| |
Records |
Links |
|
Author |
Trenberth, D. |
|
| |
Title |
New Zealand families' beliefs about what constitutes successful management of unsupervised childcare |
Type |
|
| |
Year |
2008 |
Publication |
|
Abbreviated Journal |
ResearchArchive@Victoria |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Children; Parents and caregivers |
|
| |
Abstract  |
This study explored what some New Zealand families believe constitutes the successful management of unsupervised childcare. It was designed to increase social understanding and practitioner knowledge of the issue by exploring families' beliefs, practices and perspectives. The researcher was concerned with the professional role nurses may play with this group of children. A qualitative descriptive approach was used to obtain a straight description of successful unsupervised childcare, using the everyday language of the participating families. Data was collected in semi structured interviews with five family groups, and subjected to content and thematic analysis. Findings suggest unsupervised childcare is both choice and solution, though parents are fearful of the legal and social consequences of using it. Context of the care is important, with the child's preference, community context and availability of adults through distal supervision critical components of its success. Trust between parent and child, the use of rules and boundaries to regulate child behaviour, the teaching of skills and strategies to build child competency, and parental support of children while unsupervised are identified by parents as factors linked to success. Parents identify increasing child independence and self responsibility as positive outcomes from the successful use of unsupervised childcare. This study has helped to identify positive factors resulting in good outcomes from which successful interventions could be developed, provides information that will be of particular interest to practitioners and policy makers, and provides a platform to launch larger studies into the issue of unsupervised children. |
|
| |
Call Number |
NRSNZNO @ research @ 1252 |
Serial |
1237 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Harding, T.S. |
|
| |
Title |
Constructing the “other”: On being a man and a nurse |
Type |
|
| |
Year |
2005 |
Publication |
|
Abbreviated Journal |
University of Auckland Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Gender; Male nurses; Careers in nursing |
|
| |
Abstract |
This study explores the experiences of men who are nurses in Aotearoa New Zealand. Utilising discourse analysis a social constructionist reading of men, masculinity and nursing is provided to offer an alternative reading to much of the extant literature with respect to men in nursing. The study draws upon a number of different sources of “text”, including over 600 written works, two films and interviews with eighteen men who currently are, have been or are intending to be, nurses. Drawing primarily upon the “literary” textual sources a number of themes were identified for further exploration in interview with the co-researchers. These themes were the construction of masculinity, the construction of images of the nurse, the reaction to men who are nurses, sexuality issues, career development, and men and caring. The findings of this thesis reveal that the literature pertaining to men in nursing is replete with paradox and contradiction and fails to adequately account for the male experience. It is argued that the images and arguments provided in the literature with respect to men in nursing are based on out-of-date models and understandings of gender relations, masculinity and nursing. It is suggested that rather than enjoying patriarchal privilege, men who enter nursing must contend with being constructed as both an inferior man and inferior nurse. Their careers are not, as is alleged in the literature, based on developing “islands of masculinity” and male privilege, nor upon the avoidance of the emotional labour of nursing but reflect a belief that career is one way of doing care. It is argued in this work that men in nursing have fewer “taken-as-givens” upon which to base work and that they work to develop trusting relationships with their patients that are based on communication and empathy within a context defined by the patients' circumstances. |
|
| |
Call Number |
NRSNZNO @ research @ 595 |
Serial |
581 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Dickinson, A.R. |
|
| |
Title |
Within the web: The family/practitioner relationship in the context of chronic childhood illness |
Type |
|
| |
Year |
2004 |
Publication |
|
Abbreviated Journal |
ScholarlyCommons@AUT |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Nurse-family relations; Chronically ill; Children |
|
| |
Abstract |
This study explores the phenomenon of the relationships between practitioners and families who have a child with a chronic illness. Using a heremeneutic phenomenological method informed by the writings of Martin Heidegger [1889-1976] and Hans-Georg Gadamer [1900-2002], this study provides an understanding of the meaning of 'being in relationship' from the perspective of both families and practitioners. Study participants include ten family groups who have a child with a chronic illness and twelve practitioners from the disciplines of nursing, medicine, dietetics, physiotherapy and speech therapy who work with children with chronic illness. Narrative audio-taped interviewing was the means by which the participants told their stories about times that relationships worked well and when they did not. These stories uncover the every day realities of 'being in relationship' and provide another understanding of the relationship between family and practitioner.The findings of this thesis suggest that chronic childhood illness 'throws' families and practitioners together into a web of relationships that must work for the sake of the child. The relationship is primarily conducted between adults. Children are usually excluded. In order to understand and manage the child's illness, practitioners and families 'go around' and act 'in-between' relationships. While the quality of the relationship from the family perspective is not essential to the chronic illness journey, relationships are more successful when practitioners recognise the uniqueness of each family web. The nature of the relationship is often simple, yet it co-exists with complexity. This thesis proposes that a 'companion relationship' between practitioners and family may offer a more effective and satisfying way of working. It also challenges practitioners to consider the voice of children within health care relationships. |
|
| |
