract Explores the role of the generic clinical nurse specialist (CNS) in order to provide clarity and guidance for an evolving Gynaecological Oncology CNS. Undertakes an integrative literature review to identify the generic components of a CNS role, the factors that impact on role development, and to establish what current literature states regarding the impact of the CNS role on patient outcomes. Highlights clinical expert, educator, consultant, researcher and care coordinator as generic components of a CNS role, with relational practice key to improved patient outcomes and satisfaction.
Call Number NZNO @ research @ Serial 1704
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