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Holloway, K. T., & Pearson, J. R. (2005). Trailblazers: Primary health care programme evaluation. (Vol. Paper presented June 2004 at Royal New Zealand Plu).
Abstract: This report is an evaluation of the academic journey undertaken by a group of newly graduated nurses who were sponsored by a New Zealand district health board to work in a variety of primary health care nursing settings. The impetus for this pilot employment option was the Ministry of Health's focus on primary health care nursing and workforce development for this sector and the Expert Advisory Committee for primary health care nursing's recommendations to district health boards regarding employment of graduate nurses and support for them to engage in post graduate study. Evaluation participants were primarily the graduate nurses who were interviewed at the end of their first year of practice which was following programme completion then again nine to ten months later. Findings include the nurses reflections on what supported them and what acted to impede as barriers to their learning success and practice development. The report concludes with five recommendations that can be used to ensure that the travels of future newly graduated nurses taking this pathway are supported, safe and successful.
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Richardson, S. K., Grainger, P.C., & Joyce, L. R. (2022). Challenging the culture of Emergency Department violence and aggression. NZMJ, 135(1554). Retrieved May 17, 2024, from https://journal.nzma.org.nz/
Abstract: Outlines findings from a longitudinal study of the reporting of violence and aggression (V&A) within Christchurch Hospital Emergency Department (ED). Continues a prospective, longitudinal cohort study involving repeated yearly audits of ED staff reporting V&A during the same month each year. Employs an audit approach, focussing on the accuracy of routine reporting. Captures data from 2014-2020,including staff members' professional group, gender, category of V&A (e.g. verbal or physical abuse or threat, and physical or sexual assault), date and location of incident, and the individual who committed the violence.
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Richardson, S. K., Grainger, P. C., Ardagh, M. W., & Morrison, R. (2018). Violence and aggression in the emergency department is under-reported and under-appreciated. New Zealand Medical Journal, 131(1476). Retrieved May 17, 2024, from www.nzma.org.nz/journal
Abstract: Examines levels of reported violence and aggression within a tertiary-level emergency department (ED) in NZ. Explores staff attitudes to violence and the reporting of it. Conducts a one-month intensive prospective audit of the reporting of violence and aggression within the ED. Compares results with previously-reported data, and finds that failure to report acts of violence is common. Highlights that emergency nurses are the primary targets of abuse and confirms the effect it has on retention.
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Crowe, M., Jones, V., Stone, M. - A., & Coe, G. (2019). The clinical effectiveness of nursing models of diabetes care: A synthesis of the evidence. International Journal of Nursing Studies, 93. Retrieved May 17, 2024, from http://dx.doi.org/https://doi.org/10.1016/j.ijnurstu.2019.03.004
Abstract: Determines the clinical effectiveness, in terms of glycaemic control, other biological measures, cost-effectiveness and patient satisfaction, of nurse-led diabetes interventions led by primary health care nurses. Uses PRISMA guidelines for reporting the results of a systematic review of the literature. Compares quantitative studies of physician-led care and cost-effectiveness, with qualitative studies of patient experiences of nurse-led care.
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Harding, T. S. (2007). The construction of men who are nurses as gay. Coda: An institutional repository for the New Zealand ITP sector, 60(6), 636–644.
Abstract: This paper is a report of a study to determine the construction of male nurses as gay, and to describe how this discourse impacts on a group of New Zealand male nurses. This social constructionist study drew on data collected from existing texts on men, nursing and masculinity and interviews with 18 New Zealand men conducted in 2003-2004. Discourse analysis, informed by masculinity theory and queer theory, was used to analyse the data. Despite the participants' beliefs that the majority of male nurses are heterosexual, the stereotype persists. A paradox emerged between the 'homosexual' general nurse and the 'heterosexual' pyschiatric nurse. The stigma associated with homosexuality exposes male nurses to homophobia in the workplace. The heterosexual men employed strategies to avoid the presumption of homosexuality; these included: avoiding contact with gay colleagues and overt expression of their heterosexuality. These stigmatising discourses create a barrier to caring and, aligned with the presence of homophobia in the workplace, deter men's entry into the profession and may be important issues with respect to their retention.
