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Author |
Johnson, H. |
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Title |
Clinical trials in the intensive care setting: A nursing perspective |
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Year |
2008 |
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Abbreviated Journal  |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
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Keywords |
Evaluation; Intensive care nursing |
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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. |
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Call Number |
NRSNZNO @ research @ |
Serial |
923 |
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Author |
McMillan, A. |
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Title |
The past influencing the future: A journey through occupational health |
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Year |
2002 |
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Abbreviated Journal |
Otago Polytechnic Library |
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Keywords |
Occupational health and safety |
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Abstract |
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Call Number |
NRSNZNO @ research @ 1268 |
Serial |
1253 |
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Author |
Kidd, J.D. |
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Title |
What's going on? Mental health nursing in New Zealand |
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Year |
2002 |
Publication |
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Abbreviated Journal |
Otago Polytechnic Library |
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Keywords |
Psychiatric Nursing; Nursing research |
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Abstract |
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Call Number |
NRSNZNO @ research @ |
Serial |
1255 |
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Author |
Jarvis, B.M.; Moytle, W. |
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Title |
Technical versus personal components of care in the coronary care unit |
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Year |
1983 |
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Abbreviated Journal |
Otago Hospital Board, Dunedin. |
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Abstract |
This study relates to the emphasis placed by Coronary care Nursing Staff on the technical aspects of care as compared with the personal aspects of care for the patient in this area |
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Call Number |
NRSNZNO @ research @ 107 |
Serial |
107 |
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Author |
Heenan, S.M.(retired) |
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Title |
On-going – a 4 week assessment of ward situations, staff utilisation and nursing care index |
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Year |
1978 |
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Abbreviated Journal |
Otago Hospital Board, Dunedin Hospital |
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Abstract |
The author does not have a copy of the project. |
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Call Number |
NRSNZNO @ research @ 1 |
Serial |
1 |
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Author |
Jarvis, B.M.; Mortimer, E.C. |
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Title |
Relevance of physical nursing assessment as seen by nurses and patients in the New Zealand setting |
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Year |
1983 |
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Abbreviated Journal |
Otago Hospital Board, Dunedin |
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Abstract |
A study to identify the relevance of the Nursing assessment phase of the Nursing process to Nurses and Patients in the New Zealand setting |
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Call Number |
NRSNZNO @ research @ 91 |
Serial |
91 |
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Author |
Jarvis, B.M. |
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Title |
The introduction of primary nursing in a paediatric ward with concurrent evaluation of the quality of nursing care and job satisfaction |
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Year |
1982 |
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Abbreviated Journal |
Otago Hospital Board, Dunedin |
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Abstract |
A project to implement Primary Nursing in a Paediatric Ward and to evaluate the effectiveness of this method of organising Nursing |
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Call Number |
NRSNZNO @ research @ 114 |
Serial |
114 |
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Author |
Jarvis, B.M. |
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Title |
Patient nurse dependency in community health |
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Year |
1981 |
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Abbreviated Journal |
Otago Hospital Board , Dunedin |
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Abstract |
A study designed to, 1. Establish a Patient- Nurse dependency Rating for those under care by District Nursing Service in the Dunedin urban area. 2. Utilise the information gained in ensuring an equitable work load for each District Nurse |
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Call Number |
NRSNZNO @ research @ 3 |
Serial |
3 |
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Author |
Jarvis, B.M. |
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Title |
Survey of 62 registered nurses on mathematical skills |
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Year |
1983 |
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Abbreviated Journal |
Otago Hospital Board |
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Abstract |
A survey of Registered Nurse to assess educational needs in areas of 1. Drug dosage calculations. 2. Strength and dilution of solutions. 3. Calculation of Intravenous Drug Times |
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Call Number |
NRSNZNO @ research @ 103 |
Serial |
103 |
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Author |
Allen, N.R. |
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Title |
The transition to institutional living: the experience of elderly people |
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Year |
1985 |
Publication |
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Abbreviated Journal |
Otago Area Health Board Library, Waikato Technical |
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Abstract |
The research identifies how elderly people perceive the transition from home to institutional living. The methodology for the discovery of grounded theory is used. A conceptualisation of the transition to institutional living as five sequential and inter-related phases is introduced. In the first phases of anticipation and reaction; subjects responses to challenges introduced by transition tend to predominate. The third and fourth phases are characterised by subjects working through these challenges to achieve mastery within the new situation. The final phase is manifest in each individuals' attributing personal meaning to the transition within the context of his or her total life. Mastery within the new situation is achieved through problem solving approaches to increasing dependency, acceptance of personal responsibility for adjustment and the perception of institutionalisation as but one incident in each person's life. This transition was found to differ from those described amongst younger populations. It is proposed that this difference occurs as a function of developmental stage , frailty and the environmental situation. The research a) emphasises the holistic nature and complexity of nursing with frail elderly clients, b) support the uses of concepts from developmental theory as a basis for nursing practise with elderly clients, and c) suggests ways in which nursing education and research may contribute to the development of nursing care for elderly clients |
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Call Number |
NRSNZNO @ research @ 128 |
Serial |
128 |
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Author |
Litchfield, M.; Ross, J. |
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Title |
The role of rural nurses: National survey |
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Report |
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Year |
2000 |
Publication |
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Abbreviated Journal |
Online on the Ministry of Health's Centre for Rural Health pages |
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Keywords |
Rural nursing; Personnel; Nursing specialties; Primary health care |
