| Records |
| Author |
Neville, S.J. |
| Title |
Delirium in the older adult: A critical gerontological approach |
Type |
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| Year |
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Publication |
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Abbreviated Journal |
Massey University Library |
| Volume |
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Issue |
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Pages |
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| Keywords |
Geriatric nursing; Older people |
Abstract  |
The purpose of this thesis has been to explore the discursive production of delirium in people over the age of 65 years. The philosophical approaches underpinning the study were derived from the field of critical gerontology, postmodernism and the utilisation of a Foucauldian understanding of discourse and power/knowledge. Data sources included published documents on delirium, interviews with people over the age of 65 years who had been delirious (as well as their clinical notes), family members, registered nurses and a doctor. Textual analysis revealed the presence of two contesting and contradictory discourses that impacted on being an older person who had delirium. These were identified as the discourse of delirium as a syndrome and a personal discourse of delirium. The discourse of delirium as a syndrome is underpinned by the biomedicalisation of the ageing process. This process utilises scientific methods as the foundation from which to understand, research and provide a health service to older people with delirium. Any personal perspectives on delirium are rendered unimportant and relegated to marginalised positions. Nursing through its vicarious relationship to medicine is interpellated into deploying the discourse of delirium as a syndrome and has largely ignored the personal dimensions associated with this phenomenon. Consequently, the older delirious 'body' is known and inscribed as unruly, problematic, physically unwell, cognitively impaired and at risk. Conversely, a personal discourse of delirium privileges the individual narratives of people who have been delirious and provides a different perspective of delirium. The deployment of a personal discourse of delirium offers another position that views this group of older people as bringing to the health care setting a rich tapestry of life experiences that are more than a cluster of signs and symptoms. It is these varied life experiences that need to be included as a legitimate source of knowledge about delirium. This thesis demonstrates how nursing needs to espouse a critical gerontological position when working with older people who have delirium. Critical gerontology provides nurses with the theoretical tools to challenge the status quo and uncover the multiple, varied, contradictory and complex representations of delirium in older people. |
| Call Number |
NRSNZNO @ research @ 598 |
Serial |
584 |
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| Author |
Euswas, P.W. |
| Title |
The actualized caring moment: a grounded theory of caring in nursing practice |
Type |
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| Year |
1991 |
Publication |
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Abbreviated Journal |
Massey University Library |
| Volume |
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Issue |
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Pages |
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| Keywords |
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| Abstract |
The purpose of this study was to provide a partial theoretical description of the phenomenon of caring in nursing practice. Three practice settings involving cancer patients were selected: hospital, hospice, and community with thirty patients and thirty-two nurses participating in the study. A research design combining a phenomenological perspective and grounded theory strategies was implemented. Data were collected by interview, participant observation and records. The data were analysed by the method of constant comparative analysis.A number of concepts were developed from the data and the theoretical framework of “The Actualized Caring Moment” was formulated to explain how the actual caring process occurs in nursing practice. This caring moment is the moment at which the nurse and the patient realise their intersubjective connectedness in transforming healing-growing as human beings in a specific-dynamic changing situation. The actualized caring moment is a gestalt configuration of three carting moments. The pre-conditions, The on-going interaction, and The situated context.The Pre-conditions, which consist of the nurse, personally and professionally prepared to care, and the patient, a person with compromised health and wellbeing, are pre-requisites for the occurrence of the caring process. The nurses has the qualities of benevolence, commitment, and clinical competency to be ready to care. The patient is a unique person in a vulnerable state and requires assistance from the nurse to meet personal health needs.The on-going interaction, the actual caring process, is the continuity of the nurse-patient interaction moment by moment which brings together six caring elements: Being there, Being mindfully present, A relationship of trust Participation in meeting needs, Empathetic communication, and Balancing knowledge-energy-time. The Situated Context is the situation and environment where the actual caring process is taking place, and this is comprised of circumstances of the nurse-patient meeting and care-facilitating working conditions.The conceptual framework of “The Actualised Caring Moment” offers nurses an opportunity to understand their practice more fully in providing effective nursing service. Consequently, its implications are valuable for education, research, and the development of knowledge focussed on the discipline of nursing |
| Call Number |
NRSNZNO @ research @ 337 |
Serial |
337 |
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| Author |
Bramley, C.J. |
| Title |
The nurse and the problem drinker: a study of helping behaviour |
Type |
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| Year |
1981 |
Publication |
