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Author |
Sye, J. |
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Title |
A fine balance |
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Year |
2008 |
Publication |
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Abbreviated Journal |
AUT University Library |
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Volume |
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Issue |
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Pages |
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Keywords |
Paediatric nursing; Community health nursing; Nurse-patient relations; Children; Patient rights |
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Abstract  |
The aim of this study is to analyse the discourses drawn upon by community paediatric nurses in relation to children's rights to health. The philosophy of Michel Foucault has been used to underpin the analysis of the interviews and exemplars of five experienced community nurses, revealing conflicting power relationships and discourses. Rights are formalised morality and so from a children's rights perspective, discourses reflect both the moral and ethical positions of the nurses. Children are constructed as developing human beings whose moral status gradually changes and who, through a lack of developmental autonomy, entrust their decision-making to their representatives (parents and caregivers) as their trustees. Rights are correlative with the obligations and duties toward children by both families and society. Society constructs legislative and politically organised structures to govern raising children because children are an intrinsic social concern. Whilst representing society's interest in children's rights to health, nurses in the home act as a conduit for multiple governing structures. The nurses in this study construct their “truths” and knowledge about children's health rights from nursing, medicine, law, education, and social policy. However, the values of individual parents can conflict with universal values for children's health and wellbeing. Therefore representing society positions nurses as “agents of the state”, a role that potentially holds power over parents and children and leads to the epithet of “the health police”. Within the institution of the family, and in the privacy of the home, there are also mechanisms of power that can resist the mechanisms of the state and its representatives. Therefore the discourse “it takes a village to raise a child” competes with the “my home is my castle” discourse. Nurses negotiate a fine balance between these power relations. Nurses are challenged with using power productively to promote children's rights whilst respecting the role of parents and families. The author argues that children's rights are central to the moral and ethical work of nurses but that such work is often obscured and invisible. She proposes that children's community nurses are excellent at negotiating networking and connecting at a micro level, but need to create a more sophisticated and cohesive entity at a macro level to become fully political children's rights advocates. |
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Call Number |
NRSNZNO @ research @ 911 |
Serial |
895 |
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Author |
Cowan, L.M. |
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Title |
Alcohol and drug treatment for women: clinicians beliefs and practice |
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Year |
1999 |
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Abbreviated Journal |
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Abstract |
The aim of this study is to investigate whether clinicians consider women have different needs to men. To identify what specific treatment clinicians provided for women with alcohol and drug problems and ascertain whether various clinician variable, are elated to differences in beliefs and treatment provision.The questionnaire items for this study were included in the National Centre for Treatment Development (Alcohol, Drug & Addiction) New Zealand wide telephone survey of alcohol and drug clinicians. Independent interviewers surveyed 217 clinicians. Clinicians were first asked whether they believed women with alcohol and drug problems have differing treatment needs to men. Clinicians responses were compared with various clinician Socio-demographic characteristics (gender, age, ethnicity, professional group, years working in the alcohol and drug treatment field, work setting, qualifications/courses attended, location, and personal alcohol use).Key findings are that almost a quarter (24%) of the clinicians surveyed did not believe that women have different treatment needs to men. However the majority (76%) of clinicians do believe that women have different treatment needs to men. Furthermore findings from this study suggest that significant differences exist in relation to clinicians' practice in new Zealand in relation to clinician, gender, work setting (Crown Health Enterprise, outpatient and residential), and gender mix of caseload |
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Call Number |
NRSNZNO @ research @ 378 |
Serial |
378 |
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Author |
Tweed, C.; Tweed, M. |
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Title |
Intensive care nurses' knowledge of pressure ulcers: Development of an assessment tool and effect of an educational program |
Type |
Journal Article |
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Year |
2008 |
Publication |
American Journal of Critical Care |
Abbreviated Journal |
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Volume |
17 |
Issue |
4 |
Pages |
338-347 |
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Keywords |
Intensive care nursing; Training; Evaluation |
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Abstract |
The aim of this study was to assess intensive care nurses' knowledge of pressure ulcers and the impact of an educational programme on knowledge levels. A knowledge assessment test was developed. A cohort of registered nurses in a tertiary referral hospital in New Zealand had knowledge assessed three times: before an educational programme, within two weeks after the programme, and 20 weeks later. Completion of the educational programme resulted in improved levels of knowledge. Mean scores on the assessment test were 84% at baseline and 89% following the educational programme. The mean baseline score did not differ significantly from the mean 20-week follow-up score of 85%. No association was detected between demographic data and test scores. Content validity and standard setting were verified by using a variety of methods. Levels of knowledge to prevent and manage pressure ulcers were good initially and improved with an educational programme, but soon returned to baseline. |
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Call Number |
NRSNZNO @ research @ |
Serial |
958 |
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Author |
Kiata, L.; Kerse, N.; Dixon, R. |
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Title |
Residential care workers and residents: The New Zealand story |
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Journal Article |
