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Author |
Roy, D.E. |
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Title |
Exploring the realities: the lived experienced of chronic rheumatoid arthritis |
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Year |
1995 |
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Massey University Library, UNITEC Institute of Te |
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Rheumatoid arthritis is a chronic, systemic inflammatory disease of the connective tissues. People with rheumatoid arthritis often experience chronic pain, chronic fatigue and functional impairment for a large apart of their lives. The cause of rheumatoid arthritis is unknown, with three times more women than men being affected. There are many women who live with rheumatoid arthritis throughout much of their adult lives. Women with rheumatoid arthritis face the challenges and stresses of parenting, partnerships, and employment along with the need to cope with a chronic and increasingly debilitating disease.A review of the literature related to rheumatoid arthritis reveals a dearth of qualitative research, with few studies that focus specifically on women even though they constitute a significant percentage of the client group. Little is known from the clients' perspective of what it is like to live with chronic rheumatoid arthritis. This study, a single-participant case study using a phenomenological analysis, explores one woman's' reality of living with rheumatoid arthritis. As this woman's story unfolds, it is revealed how daily living with rheumatoid arthritis had been incorporated into a new way of being-in-the world. Her way of being-in-the-world is such that rheumatoid arthritis is very much a reality, impacting on most aspects of her life. Yet it does not dominate, as she continues with a very full and active life despite this disease |
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NRSNZNO @ research @ 188 |
Serial |
188 |
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Author |
Fleming, V.E.M. |
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Title |
Towards nursing advocacy: a socio-political process |
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Year |
1991 |
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Massey University Library, Palmerston North |
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This thesis provides a reflexive critique of the power structures which constrain nursing actions in the practice setting, an abortion clinic, of the registered nurses who participated in this study. The development of abortion services, like other health services for women, has been based on a medical ideology of health which has created many ethical dilemmas for nurses. One of the most complex of these is the extent to which nurses should fulfil the role of client advocate. While the literature on nursing advocacy has been prolific, published research in this area is scant.The theoretical assumptions of critical social science, provide the basis for the methodological approach of action research adapted in this study. In depth, unstructured interviews involving exchange of dialogue amongst the participants with the researcher focused on the participants' experiences of their own nursing practice, with a view to uncoveing and removing restrasints, which had prevented them fulfililng an advocacy role. Diaries were also kept and used as supplementary research tools.The analysis of the data demonstrates the ways in which nurses interpret their own practice world as a system independent of their own actions. It shows how the shared understandings of the participants were 'ideologically frozen' and power relations inherent in the health care system are deep rooted and subtle, coming to be treated as natural by the nurses, and so denying them their own ability to make changes.It is suggested that opportunities for nurses coming together and engaging in such critically reflexive dialogue may provide a basis for future emancipation from traditional power structures. In this way effective and satisfying nursing practice dependent on emancipatory knowledge and a reinterpretation of power structures may result in an advocacy role for nurses |
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NRSNZNO @ research @ 140 |
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140 |
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Author |
Woods, M. |
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Title |
Maintaining the nursing ethic: a grounded theory of the moral practice of experienced nurses |
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1997 |
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Massey University Library, Palmerston North |
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This thesis presents a study of the every-day moral decision making of experienced nurses. Eight experienced registered nurses participated in the completed research that is based on data gathered through interviews, document audit and literature review. A grounded theory approach was used to analyse the extensive data gathered for the study. This methodology generated a theoretical description involving the antecedents, processes and consequences of nursing moral decision making.Nursing practice has moral content, if not an entirely moral purpose, and moral decision making is the central component of this practice, yet the ethical aspects of nursing practice remain a comparatively recent field of study. It is therefore essential to nurses and their patients that this process is adequately studied and theorised. To date, very few studies have been undertaken in this area in New Zealand. This study aims to at least partially redress this situation by offering insights through conceptualisation and theoretical description of nursing moral decision making.The findings of the study reveal that antecedents such as personal moral development, upbringing and social experiences, contribute to a 'nursing ethic' in the moral decision making of experienced nurses. Furthermore, the study shows that the context and individual and shared perceptions of moral events influence the degree of nursing involvement in ethical situations. Finally, the study maintains that an intrinsic and persistent nursing ethic guides ethical decision making in nursing. This ethic is an undeniable phenomenon of considerable significance to nursing practice and education |