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Abbreviated Journal |
Massey University Library |
| Volume |
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Issue |
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Pages |
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| Keywords |
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| Abstract |
The purpose of this study is to examine aspects of the behaviour of Nurses towards persons with alcohol related problems. Similarities and differences in helpful and unhelpful behaviour as perceived by providers and users of care are identified using the behaviour to alcoholism management ( B.R.A.M.) scale. The research covers two phases. In phase One 27 Registered Nurses and 12 members of Alcoholics Anonymous completed critical incident questionnaires which furnished a list of helpful behaviours and a list of unhelpful behaviours. These have been analysed and a set of descriptive statements prepared which constitutes the B.R. A.M. scale. In Phase Two this has been administered to 67 Registered Nurses and 46 members of Alcoholics Anonymous and the results assessed. The findings show that Nurses and Problem Drinkers view the same behaviour as helpful. There is however a significant difference between the two groups on the types of behaviour they consider to be unhelpful. This finding has consequences for those who provide care for problem Drinkers and for Teachers and students in education programs for Nurses |
| Call Number |
NRSNZNO @ research @ 116 |
Serial |
116 |
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| Author |
Wilkinson, J.A. |
| Title |
The New Zealand nurse practitioner polemic: A discourse analysis |
Type |
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| Year |
2007 |
Publication |
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Abbreviated Journal |
Massey University Library |
| Volume |
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Issue |
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Pages |
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| Keywords |
Nurse practitioners; History of nursing |
| Abstract |
The purpose of this research has been to trace the development of the nurse practitioner role in New Zealand. Using a discourse analytical approach informed by the work of Michel Foucault, the study foregrounds the discourses that have constructed the nurse practitioner role within the New Zealand social and political context. The author suggests that discourses of nursing and of medicine have established systems of disciplinary practices that produce nurses and physicians within defined role boundaries, not because of legislation, but because discourse has constructed certain rules. The nurse practitioner role transcends those boundaries and offers the possibility of a new and potentially more liberating identity for nurses and nursing. A plural approach of both textuality and discursivity was used to guide the analysis of texts chosen from published literature and from nine interviews conducted with individuals who have been influential in the unfolding of the nurse practitioner role. Both professionally and industrially and in academic and regulatory terms dating back to the Nurses Registration Act, 1901, the political discourses and disciplinary practices serving to position nurses in the health care sector and to represent nursing are examined. The play of these forces has created an interstice from which the nurse practitioner role in New Zealand could emerge. In combination with a new state regime of primary health care, the notion of an autonomous nursing profession in both practice and regulation has challenged medicine's traditional right to surveillance of nursing practice. Through a kind of regulated freedom, the availability of assessment, diagnostic and prescribing practices within a nursing discourse signals a radical shift in how nursing can be represented. The author concludes that the nurse practitioner polemic has revolutionised the nursing subject, and may in turn lead to a qualitatively different health service. |
| Call Number |
NRSNZNO @ research @ 517 |
Serial |
503 |
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| Author |
Bassett-Smith, J.L. |
| Title |
Midwifery practice: authenticating the experience of childbirth |
Type |
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| Year |
1988 |
Publication |
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Abbreviated Journal |
Massey University Library |
| Volume |
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Issue |
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Pages |
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| Keywords |
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| Abstract |
The purpose of this grounded theory study was to identify, describe and provide a conceptual explanation of the process of care offered by midwives and the effects of that care on women's experiences of childbirth on hospital. Ten couple participants and their attendant midwives provided the major source of data. The primary data collection methods used in this study were participant observation during each couple's experience of labour and birthing, antenatal, hospital and postnatal interviews with couples along with formal and informal interviews with midwives.Constant comparative analysis of data eventuated in the identification, in the context of this study denotes a process that is engaged in by both midwives and birthing women in order to establish practice, and the experience of giving birth, as being individually genuine and valid.Authenticating is multifaceted and is seen to include the intertwined and simultaneously occurring phases of 'making sense', 'reframing', 'balancing' an 'mutually engaging'.The process of authenticating is proposed as a possible conceptual framework for midwifery practice. It identifies the unique contribution the midwife can make to a couple's experience of childbirth and serves in a conceptual way to unite the technical and interpersonal expertness of the midwife. The conceptual framework of authenticating legitimizes 'being with' women in childbirth and facilitates a women-centred approach to care with consequent implications for practice, education and research |
