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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 (down) 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
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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 (down) 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
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Author Harding, T.S.; North, N.; Perkins, R.
Title Sexualizing men's touch: Male nurses and the use of intimate touch in clinical practice Type Journal Article
Year 2008 Publication Research & Theory for Nursing Practice Abbreviated Journal
Volume 22 Issue 2 Pages (down) 88-102
Keywords Male nurses; Nurse-patient relations; Gender
Abstract Drawn from a larger study, this article reports the experiences of a group of male nurses regarding the use of intimate physical touch. Using discourse analysis, interview data from 18 male nurses were analysed and related to existing text on men as nurses. The analysis reveals that although touch is important in nursing care, it is problematic for men because discourses have normalised women's use of touch as a caring behaviour and have sexualised men's touch. Participants described their vulnerability, how they protected themselves from risk, and the resulting stress. The complicity of nurses in sexualising men's touch and the neglect of educators in preparing men for providing intimate care are revealed. A paradox emerged whereby the very measures employed to protect both patients and men as nurses exacerbate the perceived risk posed by men carrying out intimate care. The authors suggest that deconstructing and reframing prevailing discourses around nursing, gender, and caring involving touch can help to legitimise men's involvement in physical caring.
Call Number NRSNZNO @ research @ Serial 960
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Author Litchfield, M.; Jonsdottir, H.
Title A practice discipline that's here and now Type Journal Article
Year 2008 Publication Advances in Nursing Science Abbreviated Journal
Volume 31 Issue 1 Pages (down) 79-92
Keywords Nursing research; Policy; Nursing philosophy
Abstract The article is a collaborative writing venture drawing on research findings from New Zealand and Iceland to contribute to the international scholarship on the status and future direction of the nursing discipline. It takes an overview of the international historical trends in nursing knowledge development and proposes a framework for contemporary nursing research that accommodates the past efforts and paradigms of nurse scholars and reflects the changing thinking around the humanness of the health circumstance as the focus of the nursing discipline. It addresses contemporary challenges facing nurses as practitioners and researchers for advancement of practice and delivery of health services, and for influencing health policy.
Call Number NRSNZNO @ research @ Serial 1174
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Author Honeyfield, Margy
Title The necessity of effective nursing leadership for the retention of professional hospital nurses Type
Year 2008 Publication Abbreviated Journal Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz
Volume Issue Pages (down) 64
Keywords Recruitment and retention; Leadership; Nursing; Policy
Abstract The author notes that it is widely accepted that there is a global shortage of nurses, and there are many studies in the health workforce literature about the negative aspects of nurse work environments, nursing workloads, decreased job satisfaction of nurses and the impact these have on patient health outcomes. In the past five years there has also been international and New Zealand-specific research into the effects of health restructuring on nursing leadership, retention of nurses, and on patient care. Much of this research has shown that countries with very different health care systems have similar problems, not only with retention of qualified nursing staff due to high levels of job dissatisfaction, but also with work design and the provision of good quality patient care in hospitals. This dissertation explores the many detrimental effects on nurses and nursing leadership, of extensive, and continuing, public health restructuring in New Zealand. The context of this dissertation is New Zealand public hospitals, with references pertaining to medical and surgical areas of nursing practice. Health reforms have negatively impacted on patient care delivery systems, patient health outcomes, and retention of educated nurses in the workforce. In order to resolve these issues, coordinated efforts are required in New Zealand district health boards to develop and sustain effective nursing leaders, who will promote and assist in the development of strong, healthy organisational cultures to retain and support professional nurses and the ways in which they wish to practise.
Call Number NRSNZNO @ research @ Serial 868
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Author Major, G.; Holmes, J.