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Year |
2005 |
Publication |
New Zealand Medical Journal |
Abbreviated Journal |
Access is free to articles older than 6 months, and abstracts. |
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Volume |
118 |
Issue |
1214 |
Pages |
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Keywords |
Rest homes; Maori; Pacific peoples; Asian peoples; Ethnicity; Recruitment and retention |
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Abstract |
The aim of this study was to describe the nature and size of long-term residential care homes in New Zealand; funding of facilities; and the ethnic and gender composition of residents and residential care workers nationwide. A postal, fax, and email survey of all long-term residential care homes in New Zealand was undertaken, with completed surveys received from an eligible 845 facilities (response rate: 55%). The majority of these (54%) facilities housed less than 30 residents. Of the 438 (94%) facilities completing the questions about residents' ethnicity, 432 (99%) housed residents from New Zealand European (Pakeha) descent, 156 (33%) housed at least 1 Maori resident, 71 (15%) at least 1 Pacific (Islands) resident, and 61 (13%) housed at least 1 Asian resident. Facilities employed a range of ethnically diverse staff, with 66% reporting Maori staff. Less than half of all facilities employed Pacific staff (43%) and Asian staff (33%). Registered nursing staff were mainly between 46 and 60 years (47%), and healthcare assistant staff were mostly between 25 and 45 years old (52%). Wide regional variation in the ethnic make up of staff was reported. About half of all staff were reported to have moved within the previous 2 years. The authors conclude that the age and turnover of the residential care workforce suggests the industry continues to be under threat from staffing shortages. While few ethnic minority residents live in long-term care facilities, staff come from diverse backgrounds, especially in certain regions. |
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Call Number |
NRSNZNO @ research @ 545 |
Serial |
531 |
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Author |
Peri, K.; Kerse, N.; Kiata, L.; Wilkinson, T.; Robinson, E.; Parsons, J.; Willingale, J.; Parsons, M.; Brown, P.; Pearson, J.R.; von Randow, M.; Arroll, B. |
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Title |
Promoting independence in residential care: Successful recruitment for a randomized controlled trial |
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Journal Article |
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Year |
2008 |
Publication |
Journal of the American Medical Directors Association |
Abbreviated Journal |
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Volume |
9 |
Issue |
4 |
Pages |
251-256 |
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Keywords |
Research; Geriatric nursing; Rest homes; Evaluation; Attitude of health personnel |
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Abstract |
The aim of this study was to describe the recruitment strategy and association between facility and staff characteristics and success of resident recruitment for the Promoting Independence in Residential Care (PIRC) trial. A global impression of staff willingness to facilitate research was gauged by research nurses, facility characteristics were measured by staff interview. Forty-one (85%) facilities and 682 (83%) residents participated, median age was 85 years (range 65-101), and 74% were women. Participants had complex health problems. Recruitment rates were associated (but did not increase linearly) with the perceived willingness of staff, and were not associated with facility size. Design effects from the cluster recruitment differed according to outcome. The recruitment strategy was successful in recruiting a large sample of people with complex comorbidities and high levels of functional disability despite perceptions of staff reluctance. Staff willingness was related to recruitment success. |
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Call Number |
NRSNZNO @ research @ 803 |
Serial |
787 |
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Author |
Clendon, J.; White, G.E. |
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Title |
The feasibility of a nurse practitioner-led primary health care clinic in a school setting: A community needs analysis |
Type |
Journal Article |
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Year |
2001 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
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Volume |
34 |
Issue |
2 |
Pages |
171-178 |
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Keywords |
Primary health care; Nurse managers; Advanced nursing practice; Community health nursing; School nursing |
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Abstract |
The aim of this study was to determine the feasibility of establishing a nurse practitioner-led, family focused, primary health care clinic within a New Zealand primary school environment as a means of addressing the health needs of children and families. A secondary aim was to ascertain whether public health nurses were the most appropriate nurses to lead such a clinic. Utilising a community needs analysis method, data were collected from demographic data, 17 key informant interviews and two focus group interviews. Analysis was exploratory and descriptive. Findings included the identification of a wide range of health issues. These included asthma management and control issues, the need to address poor parenting, and specific problems of the refugee and migrant population. Findings also demonstrated that participant understanding of the role of the public health nurse was less than anticipated and that community expectations were such that for a public health nurse to lead a primary health care clinic it would be likely that further skills would be required. Outcomes from investigating the practicalities of establishing a nurse practitioner-led clinic resulted in the preparation of a community-developed plan that would serve to address the health needs of children and families in the area the study was undertaken. Services that participants identified as being appropriate included health information, health education, health assessment and referral. The authors conclude that the establishment of a nurse practitioner-led, family focused, primary health care clinic in a primary school environment was feasible. While a public health nurse may fulfil the role of the nurse practitioner, it was established that preparation to an advanced level of practice would be required. |
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Call Number |
NRSNZNO @ research @ |
Serial |
952 |
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Author |
Flynn, L.; Carryer, J.B.; Budge, C. |
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Title |
Organisational attributes valued by hospital, home care, and district nurses in the United States and New Zealand |
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Journal Article |
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Year |
2005 |
Publication |
Journal of Nursing Scholarship |
Abbreviated Journal |