| Call Number |
NRSNZNO @ research @ 222 |
Serial |
222 |
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| Author |
Rodgers, J.A. |
| Title |
Nursing education in New Zealand 1883 to 1930: the persistance of the Nightingale ethos |
Type |
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| Year |
1985 |
Publication |
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Abbreviated Journal |
Massey University Library |
| Volume |
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Issue |
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Pages |
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| Keywords |
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| Abstract |
The Nightingale ethos with its allegiance to the traditional belief in women's responsibility for nurturance, cleanliness and order, aided in the shaping of early formal nursing education in New Zealand |
| Call Number |
NRSNZNO @ research @ 82 |
Serial |
82 |
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| Author |
Cooney, C. |
| Title |
The ICN international classification for nursing practice project. Terms used by community-based mental health nurses to describe their practice |
Type |
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| Year |
1996 |
Publication |
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Abbreviated Journal |
Massey University Library |
| Volume |
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Issue |
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Pages |
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| Keywords |
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| Abstract |
The ICN International classification for nursing practice project.Terms used by Community-based Mental Health Nurses to describe their practice.In December 1995 a team of advisors from throughout the Asia and pacific region gathered in Taipei, Republic of China, for the International Council of Nurses (ICN) International Classification of Nursing Practice (ICNP) project. During the week long workshop the early draft Classification architecture was presented and exercises were undertaken to test the relevance and accuracy of selected Terms and associated characteristics from the classification. The team of Consultants, who have been working on the Classification since 1990, identified that the most underdeveloped aspects of the hierarchy were community health and mental health nursing. They encouraged the team of Advisors to conduct research with nurses to add to these areas of the Classification in particular.The purpose of the ICP is to make nursing visible through an internationally accepted language which represents nursing diagnoses, interventions and outcomes. The classification is sponsored by ICN and follows a format similar to the WHO International Classification of Diseases (ICD) which is used extensively throughout the world to statistically record work completed by medical practitioners.The research undertaken at Lakeland Health with five Community-based Mental Health Nurses used the retrospective method of nursing diagnosis validation tool and field exercise method provided by the ICNP Consultant team. These were underpinned by participatory action research methodology. Over four sessions the participants identified six Terms and then field tested each to assess the relevance of that Term in practice. At the weekly sessions the participants shared their reflections on the validity of each Term and discussed other outcomes resulting from their involvement in the research process.The research report outlines the ICNP project and associated literature, explains the research methodology, identifies the resulting Terms and characteristics ready for submission to the ICNP Consultant team and examines outcomes from involvement in the participatory process |
| Call Number |
NRSNZNO @ research @ 363 |
Serial |
363 |
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| Author |
McKillop, A.M. |
| Title |
Native health nursing in New Zealand 1911-1930: A new work and a new profession for women |
Type |
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| Year |
1998 |
Publication |
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Abbreviated Journal |
Massey University Library, Northland Polytechnic L |
| Volume |
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Issue |
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Pages |
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| Keywords |
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| Abstract |
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 |
| Call Number |
NRSNZNO @ research @ 14 |
Serial |
14 |
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| Author |
Batten, L. |
| Title |
The casual nurse: an enigma? |
Type |
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| Year |
1995 |
Publication |
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Abbreviated Journal |
Massey University Library |
| Volume |
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Issue |
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Pages |
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| Keywords |
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| Abstract |
The experiences of nurses employed on casual contracts were explored using grounded theory methodology. Data analysis showed that the experience of casual nursing is constituted by interwoven processes of discontinuity and marginality with an overall theme and processes of compromise to obtain a sense of balance by the casual nurse. Implications for permanent staff, casual nurses and organizations are developed |
| Call Number |
NRSNZNO @ research @ 159 |
Serial |
159 |
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| Author |
Watson, P.B. |
| Title |
An understanding of family in the context of families facing the diagnosis of childhood cancer |
Type |
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| Year |
1998 |
Publication |
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Abbreviated Journal |
Massey University Library, Manawatu Polytechnic Li |
| Volume |
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Issue |
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Pages |
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| Keywords |