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NRSNZNO @ research @ 187 |
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187 |
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Author |
Idour, D.M.G. |
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Title |
Stepping beyond the known – the lived experience of returning registered nurse students: an interpretive descriptive study |
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1998 |
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Massey University Library, NZNO Library, UMI Disse |
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A Heideggerian Hermeneutical Analysis (HHA) approach was used for a study of returning registered nurse students (RRNS) from a nursing/health management context. In essence a descriptive interpretive study the intent has been to unveil the common meanings embedded in the lived experience of RRNS return to formal (advanced) studies. The phenomenon or issue of interest was pursued in the form of a question: What is meaningful and significant for participant RRNS in their everyday world on re-engaging in formal (advanced) nursing studies?Research from the RRNS viewpoint is scarce, so the focus of the study was to understand what RRNS themselves found to be the highlights of the experience. Participants included RRNS coming from a management background and, therefore, very much at the cutting edge of rapid and continuing change in health care provision. In addition to personal and professional reasons for returning to study, what the narratives disclosed was the compelling need experienced by the RRNS to increase understanding of changing requirements in the workplace. They looked for new possibilities to transform management of nursing/health services and for learning experiences favorable to that purpose. A key aspect of their concern related to the interactive nature of their lived experience as a RRNS with the entire context of their everyday world, that is, with the connections and relations between the study-work-homespace.Fourteen RRNS from an established university nursing programme participated in an expended non-structured interviews lasting 60 – 90 minutes. The interviews were held during 1993 in places selected by participants, some in the home but mostly in the work setting. With the consent of the participants interviews were audiotaped and then transcribed. The texts (transcriptions) were analysed hermeneutically using Heideggerian phenomenology, a particular tradition of philosophy whose concern is the meaning of Being. The concern is to make visible participants' experience of their 'world'. In this instance, it was the everyday 'world' of the participant RRNS and the lived meanings of what they experienced on return to formal (advanced) studies. Hence everyday lived experience is the focus of attention in Heiedeggerian phenomenology. In this research approach what is sought is understanding not explanation. It is a premise of phenemenology that, in general, an understanding of the meaning and significance of the lived experience can be required from the 'things' (the phenomena under study) themselves. Approaching a participant as an expert by virtue of directly experiencing the phenomenon, is basic to phenomenology. Hermeneutic analysis of the texts of the participant RRNS affirmed the authenticity of those assumptions.The study revealed several common or major themes, two relational themes and one constitutive pattern were identified through the process of textual interpretation. The constitutive pattern expressing the full complexity of the relations and connections between the themes, was found to be present in all fourteen texts; the nature of a constitutive pattern being 'that it's always there'. The constitutive pattern 'Nursing is Dwelling in Thoughtful Concern as Context Calls Forth', emerged as the major finding of the study. This pattern witnesses to the pragmatism that is inherent in nursing and commonly found in nurses' responses to the challenges presented by continuing and rapid change. For the participant RRNS nursing had become a way of engaging their energies in the workplace as appropriate to a given place, time and culture. The two relational themes accent particular aspects of the constitutive pattern. 'Nursing' is a whole pile of things'; and 'Curriculum: Reflective Openness' reveal the inherent meanings of the constitutive pattern. Firstly, that nursing is diverse in practice and has many dimensions; and,, secondly, that a curriculum befitting the diversity of nursing requires us to constantly challenge ad test the learning experiences we provide for RRNS.The fourteen participants traversed diverse pathways to acquire the understanding and skills required for altered health care structures. Adopting new relationships and 'leaping-ahead' (Heidegger, 1962), to be able to see the whole picture of what was being experienced in nursing/health care, reveals the RRNS becoming-as interpreters for both colleagues and clients. Leaping-ahead is reflective of thoughtful concern as the pattern of responding to presenting need. This way of living a life transforms work. The participant RRNS disclose that, dwelling in such a way in nursing/health work opens up a future of possibilities which brings all the presenting needs into focus. Sharing the story of their lifeworld as RRNS, the participants have exemplified the ' reflective openness' Senge(1990) advocates, as being a pre-requisite for 'learning organisations'. Contemporary oganisations require us to challenge our own thinking as well as being free to speak our minds ('participant openness'). Since, however much we value our daily life practices and understandings, they need to be 'always subject to test and improvement'. In effect, what the participants have bestowed on us is that, within the framework of a curriculum for RRNS and the content learning of a given course, we must generate a process of learning amenable to both individual and group requirements |