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Volume |
37 |
Issue |
1 |
Pages |
67-72 |
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Keywords |
Organisational culture; Cross-cultural comparison; Nursing |
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Abstract |
The aim of this study was to determine whether hospital-based, home care, and district nurses identify a core set of organisational attributes in the nursing work environment that they value as important to the support of professional practice. Survey data, collected in 2002 2003 from 403 home care nurses in the United States and 320 district nurses in New Zealand, were pooled with an existing data set of 669 hospital-based nurses to conduct this descriptive, nonexperimental study. The importance of organisational attributes in the nursing work environment was measured using the Nursing Work Index-Revised (NWI-R). The authors found that at least 80% of hospital-based, home care, and district nurses either agreed or strongly agreed that 47 of the 49 items comprising the NWI-R represented organisational attributes they considered important to the support of their professional nursing practice. Mean importance scores among home care nurses, however, were significantly lower than were those of the other two groups. The authors conclude that the overall, hospital-based, home care, and district nurses had a high level of agreement regarding the importance of organisational traits to the support of their professional practice. The intensity of the attributes' importance was less among home care nurses. Further research is needed to determine whether this set of organisational traits, measured using the NWI-R, is associated with positive nurse and patient outcomes in home care and district nursing practice, as has been shown in acute care settings. |
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Call Number |
NRSNZNO @ research @ |
Serial |
886 |
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Author |
Crowe, M.; O'Malley, J.; Gordon, S. |
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Title |
Meeting the needs of consumers in the community: A working partnership in mental health in New Zealand |
Type |
Journal Article |
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Year |
2001 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
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Volume |
35 |
Issue |
1 |
Pages |
88-96 |
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Keywords |
Community health nursing; Psychiatric Nursing; Patient satisfaction; Mental health |
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Abstract |
The aim of this study was to evaluate whether the services that community mental health nurses provide are meeting the needs of consumers in the community. This was a joint project between nurses and consumers. It was a service-specific descriptive research project utilising qualitative methods of data collection and analysis that provides a model for working in partnership. The results of this research identify collaboration in planning care and sharing information as two areas of concern but generally the consumers were very satisfied with the care provided by community mental health nurses. The analysis of the data suggests that consumers value nursing care because nurses provide support in their own home; they help consumers develop strategies for coping with their illness and their life; they provide practical assistance when it is required; they are vigilant about any deterioration or improvement; and they are available and accessible. The results of this study have demonstrated that nurses will remain critical to the success of community-based care because of their ability and willingness to be flexible to the demands of their own organisation and the users of services. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1087 |
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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. |
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Title |
A survey of role stress, coping and health in Australian and New Zealand hospital nurses |
Type |
Journal Article |
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Year |
2008 |
Publication |
Intensive & Critical Care Nursing |
Abbreviated Journal |
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Volume |
44 |
Issue |
8 |
Pages |
1354-1362 |
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Keywords |
Stress; Psychology; Cross-cultural comparison; Nursing |
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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. |
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Call Number |
NRSNZNO @ research @ |
Serial |
970 |
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Author |
Budge, C.; Carryer, J.B.; Wood, S. |
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Title |
Health correlates of autonomy, control and professional relationships in the nursing work environment |
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Journal Article |
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Year |
2003 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
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Volume |
42 |
Issue |
3 |
Pages |
260-268 |
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Keywords |
Workplace; Occupational health and safety; Registered nurses |
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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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Call Number |
NRSNZNO @ research @ |
Serial |
703 |
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Author |
Honey, M. |
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Title |
Teaching and learning with technology as enabler: A case study on flexible learning for postgraduate nurses |
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Year |
2007 |
Publication |
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Abbreviated Journal |
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Volume |
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Issue |
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Pages |
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Keywords |
Education; Technology; Nursing; Professional development; Teaching methods |
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Abstract |