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| Abstract |
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 |
| Call Number |
NRSNZNO @ research @ 153 |
Serial |
153 |
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| Author |
Nevatt, E.A. |
| Title |
A study of individual health beliefs and practices in relation to propensity for self care |
Type |
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| Year |
1981 |
Publication |
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Abbreviated Journal |
Massey University Library |
| Volume |
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Issue |
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Pages |
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| Keywords |
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| Abstract |
The concepts of self care of health (the goal of self care) are explored in relation to the self care nursing model. It is a basic premise of this model that the client be involved to the fullest possible extent in regarding or developing self care skills. It is proposed that individuals differ in respect to their readiness of such involvement and effort in their own health work and, hence, inability to benefit from the application of the self care nursing model. The study aimed at developing a means of identifying and predicting these differences. It was hypothesised that the individuals perceptions and beliefs about heath, his attribution about the location of blame for illness and the extent to which he perceives himself as having control over the contingencies of his behaviour, would all systematically influence his readiness to engage in self care. A health questionnaire designed to obtain data on individual health related beliefs and practices was constructed. This was mailed to a random sample of non-academic staff from one of the universities. A combination of univariate and multivariate analyses of the 86 completed questionnaires showed four major variables to be significantly interrelated. The pattern of relationships which emerge between responses to other items in the questionnaire cast further light on the complex determinants of health behaviour. Of particular interest is the suggestion that the way health is defined is a crucial factor. Use of the principal axes method of factor allowed a shortened version of the original questionnaire to be produced. The profile yielded by scores on this instrument, not only describes the client in terms of four major health related variables, but can also be used to predict readiness to benefit from a self care nursing approach |
| Call Number |
NRSNZNO @ research @ 19 |
Serial |
19 |
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| Author |
Davies, D.C. |
| Title |
Practice nurses' perceptions of their contribution to the care of individuals with chronic health conditions |
Type |
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| Year |
2006 |
Publication |
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Abbreviated Journal |
Massey University Library |
| Volume |
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Issue |
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Pages |
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| Keywords |
Primary health care; Chronic diseases; Patient satisfaction; Nursing |
| Abstract |
Table of Contents: 1. Background and overview; 2. Research design and method; 3. Literature review; 4. Preparation of the individual for an appointment at the general practice; 5. Care provided by the practice nurse at the general practice; 6. The giving of information; 7. A discussion of the dualities of the contribution of practice nurses to the care of individuals with chronic conditions; 8. Study summary and conclusions. |
| Call Number |
NRSNZNO @ research @ 492 |
Serial |
478 |
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| Author |
Roy, D.E. |
| Title |
Exploring the realities: the lived experienced of chronic rheumatoid arthritis |
Type |
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| Year |
1995 |
Publication |
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Abbreviated Journal |
Massey University Library, UNITEC Institute of Te |
| Volume |
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Issue |
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Pages |
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| Keywords |
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| Abstract |
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 |
| Call Number |
NRSNZNO @ research @ 188 |
Serial |
188 |
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| Author |
Walton, J.A. |
| Title |
Nursing practice in New Zealand hospitals: staff nurses and enrolled nurses: an investigation into the nature and organisation of nursing practice |
Type |
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| Year |
1989 |
Publication |
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Abbreviated Journal |
Massey University Library |
| Volume |
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Issue |
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Pages |
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| Keywords |
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| Abstract |
Review of the preparation and initial employment of nurses |
| Call Number |
NRSNZNO @ research @ 319 |
Serial |
319 |
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| Author |
Neville, S.J. |
| Title |
Well-being in the older male: an investigation of mental, social and physical well-being indicators in Wanganui men |
Type |
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| Year |
1998 |
Publication |
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Abbreviated Journal |
Massey University Library & Christchurch Polytechn |
| Volume |
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Issue |
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Pages |
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| Keywords |
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| Abstract |
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 |
| Call Number |
NRSNZNO @ research @ 215 |
Serial |
215 |
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