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NRSNZNO @ research @ 208 |
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208 |
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Author |
Garlick, A. |
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Title |
Determined to make a difference: A study of public health nursing practice with vulnerable families |
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Year |
2006 |
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Abbreviated Journal |
Massey University Library, NZNO Library |
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Keywords |
Public health; Children; Nurse-family relations |
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Call Number |
NRSNZNO @ research @ 737 |
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723 |
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Author |
McKillop, A.M. |
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Title |
Native health nursing in New Zealand 1911-1930: A new work and a new profession for women |
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1998 |
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Massey University Library, Northland Polytechnic L |
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The focus of this thesis is the practice of the nurses employed in the Native Health Nursing Scheme in New Zealand from 1911 to 1930. These nurses were a vanguard movement for change in community nursing services as they established a new role and developed innovative ways of practicing nursing while claiming greater autonomy and accountability for nurses who worked in community settings. Consequently they contributed to an increase in status for nurses in New Zealand.The Native Health Nursing Scheme was established by the Health Department to replace the Maori Health Nursing Scheme, an initiative by Maori leaders for Maori nurses to provide nursing care for their own people. The original scheme had foundered amid under-resourcing, a lack of support from hospital boards and administrative chaos. Government policy for Maori health was openly assimilationist and the mainly non-Maori Native Health nurses carried out this policy, yet paradoxically adapting their practice in order to be culturally acceptable to Maori.Their work with the Maori people placed the Native Health nurses in a unique position to claim professional territory in a new area of practice. As they took up the opportunities for an expanded nursing role, they practiced in a manner which would develop the scope and status of nursing. The geographical isolation of their practice setting provided the nurses with the challenge of practicing in an environment of minimal administrative and professional support, while also offering them the opportunity for independence and relative autonomy. Obedience, duty and virtue, qualities highly valued in women of the day, were expected especially in nurses. These expectations were in direct contrast to the qualities necessary to perform the duties of the Native Health nurse. The conditions under which these nurses worked and lived, the decisions they were required to make, and the partnerships they needed to establish to be effective in the communities in which they worked, required courage, strength, organizational ability and commitment |
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Call Number |
NRSNZNO @ research @ 14 |
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14 |
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Author |
Watson, P.B. |
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Title |
An understanding of family in the context of families facing the diagnosis of childhood cancer |
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Year |
1998 |
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Abbreviated Journal |
Massey University Library, Manawatu Polytechnic Li |
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The diagnosis of childhood cancer has a profound impact on the family. How nurses understand family affects their practice with families facing the diagnosis of childhood cancerShaped by Heideggerian phenomenology, van Manens methodology for hermeneutic phenomenology was used to construct an understanding of family from the experiences of family members facing the diagnosis of childhood cancer. Seven family members from two families, one mother, two fathers, two siblings, and two grandparents were interviewed about their experience of facing the diagnosis of childhood cancer.From the participants experience the meaning of family was interpreted as being-with-others, for-the-sake-of-others, who one might not distinguish from oneself. This understanding of family is recognisable, yet different from traditional definitions of family and may help nurses and family members to act more thoughtfully and tactfully with each other |
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NRSNZNO @ research @ 153 |
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153 |
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Author |
Rummel, L. |
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Title |
The proving ground: a phenomenological study of pre-registration comprehensive nursing students in acute care settings |
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1993 |
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Massey University Library, Carrington, Manukau & O |
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This research focuses upon the lived experience of Diploma of Comprehensive Nursing Students in their final clinical experience. It is generated from the narrative of the students, how they experience their practise, how they make clinical judgements and how they prepare themselves for their graduate practise. Twenty one participants were each interviewed three times throughout a 6-8 week clinical experience in an acute care setting |
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NRSNZNO @ research @ 122 |