Title How do nurses describe health care procedures? Analysing nurse-patient interaction in a hospital ward Type Journal Article
Year 2008 Publication Australian Journal of Advanced Nursing Abbreviated Journal
Volume 25 Issue 4 Pages (down) 58-70
Keywords Communication; Nursing; Nurse-patient relations
Abstract This study examines the communication strategies used by nurses on the ward in one aspect of the job, namely the ways that they describe health procedures to patients. The data used in this project was collected by nurses on a busy hospital ward as part of Victoria University's Language in the Workplace Project. Three nurses carried minidisc recorders as they went about their normal working day, recording their conversations with patients, visitors, and other staff. The data was collected in a women's hospital ward. All patients, nurses, cleaners and ward clerks were female; two doctors were female and two were male. Twenty three instances where nurses described procedures to patients were identified in the data set. The analysis identified several typical components; indicated there was no fixed order of components; and demonstrated that all except the core component of describing the procedure were optional rather than obligatory elements. The researchers note this is qualitative and exploratory research. The findings demonstrate the benefit of discourse analysis within a sociolinguistic framework for the analysis of nurse-patient interaction. The results indicate that health discourse is not one-sided, nor is it as straightforward as many nursing textbooks suggest.
Call Number NRSNZNO @ research @ 975 Serial 959
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Author Harding, T.S.
Title Men's clinical career pathways: Widening the understanding Type Journal Article
Year 2008 Publication Klinisk sygepleje Abbreviated Journal Coda: An institutional repository for the New Zealand ITP sector
Volume 22 Issue 3 Pages (down) 48-57
Keywords Male nurses; Gender; Careers in nursing
Abstract This article, drawn from a larger study, reports on the factors that have influenced the choice of a group of New Zealand male nurses' clinical career pathways. Using discourse analysis, interview data from 18 participants were analysed and related to existing literature on male nurses. The analysis revealed that the predominance of men in selected areas of nursing can be attributed to multiple factors including: socialisation pressures that are grounded on gender stereotyping, a desire for challenge, homosocial tendencies, and the belief that multiple work experience equips them to be better nurses. The results challenge essentialist readings of masculinity within the context of nursing and identifies challenges for nursing education and the profession to enable men to contribute more widely to nursing.
Call Number NRSNZNO @ research @ Serial 646
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Author Hardcastle, J.
Title 'Back to the bedside': Graduate level education in critical care Type Journal Article
Year 2008 Publication Nurse Education in Practice Abbreviated Journal
Volume 8 Issue 1 Pages (down) 46-53
Keywords Nursing specialties; Nursing; Education; Curriculum
Abstract This paper explores the relationships within teaching, learning and practice development in critical care nursing and questions the popular assumption that 'post graduate (Master's level) education fits all'. The need for critical care nurses to apply advanced knowledge and technical skills to complex and dynamic practice situations necessitates the development of critical thinking and a problem-solving approach to clinical practice that can be fostered through education and experience. Discussion focuses on the successful development and implementation of graduate level education for critical care nurses in the South Island of New Zealand and how this development is challenging existing approaches to the provision and evaluation of formal critical care education in New Zealand.
Call Number NRSNZNO @ research @ Serial 656
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Author Yarwood, Judy
Title Nurses' view of family nursing in community contexts: an exploratory study Type Journal Article
Year 2008 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 24 Issue 2 (Jul) Pages (down) 41-51
Keywords Family; Family nursing; Community Nurses; Relationships
Abstract Explores, through the use of focus groups, ways in which community based nurses interact with family as a whole. Identifies Public health, Practice, District, Well child health and rural nurses as all having an integral role in building relationships with family to ensure child and family health. Suggests the findings point to a need for the establishment of a recognised family/family health nursing role.
Call Number NZNO @ research @ Serial 1433
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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 (down) 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
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Author Goodyear-Smith, F.; Janes, R.
Title New Zealand rural primary health care workforce in 2005: More than just a doctor shortage Type Journal Article
Year 2008 Publication Australian Journal of Rural Health Abbreviated Journal
Volume 16 Issue 1 Pages (down) 40-46
Keywords Personnel; Physicians; Rural health services; Nursing; Primary health care; Pharmacists
Abstract The aim of this study was to obtain a 2005 snapshot of the New Zealand rural primary health care workforce, specifically GPs, general practice nurses and community pharmacists. A postal questionnaire was distributed to rural general practice managers, GPs, nurses, community pharmacy managers and pharmacists in November 2005. The self-reported data included information on demographics, country of training, years in practice, business ownership, hours worked including on-call, and intention to leave rural practice.
