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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 (down) 44 Issue 8 Pages 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 Kent, B.
Title Surgeon assistant's role within the New Zealand health care setting Type Journal Article
Year 2008 Publication Dissector Abbreviated Journal
Volume (down) 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
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Author Hoare, K.; Fairhurst-Winstanley, W.; Horsburgh, M.; McCormack, R.
Title Nurse employment in primary care: UK and New Zealand Type Journal Article
Year 2008 Publication New Zealand Family Physician Abbreviated Journal The Royal New Zealand College of General Practitioners website
Volume (down) 35 Issue 1 Pages 4-10
Keywords Primary health care; Scope of practice; Nursing models
Abstract The researchers evaluate and compare the organisation of general practice in the UK and New Zealand. A key aim of the Primary Health Care Strategy is a reduction in health inequalities. Locally, some nurse leaders suggest that changing nurse practice employment from general practitioners to Primary Health Organisations will achieve this aim. The authors take lessons from the UK and suggest that nurses organising themselves into peer groups, remuneration of general practices for the attainment of positive patient outcomes, and a statutory duty of clinical governance, all contributed to the development of practice nurses' roles and expansion of numbers of nurse practitioners in general practice. Nurses have become partners with general practitioners in general practice in the UK, which the authors suggest is a much preferable alternative for some than employment by a Primary Health Organisation.
Call Number NRSNZNO @ research @ Serial 453
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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 (down) 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
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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 (down) 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
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Author Koorey, R.
Title Is there a place for clinical supervision in perioperative nursing? Type Journal Article
Year 2008 Publication Dissector Abbreviated Journal
Volume (down) 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
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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 (down) 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
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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 (down) 31 Issue 1 Pages 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 Rydon, S.E.; Rolleston, A.; Mackie, J.
Title Graduates and initial employment Type Journal Article
Year 2008 Publication Nurse Education Today Abbreviated Journal
Volume (down) 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
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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 (down) 27 Issue 2 Pages 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 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 (down) 25 Issue 4 Pages 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 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 (down) 24 Issue 1 (Mar) Pages 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 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 (down) 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
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Author Diers, D.
Title “Noses and eyes”: Nurse practitioners in New Zealand Type Journal Article
Year 2008 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume (down) 24 Issue 1 (Mar) Pages 4-10
Keywords Cross-cultural comparison; Nurse practitioners; History of nursing
Abstract Principles for understanding and evolving nurse practitioner practice, politics and policy are distilled from 40 years of experience in the United States and Australia. The issues in all countries are remarkably similar. The author suggests that some historical and conceptual grounding may assist the continuing development of this expanded role for nursing in New Zealand.
Call Number NRSNZNO @ research @ Serial 965
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Author Robertson, Heather R; Neville, Stephen
Title Health promotion impact evaluation : 'healthy messages calendar (Te maramataka korero hauora)' Type Journal Article
Year 2008 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume (down) 24 Issue 1 (Mar) Pages p.24-35
Keywords Health promotion; Inequalities; Impact evaluation; Maori health
Abstract Evaluates the project to determine if it was an effective health promotion tool for the dissemination of health information. Obtains qualitative data from 5 focus groups and analyses data using a general inductive approach. Concludes that there are positive links between health promotion practices and the health needs of a local community.
Call Number NZNO @ research @ Serial 1430
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