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Author Davenport, F.A.
Title Dying to know: A qualitative study exploring nurses' education in caring for the dying Type
Year 2004 Publication Abbreviated Journal (down) Massey University Library
Volume Issue Pages
Keywords Nursing; Education; Terminal care
Abstract
Call Number NRSNZNO @ research @ Serial 1111
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Author Latta, L.
Title Reflective storytelling to enhance learning from practice experience Type Book Chapter
Year 2005 Publication J. McDrury (Ed.), Nursing matters: A reader for teaching and learning in the clinical setting (pp.67-82). Abbreviated Journal (down)
Volume Issue Pages
Keywords Terminal care; Palliative care; Teaching methods; Nursing
Abstract The author looks at the value of using reflective storytelling as a teaching/learning tool in the hospice setting and examines constructs that provide a theoretical underpinning. She also outlines processes that support the implementation of storytelling practice and the creation of a safe space for storytelling. At the end of the chapter, discussion questions are provided by Janice McDrury.
Call Number NRSNZNO @ research @ Serial 767
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Author Carter, H.; MacLeod, R.; Brander, P.; McPherson, K.
Title Living with a terminal illness: Patients' priorities Type Journal Article
Year 2004 Publication Journal of Advanced Nursing Abbreviated Journal (down)
Volume 45 Issue 6 Pages 611-620
Keywords Terminal care; Quality of life; Nursing models; Cancer
Abstract The aim of this paper is to report on an exploratory, qualitative study exploring what people living with terminal illness considered were the areas of priority in their lives. Ten people living with terminal cancer were interviewed. Analysis of the interviews incorporated principles of narrative analysis and grounded theory. Over 30 categories were identified and collated into five inter-related themes (personal/intrinsic factors, external/extrinsic factors, future issues, perceptions of normality and taking charge) encompassing the issues of importance to all participants. Each theme focused on 'life and living' in relation to life as it was or would be without illness. Practical issues of daily living and the opportunity to address philosophical issues around the meaning of life emerged as important areas. The central theme, 'taking charge', concerned with people's levels of life engagement, was integrally connected to all other themes. The findings suggest that the way in which health professionals manage patients' involvement in matters such as symptom relief can impact on existential areas of concern. The findings challenge some aspects of traditional 'expert-defined' outcome measures. As this was an exploratory study, further work is needed to test and develop the model presented.
Call Number NRSNZNO @ research @ Serial 1061
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Author Polaschek, N.
Title Living on dialysis: Concerns of clients in a renal setting Type Journal Article
Year 2003 Publication Journal of Advanced Nursing Abbreviated Journal (down)
Volume 41 Issue 1 Pages 44-52
Keywords Nurse-patient relations; Psychology; Attitude to health; Terminal care
Abstract This article reports a study that sought to understand the experience of a group of Caucasian men with end stage renal failure managing their own haemodialysis therapy in their homes. The study used a critical interpretive methodology. The renal setting was critically viewed as a specialised health care context constituted by several interrelated discourses. Although established by the dominant professional discourse, it also includes a number of others, in particular an obscure client discourse that is a response to the dominant discourse. Initially, participants' own interpretations of their individual experiences were outlined. These were then collectively reinterpreted by contextualising them in terms of the critical view of the renal setting, in order to discern their own views as renal clients that were obscured by the language and ideas of the dominant discourse with which they had been enculturated. From an analysis of the set of accounts derived from interviews with six participants, four concerns of the renal client discourse were identified. These concerns were: (1) suffering from continuing symptoms of end stage renal failure and dialysis; (2) limitations resulting from negotiating dialysis into their lifestyle; (3) ongoingness and uncertainty of life on dialysis; and (4) altered relationship between autonomy and dependence inherent in living on dialysis. One specific implication of this study is that the distinctive potential of the nursing role in renal settings lies beyond the performance of a range of technical tasks, in addressing the experience of people living on dialysis, described here as the concerns of the renal client discourse.
Call Number NRSNZNO @ research @ Serial 1072
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Author Bickley, J.
Title A study of medical, nursing, and institutional not-for-resuscitation (NFR) discourses Type
Year 2002 Publication Abbreviated Journal (down)
Volume Issue Pages 317 pp
Keywords Clinical decision making; Attitude of health personnel; Hospitals; Terminal care
Abstract This study investigates the way that medical, nursing and institutional discourses construct knowledge in the specific context of Not-for-resuscitation (NFR)in a New Zealand general hospital where NFR guidelines are available in the wards and from the regional ethics committee. The thesis argues that there are ranges of techniques that staff use to construct NFR knowledge, enacted through various forms of speech and silence, which result in orderly and disorderly experiences for patients nearing death. The study was conducted through a critical analysis of the talk of health professionals and the Chairperson of the Regional Ethics Committee.
Call Number NRSNZNO @ research @ Serial 1117
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