The aim of this study was to explore the practice of flexible learning for postgraduate nurses. Flexible learning is a contemporary approach to learning that utilises the benefits of technology. Flexible learning can be understood as a continuum, from fully on-line or web-based courses, to those that are on-campus and supported by technology. Internationally, the rise of flexible learning has been influenced by increased demand for higher education and competition among providers within the context of reduced education funding. The study population, New Zealand postgraduate nurses, are accessing higher education in increasing numbers to advance their practice and to position themselves for new roles and opportunities. These are often experienced nurses yet inexperienced in higher university education, who combine study, work and other commitments. The study employed a qualitative case study design because it enabled multiple perspectives to be gained. Data included documentation, participant observation, survey, students' assessed work and interviews with key stakeholders: student, teacher and the organisation. Thematic analysis was conducted on reviewed documentation, participant observation and interviews. The study identifies the elements that contribute to flexible learning and the interconnectedness between the elements within the dynamic context of a university to illustrate that effective flexible learning can be provided by using a student centred approach to ensure the learning needs of postgraduate nurses are met. The author concludes that flexible learning improved access, choice, and provided an emphasis on the student as central to learning. In response to these findings the weighting of recommendations are toward the organisation as, the author suggests, it is at this level where greater change can be made to improve support for flexible learning provision. |
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Call Number |
NRSNZNO @ research @ |
Serial |
473 |
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Author |
Bolitho, S.; Huntington, A.D. |
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Title |
Experiences of Maori families accessing health care for their unwell children: A pilot study |
Type |
Journal Article |
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Year |
2006 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
22 |
Issue |
1 |
Pages |
23-32 |
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Keywords |
Maori; Qualiltative research; Access; Children; Parents and caregivers |
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Abstract |
The aim of this study was to explore with a small number of Maori families their experiences of accessing health care when their children were unwell with a respiratory condition. A qualitative research methodology was used in the study. Participating families were among those experiencing an admission to a children's ward between July and December 2003. Four families were interviewed. They discussed in depth their experience of accessing health care for their unwell children. Data were analysed using thematic analysis, and three common themes were evident: family resources, choice of health service provider and parents' feelings of vulnerability. The findings highlight that while socio-economic status plays a large part in determining the ease with which families can access the needed health care, there are other barriers within the health system which also pose difficulties for Maori. |
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Call Number |
NRSNZNO @ research @ 535 |
Serial |
521 |
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Author |
Stokes, C. |
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Title |
Nursing students experience of journalling |
Type |
Miscellaneous |
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Year |
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Publication |
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Abbreviated Journal |
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Issue |
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Pages |
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Abstract |
The aim of this study was to identify some nursing students' perceptions of how the process of journalling helps them to learn about nursing. The study sample were three students enrolled full time in a Bachelor of Nursing programme and at the end of their first year. Each student volunteer participated in a semi-structured audio-taped interview, guided by the opening question “What is journalling like for you?” The tapes were transcribed, coded and analysed for general themes. Each participant received a copy of her transcript and was invited to alter, add or delete any information. The findings highlighted the difficulties of beginning to journal, learning how to journal, personal growth through journalling, the journal as a critical document of oneself, a love-hate relationship with journalling, and what journalling is like now |
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Call Number |
NRSNZNO @ research @ 214 |
Serial |
214 |
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Author |
Bridge, R.; Grinter, K. |
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Title |
How prepared is your field of nursing to care for people with AIDS? |
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Miscellaneous |
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Publication |
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Abbreviated Journal |
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Issue |
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Pages |
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Abstract |
The aim of this study was to investigate what attitudes do District Nurses have towards people with AIDS and what knowledge do they have of AIDS. It is hoped that the results will help indicate the direction of future inservice education.102 District Nurses were given a questionnaire that examined knowledge and attitudes, using both Yes/No responses, and a five point likert scale.The results show that there is a relationship between knowledge and attitudes (p=3.8%). Attitudes were generally more positive than knowledge. The study indicated that attitudes deteriorated with increasing age whereas they improved with increasing experience. For those who claimed to have had little or no education the study showed a relationship between lower knowledge and poorer attitudes. The study showed that further education is needed in areas such as: transmission of HIV, care involved for people with AIDS, resources available and the issues surrounding this disease |
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Call Number |
NRSNZNO @ research @ 406 |
Serial |
406 |
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Author |
Goodyear-Smith, F.; Janes, R. |
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Title |
New Zealand rural primary health care workforce in 2005: More than just a doctor shortage |
Type |
Journal Article |
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Year |
2008 |
Publication |
Australian Journal of Rural Health |
Abbreviated Journal |
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Volume |
16 |
Issue |
1 |
Pages |
40-46 |
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Keywords |
Personnel; Physicians; Rural health services; Nursing; Primary health care; Pharmacists |
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Abstract |
The aim of this study was to obtain a 2005 snapshot of the New Zealand rural primary health care workforce, specifically GPs, general practice nurses and community pharmacists. A postal questionnaire was distributed to rural general practice managers, GPs, nurses, community pharmacy managers and pharmacists in November 2005. The self-reported data included information on demographics, country of training, years in practice, business ownership, hours worked including on-call, and intention to leave rural practice. |
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Call Number |
NRSNZNO @ research @ |
Serial |
966 |
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