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Spence, D. (2001). Experiencing difference in nursing. Kai Tiaki: Nursing New Zealand, 7(5), 13–15.
Abstract: Draws on the author's doctoral thesis to examine the prejudices, paradoxes and possibilities inherent in nursing a person from a culture other than one's own.
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Ainge, N. (1993). Report on the pilot implementation of the clinical career pathway for nurses ( CAHB). Ph.D. thesis, , .
Abstract: During 1992, two hundred Registered Nurses ( RN's) participated in the Pilot Implementation of the Clinical Career Pathway for Nurses. This was conducted according to terms for the Proposal (Shepherd et al 1991) prepared by Nurses throughout the Canterbury Area Health Board.Ten services had a participating ward/ unit. All were volunteers. The framework for a Clinical Career Pathway (CAHB) has six steps. During 1992 attention was focused on the two levels beyond basic functional competency. Nurse Practitioner II, Nurse Specialist. An open system was piloted. There was no change to remuneration. Advancement was- self initiated; by peer review ( the RN was required to meet the performance criteria set by the Unit Nurse Managers.) There was no constraint to numbers advancing. Forty seven RN's advanced to Nurse practitioner II level,nine advanced to Nurse Specialist level.Evaluation covered four areas-1. Qualitative benefits and initiatives to improves patient care. 2. Nurses perception of the project. 3. Benefits of peer review. 4. Secondary gains
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Lake, S. E. (2005). Nursing prioritisation of the patient need for care: Tacit knowledge of clinical decision making in nursing. Ph.D. thesis, , . Retrieved June 25, 2024, from http://hdl.handle.net/10063/22
Abstract: Effective nursing prioritisation of the patient need for care is integral to daily nursing practice but there is no formal acknowledgement or study of this concept. Utilising the retroductive research strategy of critical realism, this thesis explores the nursing literature for the tacit knowledge of the discipline about nursing prioritisation and proposes a 'fit' for nursing prioritisation of the patient need for care within the bigger picture of nurse clinical decision-making. The tacit knowledge discerned within the literature indicates that nurses use discretionary judgment and ongoing assessment to determine the relative importance of the many aspects of individual patient situations as they unfold. Such nursing prioritisation takes place concurrently between the competing or even conflicting needs of the several individual patient presentations within the nurse's caseload. Varied frames of reference within different practice settings create specific imperatives on this dynamic and non-sequential process. Starting with an initial set of studies in the 1960s, study of clinical decision-making in nursing has created a significant body of knowledge encompassing a range of approaches. Nursing prioritisation of the patient need for care is most readily discerned in the interpretive perspective and in the plain language descriptions of nurse decision-making. Within the selected literature it is apparent that nursing prioritisation of the patient need for care is an advanced skill of nursing that is developed in practice and honed through experiential learning.
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Hendry, C., & East, S. (2013). Impact of the Christchurch earthquakes on clients receiving health care in their homes. Available through NZNO library, 4(1), 4–10.
Abstract: Eighteen months after the first of many large earthquakes, Christchurch-based home health care provider Nurse Maude surveyed staff to identify the impact on the well-being of their mainly elderly clients. Responses from 168 staff identified five key issues. These were: mental health, anxiety, and depression, symptoms similar to post-traumatic stress disorder (PTSD); unsafe environments; loneliness and isolation; difficulty coping with change; and poor access to services. To meet the needs of clients in this challenging environment, staff felt they needed more time to care, including listening to stories, calming clients and dealing with clients who had become slower and more cautious. Damaged and blocked roads, and the fact that many clients moved house without warning, added to the time it took to deliver care in the home. This survey has helped Nurse Maude build on its initial post-earthquake responses to better meet the needs of clients and support health-care workers in this stressful environment.
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Berry, R. (1999). Psychiatric comorbidity and childhood adversity in women seeking treatment for alcohol and/or drug dependence. Ph.D. thesis, , .
