| |
Records |
Links  |
|
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 |
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 |
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 |
|
| Permanent link to this record |
| |
|
| |
|
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 |
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 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Roulston, E. |
|
| |
Title |
Storytelling: The story of my advancing rural nursing journey |
Type |
Book Chapter |
| |
Year |
2008 |
Publication |
Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 57-65) |
Abbreviated Journal |
|
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Rural nursing; Nursing philosophy; Scope of practice |
|
| |
Abstract |
The author takes a storytelling approach to describe her advancing practice as a registered nurse in a rural context. She adapted a theoretical 'reflective learning through storytelling' framework, from McDrury and Alterio (2002). The framework includes the concepts of reflection, learning, knowledge and experience which is related to professional practice and one's self. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
751 |
|
| 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 |
Dredge, A. |
|
| |
Title |
Satisfaction with and importance of selected preceptor characteristics: A new graduate 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 |
New graduate nurses; Preceptorship; Training |
|
| |
Abstract |
This pilot descriptive study examines and measures the characteristics of preceptors of new graduate registered nurses undertaking the Nurse Entry to Practice Programme in an acute hospital in New Zealand. Thirty-three new graduate registered nurses at the five month stage of the programme completed a questionnaire pertaining to the characteristics of their preceptors. The questionnaires were adapted from the Ferrans and Powers (1998) Quality of Life Questionnaire. The adapted questionnaires were designed to measure the importance, satisfaction and overall quality of the preceptor's characteristics as perceived by the new graduate registered nurse, using a Likert Scale. Literature both international and national was examined to gain an understanding of the importance of the characteristics in question, in relation to the new graduate registered nurse preceptee experience. Descriptive data revealed the importance of characteristics as perceived by the new graduate nurse preceptee, and how satisfied the new graduate nurse was with their particular preceptor's characteristics. The results identified that the majority of new graduates were satisfied with the characteristics of their preceptor but there was evidence of negative discrepancies between the mean importance and satisfaction scores. The range of data between the scores of the overall quality of the preceptor uncovered areas where the quality of preceptorship was unsatisfactory as perceived by the new graduate nurse. The discrepancies in the data were examined and recommendations made for additional research, regarding selection and evaluation of preceptors of the new graduate registered nurse within the hospital environment. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
912 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Farmer, D. |
|
| |
Title |
Wairarapa Primary Health Care Nursing Workforce Survey – 2007: A replication |
Type |
|
| |
Year |
2008 |
Publication |
|
Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Primary health care; Nursing |
|
| |
Abstract |
The introduction of the 2001 New Zealand Primary Health Care Strategy has seen increased emphasis on the development of the national primary health care nursing workforce. National and local nursing workforce development initiatives, in response to the strategy, have seen evolving models of primary health care nursing practice in New Zealand. Research was undertaken in 2007 to review the current position of the Wairarapa primary health care nursing workforce. Quantitative, descriptive data was generated through the application, at a local level, of the 2001 Ministry of Health Primary Health Care and Community Nursing Workforce survey tool. Many of the regional challenges highlighted by survey respondents in 2007 are similar to those identified in the national 2001 survey. These include predominantly low numbers of Maori, Pacific and male primary health care nurses and a fragmented, part-time and aging workforce with many respondents indicating they undertake more than one nursing role in their organisation. Respondents were similarly unsure or did not have clear clinical career pathways available to them, a mechanism by which nurses can advance their clinical practice. Some unique service provision and workforce development issues related to Wairarapa's rural context include: geographical barriers, population spread and the high health needs of its rural population. Some unique regional differences compared to the 2001 data are: lower numbers of nurses studying toward further qualifications and specific barriers to accessing education opportunities that can be linked to living in a rural region. More respondents indicated they could work collaboratively with other nurses and health professionals within their own and other organisations. While many respondents were able to provide insightful examples of specific nursing strategies in their practice targeted towards reducing inequalities for groups at risk, others could not. Enrolled nurses remain part of the Wairarapa primary health care nursing workforce. Ten percent of the respondents were actively practising enrolled nurses with an average of 24 years experience in primary health care nursing. Direction and delegation requirements by registered nurses for this group and national attrition trends with corresponding loss of workforce experience of enrolled nurses highlight an area in the Wairarapa primary health care nursing workforce that requires further consideration. Overall this study contributes to current knowledge by establishing a regional nursing workforce baseline from which to measure and enable focused future workforce development initiatives and research. Regional findings can be used to inform recommendations within the Wairarapa Primary Health Care Nursing Action Plan 2006-11 to enhance the delivery of well-developed primary health care nursing services with benefits for the Wairarapa community. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
913 |
|
| Permanent link to this record |
| |
|
| |
|
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 |
| |
|
| |
|
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 |
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 |
| |
|
| |
|
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 |
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 |
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 |
|
| 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 |
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 |
| |
|
| |
|
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 |