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122 |
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Author |
Butterfield, S.L. |
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Title |
Helplessness or self care: a study of nursing practice with depressed patients in an In care setting |
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Year |
1982 |
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Massey University Library Palmerston North |
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This study was conducted to investigate the practise of Nurses when working with depressed patients in an In Care setting. A survey of the literature shows that the role commonly prescribed for nurses who work in psychiatric settings is one that emphasises a one- on -one relationship based on models of psychotherapy and focuses on individual illness, pathology, systems and psycho dynamics. It is suggested that this is not a role which most Nurses working in New Zealand psychiatric settings would be able to implement in practise. Three perspective's of Nursing practise were explored in the study. What Nurses were seen to do in practice. What they thought they should do as evidenced in results of an exercise to rank different possible interventions, and what patients said were helpful Nursing interventions. A framework was developed for the study which depicts the process of helplessness(depression) as the negative 'mirror -image' of the process of self care. Results were analysed within this framework to determine whether or not Nurses tended to support behaviours which were indicative of movement towards helplessness or encourage those which indicated progress towards self care by their interventions. There was little evidence of positive reinforcement for independent or coping behaviours with patients in the study sample. Further, the nursing practise showed little relationship to the role prescribed in the literature. The Nurses did demonstrate a warm caring friendly approach that seemed to stem from a more traditional 'succouring, mothering' view of Nurses' role |
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NRSNZNO @ research @ 61 |
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61 |
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Author |
Simpson, J. |
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Title |
Hospice nurses responses to patient non-acceptance of treatment or care |
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Year |
1998 |
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Abbreviated Journal |
Massey University Library (later 1999) |
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Hospice nurses in New Zealand provide supportive care to patients of settings. In doing so, the hospice nurse and team are likely to have an ideal of a “good death” that guides their practice.A 'good death“ is one where symptons are well controlled without over medicalisation, where there is an acceptance of death by the patient and loved ones and where appropriatepreparation and completion of unfinished business has occurred. The death itself is peaceful and the loved ones are present. However, patients or their families do not always accept the treatment or care that the nurses offer to facilitate the best quality of life and a ”good death“ for the patient. This may leave the nurses involved feeling distressed and confused, as they are confronted with the conflict between the patients' path and the nurses' ideals.This study employs critical incident technique to explore how nurses respond and feel when the patients decline the treatment or care the nurse feels will improve their quality of life and eventually lead to a ”good death“. The findings illustrate a broad range of treatment or care that is declined by either patients or their families in the first instance. This study uncovers a number of action responses nurses use in these situations, which demonstrate acceptance of patient choice but also need to help the patient experience a ”good death". In addition it demonstrates that nurses experience a gamut of emotional responses to such situations, some of which are painful for the nurse and have the potential to cause stress. Recommendations are made which may assist nurses limit the distress they experience when patients of their families decline the treatment or care, and empower nurses with further strategies to use in such situations |
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Call Number |
NRSNZNO @ research @ 306 |
Serial |
306 |
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Author |
Neville, S.J. |
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Title |
Well-being in the older male: an investigation of mental, social and physical well-being indicators in Wanganui men |
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Year |
1998 |
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Abbreviated Journal |
Massey University Library & Christchurch Polytechn |
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New Zealand's older population is gradually increasing. This will men the number of people with problems related to psychological and general well-being will also rise. When compared to women, men do not live as long, are more likely to die from intentional injury and use primary health services less. There is a paucity of research on older men, particularly within a New Zealand context. Because nurses work closely with people in primary, secondary and tertiary care settings they are well placed to undertake research and utilise research findings from studies relating to the older adult to promote health and well -being. The intention of the present study was to gain a greater understanding of those factors which impact on the well-being in older men. Based on Wan, Odell and Lewis's (1992) model of general well-being, mental, social and physical well-being indicators were investigated to examine their relationships to overall psychological well-being and physical health.The data for the present study was collected from a non-probability sample of 217 males (over 65 years) residing in the Wanganui area. Multiple regression analysis reveled that of the mental, social and physical indicators only satisfaction with social supports and number of visits to the doctor in the previous 12 months were significantly related to psychological well-being, and number of medications and illness/disabilities were significantly related to physical health as measured by self ratings of health.Findings are discussed in relation to the literature. It ids clear that nurses, and other health professionals, need to be aware of the relationship between objective health status and subjective well-being, and the distinction between the quality and quantity of support in order to provide effective care to older men. Finally the general limitations and future research implications are discussed |