Call Number NRSNZNO @ research @ Serial 966
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Author Wilson, S.; Carryer, J.B.
Title Emotional competence and nursing education : A New Zealand study Type Journal Article
Year 2008 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 24 Issue 1 (Mar) Pages (down) 36-47
Keywords Teaching methods; Communication; Nursing; Education; Nursing models
Abstract Explores the challenges encountered by nurse educators who seek to assess aspects related to emotional competence in nursing students. This emotional competence includes nurses managing their own emotional life along with the skill to relate effectively to the multiple colleagues and agencies that nurses work alongside. The research was designed to explore the views of nurse educators about the challenges they encounter when seeking to assess a student's development of emotional competence during the three year bachelor of nursing degree. Focus groups were used to obtain from educators evidence of feeling and opinion as to how theory and practice environments influence student nurses' development of emotional competence. The process of thematic analysis was utilised and three key themes arose as areas of importance to the participants. These were personal and social competence collectively comprises emotional competence in nursing; emotional competence is a key component of fitness to practise; and transforming caring into practice. The findings of the study indicate a need for definition of what emotional competence is in nursing. It is argued that educators and practicing nurses, who work alongside students, must uphold the expectation that emotional competence is a requisite ability and should themselves be able to role model emotionally competent communication.
Call Number NRSNZNO @ research @ Serial 451
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Author Darbyshire, P.
Title 'Never mind the quality, feel the width': The nonsense of 'quality', 'excellence', and 'audit' in education, health and research Type Journal Article
Year 2008 Publication Collegian: Journal of the Royal College of Nursing Australia Abbreviated Journal
Volume 15 Issue 1 Pages (down) 35-41
Keywords Accountability; Quality assurance; Organisational change; Nursing research; Nursing; Education
Abstract The author contends that health care and education have been colonised by 'The Audit Society' and managerialism. It is argued that under the benign guise of 'improving quality' and 'ensuring value for money' a more Orwellian purpose operates. Academics had to be transformed into a workforce of 'docile bodies', willing to scrutinise and survey themselves and their 'performance' as outcome deliverers and disciples of the new 'Qualispeak'. This paper critiques the current obsession with audit and performativity, and the constant and often pointless 'change' that is held to be so self-evidently 'a good thing' and identifies policy discussion as a linguistic wasteland.
Call Number NRSNZNO @ research @ Serial 967
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Author Curtis, K.; Donoghue, J.
Title The trauma nurse coordinator in Australia and New Zealand: A progress survey of demographics, role function, and resources Type Journal Article
Year 2008 Publication Journal of Trauma Nursing Abbreviated Journal
Volume 15 Issue 2 Pages (down) 34-42
Keywords Emergency nursing; Personnel; Nurse managers; Economics
Abstract An initial profile of the demographics and current practice of Australian trauma nurse coordinators (TNCs) was conducted in 2003. The study identified common and differing role components, provided information to assist with establishing national parameters for the role, and identified the resources perceived necessary to enable the role to be performed effectively. This article compares the findings of the 2003 study with a 2007 survey, expanded to include New Zealand trauma coordinators. Forty-nine people, identified as working in a TNC capacity in Australia and New Zealand, were invited to participate in February 2007. Participation in the research enabled an update of the previously compiled Australia/New Zealand trauma network list. Thirty-six surveys (71.5% response rate) were returned. Descriptive statistics were undertaken for each item, and comparisons were made among states, territories, and countries. Participants reported that most of their time was spent fulfilling the trauma registry component of the role (27% of total hours), followed by quality and clinical activities (19% of total hours), education, and administration. The component associated with the least amount of time was outreach (3% of total hours). Although the proportion of time has almost halved since 2003, TNCs still spend the most time maintaining trauma registries. Compared to the 2003 survey, Australian and New Zealand TNCs are working more unpaid overtime, spending more time performing quality and clinical activities and less time doing data entry. Despite where one works, the role components identified are fulfilled to a certain extent. However, the authors conclude that trauma centres need to provide the TNC with adequate resources if trauma care systems are to be optimally effective
Call Number NRSNZNO @ research @ Serial 964
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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 (down) 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
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