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Kinealy, T., Arroll, B., Kenealy, H., Docherty, B., Scott, D., Scragg, R., et al. (2004). Diabetes care: Practice nurse roles, attitudes and concerns. Journal of Advanced Nursing, 48(11), 68–75.
Abstract: The aim of this paper is to report a study to compare the diabetes-related work roles, training and attitudes of practice nurses in New Zealand surveyed in 1990 and 1999, to consider whether barriers to practice nurse diabetes care changed through that decade, and whether ongoing barriers will be addressed by current changes in primary care. Questionnaires were mailed to all 146 practice nurses in South Auckland in 1990 and to all 180 in 1999, asking about personal and practice descriptions, practice organisation, time spent with patients with diabetes, screening practices, components of care undertaken by practice nurses, difficulties and barriers to good practice, training in diabetes and need for further education. The 1999 questionnaire also asked about nurse prescribing and influence on patient quality of life. More nurses surveyed in 1999 had post-registration diabetes training than those in 1990, although most of those surveyed in both years wanted further training. In 1999, nurses looked after more patients with diabetes, without spending more time on diabetes care than nurses in 1990. Nevertheless, they reported increased involvement in the more complex areas of diabetes care. Respondents in 1999 were no more likely than those in 1990 to adjust treatment, and gave a full range of opinion for and against proposals to allow nurse prescribing. The relatively low response rate to the 1990 survey may lead to an underestimate of changes between 1990 and 1999. Developments in New Zealand primary care are likely to increase the role of primary health care nurses in diabetes. Research and evaluation is required to ascertain whether this increasing role translates into improved outcomes for patients.
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Budge, C., Carryer, J. B., & Wood, S. (2003). Health correlates of autonomy, control and professional relationships in the nursing work environment. Journal of Advanced Nursing, 42(3), 260–268.
Abstract: The aim of this study was to examine nursing in New Zealand and to see whether aspects of the work environment are associated with health status. A total of 225 registered nurses in a general hospital completed the Revised Nursing Work Index (NWI-R) and Medical Outcomes Study (MOS) 36-Item Short-Form Health Survey (SF-36). Ratings indicated that the New Zealand hospital environment was characterized by less autonomy and control and better nurse-physician relations than in USA hospitals. Results of correlations demonstrated that more positive ratings of the three workplace attributes were associated with better health status amongst the nurses. The results of regression analyses were indicative either of a confounding relationship or of a mediating relationship such that nurses' relations with physicians, administration and other departments mediate the associations between autonomy, control and health status.
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McKenna, B., Smith, N. A., Poole, S., & Coverdale, J. (2003). Horizontal violence: Experiences of registered nurses in their first year of practice. Journal of Advanced Nursing, 42(1), 90–96.
Abstract: The aims of this study were to determine the prevalence of horizontal violence, or bullying, experienced by nurses in their first year of practice; to describe the characteristics of the most distressing incidents experienced; to determine the consequences, and measure the psychological impact, of such events; and to determine the adequacy of training received to manage horizontal violence. An anonymous survey was mailed to 1169 nurses in New Zealand who had registered in the year prior to November 2000 with a response rate of 47%. Many new graduates experienced horizontal violence across all clinical settings. Absenteeism from work, the high number of respondents who considered leaving nursing, and scores on the Impact of Event Scale all indicated the serious impact of interpersonal conflict. Nearly half of the events described were not reported, only 12% of those who described a distressing incident received formal debriefing, and the majority of respondents had no training to manage the behaviour.
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Teunissen, C., Burrell, B., & Maskill, V. (2020). Effective surgical teams: an integrative literature review. Western Journal of Nursing Research, 42(1). Retrieved May 17, 2024, from http://dx.doi.org/https://doi.org/10.1177/0193945919834896
Abstract: Evaluates the aids and barriers for perioperative teams in functioning effectively, preventing adverse events, and fostering a culture of safety. Undertakes an integrative review of the literature. Highlights the role of theatre nurses in situational awareness (SA), running the theatre and assuming leadership of the team.