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Abstract |
A survey was used to reach as many nurses as possible involved with nursing in “rural” areas throughout New Zealand and to build a profile of nurses involved in the provision of healthcare beyond the urban centres. The contact also sought to inform nurses of the rural healthcare project and encourage them to contribute their experience to the development of health services in the new health service structure. Data is presented on the characteristics and employment conditions of nurses and access to resources including information technology. The inadequacy of information on the rural nurse workforce is identified: nurse roles are historically defined yet employment patterns are changing according to the workforce demands of new structures, and the existing definitions of rural health service design and delivery are only in terms of general medical practices and on-call coverage. Recommendations are made for definitions of “rurality” and “rural nurse” that will allow a more useful depiction of the nurse workforce. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1175 |
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Author |
Litchfield, M. |
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Title |
A framework of complementary models of nursing practice: A study of nursing roles and practice for a new era of healthcare provision in New Zealand |
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Report |
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Year |
2001 |
Publication |
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Abbreviated Journal |
Online on the Ministry of Health's Centre for Rural Health pages |
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Pages |
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Keywords |
Nursing models; Rural nursing; Policy; Scope of practice |
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Abstract |
This is the second of a series of research projects undertaken to present the contemporary picture of the nurse workforce and their work in rural settings to inform policy for development of rural healthcare. The document presents the findings of telephone interviews with nurses in different work rural work settings around the country discussing their practice. The analysis identified a framework of four models of nursing practice: two traditional models defined by the institutions employing nurses, and two emerging models defined by the new positions requiring nurses to respond directly to health need. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1176 |
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Author |
Litchfield, M. |
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Title |
The successful design and delivery of rural health services: The meaning of success |
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Report |
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Year |
2002 |
Publication |
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Abbreviated Journal |
Online on the Ministry of Health's Centre for Rural Health pages |
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Volume |
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Issue |
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Pages |
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Keywords |
Evaluation; Rural health services; Primary health care |
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Abstract |
This is the report of the analysis of data from an in-depth survey designed by Sue Dawson, previously Rural Health Researcher in the Centre for Rural Health, and follow-up interviews. The study purpose was to construct a definition of “successful design and delivery of rural health services” as a step towards a measurement tool. Participants were grouped as general practitioners, nurses and community representatives. A format for a participatory approach to evaluation of rural health services is derived from the criteria of success identified, with its relevance for the implementation of the new Government primary health care strategy explicit. This format provided the basis for a subsequent evaluation case study undertaken in a small rural forestry township by the Centre for Rural Health. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1177 |
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Author |
Stokes, G. |
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Title |
Who cares? Accountability for public safety in nurse education |
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Year |
2005 |
Publication |
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Abbreviated Journal |
Online at Research Space @ Auckland University |
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Keywords |
Nursing; Education; Accountability; Patient safety |
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Abstract |
The focus of this study is the management of unsafe nursing students within the tertiary education context. The moral dilemmas experienced by nurse educators, specifically linked to the issue of accountability for public safety, are explored. The theoretical framework for the thesis is informed by the two moral voices of justice and care identified by Gilligan and further developed using the work of Hekman and Lyotard. Case study methodology was used and data were collected from three schools of nursing and their respective educational organisations. Interviews were conducted with nurse educators and education administrators who had managed unsafe nursing students. Interviews were also conducted with representatives from the Nursing Council of New Zealand and the New Zealand Nurses Organisation to gain professional perspectives regarding public safety, nurse education and unsafe students. Transcripts were analysed using the strategies of categorical aggregation and direct interpretation. Issues identified in each of the three case studies were examined using philosophical and theoretical analyses. This thesis explores how students come to be identified as unsafe and the challenges this posed within three educational contexts. The justice and care moral voices of nurse educators and administrators and the ways in which these produced different ways of caring are made visible. Different competing and conflicting discourses of nursing and education are revealed, including the discourse of safety – one of the language games of nursing. The way in which participants positioned themselves and positioned others within these discourses are identified. Overall, education administrators considered accountability for public safety to be a specific professional, nursing responsibility and not a concern of education per se. This thesis provides an account of how nurse educators attempted to make the educational world safe for patients, students, and themselves. Participants experienced different tensions and moral dilemmas in the management of unsafe students, depending upon the moral language games they employed and the dominant discourse of the educational organisation. Nurse educators were expected to use the discourses of education to make their case and manage unsafe students. However, the discourses of nursing and education were found to be incommensurable and so the moral dilemmas experienced by nurse educators were detected as differends. This study bears witness to these differends. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1106 |
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Author |
Spence, D.; Anderson, M. |
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Title |
Implementing a prescribing practicum within a Masters programme in advanced nursing practice. A pilot study |
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Report |
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Year |
2006 |
Publication |
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Abbreviated Journal |
NZNO theses and research material webpage |
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Keywords |
Prescription authority; Nursing; Education; Students; Advanced nursing practice |
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Abstract |
This report presents the findings and recommendations derived from a collaborative action research pilot project undertaken alongside the implementation of two nurse prescribing practicum courses. The students, teachers and supervisors participating in year long Masters' level prescribing practica at Auckland University of Technology (AUT) and Eastern Institute of Technology (EIT) were interviewed about their perceptions, concerns and actions relating the first time implementation of their respective practicum papers. Research findings suggest that the practicum implementation has been successful overall, however there is a need to refine delivery, and to review current funding arrangements. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1136 |
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