Abstract: Eighty alcohol and/or drug dependent women who were consecutive admissions to an outpatient alcohol and drug service were interviewed with the aim of gathering information regarding childhood adversity, psychiatric comorbidity and alcohol and drug history, including extent of treatment and alcohol and drug related criminality. A secondary aim of the study was to investigate associations between both the multiplicity of alcohol and drug dependence diagnosis and the presence of psychiatric comorbidity in relation to exposure to childhood adversity, including sexual, physical and emotional abuse.The data demonstrate that the study sample was a relatively severe group of alcohol and drug dependent women. A sizeable percentage came from backgrounds characterised by parental separation, conflict and alcohol and drug problems. Many were regularly exposed to physical abuse perpetrated by both parents or main parental figures and over two-thirds were exposed to some form of sexual abuse within their first 15 years. Sixty percent had been dependent on more than one psychoactive substance, with half having undergone previous alcohol and drug treatment. The women also presented with substantial histories of criminal convictions, with a quarter having served a prison sentence. The results indicate the presence of extensive psychiatric comorbidity in the sample. Two-thirds of the women met current DSM-IV criteria forat least one of the following Axis I disorders: major depressive syndrome, social phobia or bulimia nervosa, while nearly half had antisocial personality disorder. More importantly, significant associations were found regarding the presence of psychiatric comorbidity in relation to four measures of severe childhood adversity, i.e. childhood sexual, physical and emotional abuse and parental problems. Multiplicity of alcohol and drug dependence diagnosis was associated with severe emotional abuse, severe parental problems andpsychiatric comorbidity. Emotional abuse during childhood was the most pervasive indicator of comorbidity and multiplicity of alcohol and/or drug dependence. The main implication for clinical practice arising from the results of this study is the need for the development of a broader approach to alcohol and drug service provision. In order to achieve positive treatment outcomes, alcohol and drug service may need to routinely screen and plan treatment for unresolved childhood trauma, psychiatric disorder and other problems related to alcohol and drug use in all clients presenting for alcohol and drug treatment
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Connolly, M. J. (2015). Clinical leadership of Registered Nurses working in an Emergency Department. Master's thesis, University of Auckland, . Retrieved June 25, 2024, from http://hdl.handle.net/2292/28383
Abstract: Employs a non-experimental survey design to examine the psychological and structural empowerment, and clinical leadership of Registered Nurses (RNs) working in an adult emergency department (ED) in a large tertiary hospital in Auckland City. Includes qualitative questions relating to those factors that support or inhibit their clinical leadership at point of care.
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Mowat, R., & Parsons, M. (2016). Exploring the role of health care assistants as mobility activators for older people in an Assessment, Treatment, and Rehabilitation ward. Nursing Praxis in New Zealand, 32(2). Retrieved June 25, 2024, from http://www.nursingpraxis.org
Abstract: Employs a qualitative descriptive approach to examine the feasibility of health care assistants’ participation in rehabilitation for older people. Enrols health care assistants in focus groups before and after a mobility programme for inpatients promoting independence and functional rehabilitation. Involves ten in-patients who had sustained a fractured neck of femur in the functional exercises with the health care assistants. Analyses the interview data thematically.
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Willers, S., Jowsey, T., & Chen, Y. (2021). How do nurses promote critical thinking in acute care? A scoping literature review. Nurse Education in Practice, 53. Retrieved June 25, 2024, from http://dx.doi.org/https://doi.org/10.1016/j.nepr.2021.103074
Abstract: Employs Arksey and O'Malley's framework to undertake a scoping literature review to find out how critical thinking is promoted among nursing learners such as students and junior nurses in acute care.
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Weatherly, K. (2021). OPIVA refined – a human-centred approach to outpatient intravenous antibiotic treatment. Master's thesis, Auckland University of Technology, Auckland. Retrieved June 25, 2024, from http://hdl.handle.net/10292/14419
Abstract: Employs human-centred design (HCD) methods to explore how the medical devices that make up the Waitemata District Health Board's (Waitemata DHB) Outpatient Intravenous Antibiotic (OPIVA) service could be redesigned to improve the experiences of patients within the service. Surveys patients and district nursing staff about improving the usability, aesthetics and ergonomics of the elastomeric infuser and redesigning the storage bag to be wearable under clothing. Proposes a new system to replace the surgical tape used to hold the IV lines in place and advocates for patient experience inclusion in the redesign of the devices.