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Wiapo, C., Sami, L., Komene, E., Wilkinson, S., Davis, J., Cooper, B., et al. (2023). From kaimahi to enrolled nurse: A successful workforce initiative to increase Maori nurses in primary health care. Nursing Praxis in Aotearoa New Zealand, 39(1). Retrieved May 17, 2024, from http://dx.doi.org/https://doi.org/10.36951/001c.74476
Abstract: Describes a national initiative to increase the capacity and capability of the Maori health workforce by supporting kaimahi (unregulated health workers) to become enrolled nurses (EN) delivering care within their communities. Uses Kaupapa Maori principles to create a strengths-based framework, focusing on self-determination and validating Matauranga Maori (Maori knowledge). Outlines the key components of the Earn as you Learn model.
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Zambas, S., Dewar, J., & McGregor, J. (2023). The Maori student nurse experience of cohorting: Enhancing retention and professional identity as a Maori nurse. Nursing Praxis in Aotearoa New Zealand, 39(1). Retrieved May 17, 2024, from http://dx.doi.org/https://doi.org/10.36951/001c.73358
Abstract: Identifies cohorting as a culturally-responsive teaching and learning strategy, which in the case of a Bachelor of Health Science Nursing programme led to whanaungatanga (connection), tikanga (correct practice), wananga (learning conversation), and manaakitanga (ethic of care) among the Maori cohorts. Conducts focus groups with students in years two and three of the programme to explore their experiences.
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Komene, E., Sami, L., Wiapo, C., Davis, J., & Adams, S. (2023). Whakaropu: an exemplar fostering professional development and cultural growth with a collective grouping of Maori and Pacific nurses. Nursing Praxis in Aotearoa New Zealand, 39(2). Retrieved May 17, 2024, from http://dx.doi.org/https://doi.org/10.36951/001c.90845
Abstract: Reports on the experiences of five Maori and two Pacific nurses, and three senior indigenous nurse leaders, of being involved in a whakaropu (collective grouping) to attend and present at the National Enrolled Nurse Conference. Conducts face-to-face and online interviews with the members of the group to determine the value of the innovation to foster learning experiences for Maori and Pacific nurses.
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Cook, C., Brunton, M., Chapman, M. K., & Roskruge, M. (2021). Frontline nurses' sensemaking during the initial phase of the COVID19 pandemic in 2020 Aotearoa New Zealand. Nursing Praxis in Aotearoa New Zealand, 37(3). Retrieved May 17, 2024, from www.nursingpraxis.org
Abstract: Identifies the impact of the pandemic on front-line nurses, based on qualitative data from a national mixed-methodology study done between October and December 2020. Conducts 29 interviews via Zoom and telephone with nurses in a range of front-line clinical roles. Highlights the place of organisational culture, communication and clinical leadership in either strengthening or weakening professional commitment.
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Jamieson, I., Andrew, C., & King, J. (2021). Keeping our borders safe: The social stigma of nursing in managed isolation and quarantine border facilities during the COVID-19 pandemic. Nursing Praxis in Aotearoa New Zealand, 37(3). Retrieved May 17, 2024, from www.nursingpraxis.org
Abstract: Reports a qualitative, single-centre descriptive study of the experiences of nurses
working in managed isolation and quarantine facilities (MIQFs)in Aotearoa New Zealand. Conducts 14 semi-structured interviews, via Zoom, with registered nurses working in MIQFs, focusing on the personal and social impacts on the nurses. Identifies four themes: protecting the community while being a risk to the community; social stigma; families and social connections; being part of, but apart from, other health professionals. Underlines the importance for employers, colleagues, and the wider community of supporting nurses during a pandemic.
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Clark, T. C., Best, O., Bearskin, M. L. B., Wilson, D., Power, T., Phillips-Beck, W., et al. (2021). COVID-19 among Indigenous communities: Case studies on Indigenous nursing responses in Australia, Canada, New Zealand, and the United States. Nursing Praxis in Aotearoa New Zealand, 37(3). Retrieved May 17, 2024, from www.nursingpraxis.org
Abstract: Presents case studies from NZ, Australia, Canada, and the United States of America, exploring aspects of government policies, public health actions, and indigenous nursing leadership, for indigenous communities during the COVID-19 pandemic. Demonstrates that indigenous self-determination, data sovereignty, and holistic approaches to pandemic responses should inform vaccination strategies and pandemic readiness plans.
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