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Call Number |
NRSNZNO @ research @ 215 |
Serial |
215 |
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Author |
Thomson, M.; Kinross, D.N.J.; Chick, D.N.P.; Corry, M.F.; Dowland, J. |
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Title |
People in hospital: a surgical ward |
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Year |
1977 |
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Abbreviated Journal |
Massey University Library |
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Abstract |
A study of work patterns on a surgical ward |
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NRSNZNO @ research @ 5 |
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5 |
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Author |
Euswas, P.W. |
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Title |
Professional nurses' view of caring in nursing practice: two preliminary studies in New Zealand |
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Year |
1991 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
Massey University Library |
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5 |
Issue |
3 |
Pages |
42 |
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Two convenience samples of 90 NZ registered nurses responded to two structured questionnaires designed to explore nurses views of caring in nursing practice.The studies demonstrate that nurses see caring as a central concept in their practice. From the response the meaning of caring was found to be multi dimensional, consisting of six components: value, expressive, action, relationship, knowledge and purpose. The value dimension includes areas such as humanistic value and professional value. The expressive component consists of empathy, compassion, trust, concern, sharing and willingness. Action components are helping, comforting, being there, empowering, advocacy, nurturing, advising, touching and performing nursing procedures. The major relationship component is partnership. An important part of the knowledge component is clinical expertise and the purposive component of caring consists of meeting health needs and promoting healing and welfare. The meaning of caring begins to emerge from these studies. However, they do not provide full understanding of caring phenomena. A further in-depth study of actual nursing practice is still in progress |
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NRSNZNO @ research @ 9 |
Serial |
9 |
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Author |
Pybus, M.W. |
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Title |
Public health nurses and families under stress: promoting children's health in complex situations |
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Year |
1993 |
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Abbreviated Journal |
Massey University Library |
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A description of the interaction between Public Health Nurses and stressed families that include children. It includes the perspective on the relationship of both the Nurses and the families ending with a classification of the goals of the service |
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NRSNZNO @ research @ 10 |
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10 |
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Author |
Wenmoth, J.D.A. |
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Title |
A phenomenological study examining the experience of nausea, vomiting and retching associated with pregnancy |
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Year |
1997 |
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Abbreviated Journal |
Massey University Library |
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This paper outlines a phenomenological study carried out to explore the experience of nausea, vomiting and retching associated with pregnancy. These phenomena lack Nursing research and are debilitating symptoms which effect the quality of life for 50-75% of all pregnant women. Madjar ( 1991) indicates that the communication of such experiences can deepen our understanding of human life and coping. It is importance for Nurses to develop an understanding of lived experiences so that they can make more effective interventions. This study explores the essential humanness of life experiences as they are for those who live them. It involved collecting data from those experiencing the phenomena and analysing it. It focuses on the study of phenomena not as separate entities in themselves but as they are perceived as they are experienced. A 'purposeful sample' was required for this study. The aim was to include women who had direct knowledge of the phenomena of nausea, vomiting and retching associated with pregnancy. The study involved in depth interviewing of six women, the interviews were taped and independently transcribed, the transcripts were analysed to determine the meaning of the experience and to identify common themes. The experiences of the women are discussed in relation to what van Manen (1990) describes as four main life world existentials; the lived body, the lived other, lived space and lived time |
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Call Number |
NRSNZNO @ research @ 15 |
Serial |
15 |
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