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Burrow, M., Cook, C., & Gilmour, J. (2017). Life in the round and aged care: A theoretical exemplar for research with marginalised populations in institutional settings. Nursing Praxis in New Zealand, 33(3). Retrieved June 25, 2024, from www.nursingpraxis.org
Abstract: Employs the concept of 'life in the round', drawn from social network theory and the model of information dissemination, including the supporting theories of information poverty and normative behaviours, to explore the information behaviours of marginalised populations participating in small institutionalised worlds. Uses the context of residential aged care as an exemplar for the application of the theory of 'life in the round' and provides examples to support application of these concepts to the information practices of health-care assistants.
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Sundarajoo, S. (2017). The Lived Experience of Person-Centred Care in Residential Homes in New Zealand and Singapore: the perspectives of residents, frontline caregivers and family members. Ph.D. thesis, University of Otago, .
Abstract: Employs the life-world hermeneutic phenomenology of Van Manen to examine perspectives on person-centred care in residential homes in both NZ and Singapore. Conducts interviews with 30 residents, 10 family members and 10 caregivers at 2 residential facilities. Records the interviews and analyses data using Van Manen's 6-step research process.
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Manning, J. (2006). Building trust with families in neonatal intensive care units. Kai Tiaki: Nursing New Zealand, 12(6), 18–20.
Abstract: Establishing a trusting relationship is a key therapeutic intervention for nurses working with families of hospitalised children. This article is an exploration of the definition of trust. Specifically, it considers how parents come to trust (or not) nurses in neonatal intensive care unit (NICU) helps to reveal the meaning of parent-nurse trust and how this affects nursing practice. Understanding and meeting parental needs is important in developing and sustaining trust. The medical model of care often dominates in NICU. This is a deficit model that focuses on illness and treatment. However, the use of a nursing framework, such as developmentally supportive family centred care, focuses on recognising and building on the strengths of the family, by fostering trust to equip the family with the capacity to manage their infant's health care.
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Clendon, J., Tseng, A., & O'Connor, M.(and others). (2015). Working with young nurses to develop peer-support strategies : evaluation of a participatory project. Kai Tiaki Nursing Research, 6(1), 16–23.
Abstract: Evaluates a project undertaken with a group of nurses aged under 30, to identify and implement mechanisms of support for peers in the workplace. Employs a participatory research approach to work with 9 nurses over two years. Conducts two projects : a website with a forum and Facebook page; the Young Nurse of the Year Awards.
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Bowen-Withington, J., Zambas, S., Cook, C., & Neville, S. (2020). Integration of high-fidelity simulation into undergraduate nursing education in Aotearoa New Zealand and Australia: an integrative literature review. Nursing Praxis in New Zealand, 36(3). Retrieved June 25, 2024, from http://dx.doi.org/https://doi.org/10.36951/27034542.2020.013
Abstract: Evaluates and synthesises the existing evidence for the use of high-fidelity simulation in undergraduate nursing education programmes. Uses an integrative literature review methodology to retrieve 16 studies relating to student learning from simulation. Identifies a shift in focus from technical to soft skill acquisition.
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Miles, A., Lesa, R., & Ritchie, L. (2021). Nurses' experiences of providing care in an environment with decentralised nursing stations. Kai Tiaki Nursing Research, 12(1), 25–31.
Abstract: Evaluates nurses' experiences of working in decentralised work stations in NZ hospital wards, in order to explore the interesection between the physical environment and nursing care. Backgrounds the shift away from centralised nursing stations to satellite work stations within wards. Identifies the unintended challenges of the design for nurses. Conducts two focus groups of 7 nurses each about the benefits and disadvantages of such nursing stations.
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