Call Number |
NRSNZNO @ research @ 1253 |
Serial |
1238 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Spence, D. |
|
| |
Title |
Prejudice, paradox and possibility |
Type |
|
| |
Year |
1999 |
Publication |
|
Abbreviated Journal |
Auckland |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
|
|
| |
Abstract |
This study explores the the experience of nursing a person, or people, form cultures other than one's own. Informed by the tradition of philosophical hermeneutics, and drawing specifically on some of the notions articulated by Hans-Georg Gadamer and Charles Taylor, it seeks to understand everyday nursing practices within their cultural and historical context.Against a background of Maori resurgence, nurses in New Zealand have been challenged in Aotearoa-New Zealand to recognise and address racism in their practice. Meeting the health needs of all people has long been important in nursing yet the curricular changes implemented in the early 1990s to enhance nursing's contribution to a more equitable health service created uncertainty and tension both within nursing, and between nursing and the wider community.In this study, I have interpreted the experiences of seventeen nurses practising in an increasingly ethnically diverse region. Personal understandings and those from relevant literature have been used to illuminate further the nature of cross-cultural experience from a nurse's perspective. The thesis asserts that the notions of prejudice, paradox and possibility can be used to describe the experience of nursing a person from another culture. Prejudice refers to the prior understandings that influence nursing action in both a positive and a negative sense. Paradox relates to the coexistence and necessary interplay of contradictory meanings and positions, while possibility points to the potential for new understandings to surface from the fusion of past with present, and between different interpretations. As New Zealand nurses negotiate the conflicts essential for ongoing development of their practice, the play of prejudice, paradox and possibility is evident at intra-personal and interpersonal levels as well as in relation to professional and other social discourses. This thesis challenges nurses to persist in working with the tensions inherent in cross-cultural practice. It encourages continuation of their efforts to understand and move beyond the prejudices that otherwise preclude the exploration of new possibilities. |
|
| |
Call Number |
NRSNZNO @ research @ 448 |
Serial |
448 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Davies, B. |
|
| |
Title |
Same person different nurse: A study of the relationship between nurse and patient based on the experience of shifting from secondary care to home-based nursing |
Type |
|
| |
Year |
2008 |
Publication |
|
Abbreviated Journal |
Research Archive at Wintec |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Nurse-patient relations; Communication; Hospitals; Home care |
|
| |
Abstract |
This study focuses on power themes in the nurse-patient relationship. The study is a critical reflection of the author's practice using a humanistic perspective from Hartrick Doane and Varcoe's (2005) model of relational family practice. It reviews the literature relating to power relationships in communication between nurses and patients and compares the ability to provide relational care in the home with hospital care. Practice examples demonstrate the shift in power relationships that the author had noticed since changing roles from hospital based to home care nursing. This is related to cultural, socio-environmental, historical and traditional influences on power in communication. The study is based on her reflection of the paradigm shift in her practice. Her practice moved from a problem solving approach to an empowerment, strengths based approach within partnership. The ethical challenges of discussing her practice in relation to clients has been managed by scrambling patient data so that it is not related to a single person and is focused on the author's nursing practice. |
|
| |
Call Number |
NRSNZNO @ research @ 1195 |
Serial |
1180 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Christensen, D.J.C. |
|
| |
Title |
The nursed passage: a theoretical framework for the nurse-patient partnership |
Type |
|
| |
Year |
1988 |
Publication |
|
Abbreviated Journal |
Massey University Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
|
|
| |
Abstract |
This study focussed on nursing practice in action. The research goal was to identify nursing-relevant dimensions within a person's experience of being a hospital patient undergoing elective surgery. In order to discover and conceptualize the underlying processes which are present as patients are nursed through this experience, an open question was posed – What is happening here? A qualitative research method ws the most appropriate means of discovering an answer to this question.The particular method chosen was the grounded theory approach developed by Glaser and Strauss. Data were collected in five surgical wards of a large city hospital over a period of five months. The research participants were twenty-one patients and the nurses involved in their care. Primary sources of data were interviews and the nursing records. These were augmented by field notes and accounts of observed incidents relating to the care of each patient.Using the inductive strategies of the grounded theory method, numerous descriptive concepts were generated during the data analysis. These were ordered within an integrating social process derived from anthropology. By this means a founded theory in the form of a theoretical framework – the Nursed Passage – was developed. Within this passage the patient is the passage and nursing is translated into action through the agency of the nurse.The Nursed Passage is a patterned partnership with three key elements. Firstly, the temporal element, characterised by ongoing movement and constant change, is conveyed in the sequence of phases or stages. Secondly the participative element is portrayed as a patterned relationship in which both nurses and patient are actively involved in progressing the patient through the passage. Finally, the contextual element recognises complex factors within the nursing environment which have an impact on the shape of the relationship between patient and nurse.This theoretical framework, generated from the reality of nursing as it occurs in one setting, assigns a specific shape to the encounter between nurses and patient. It identifies the contribution nursing alone can make to optimise each patient's hospital experience. In this way it both complements and facilitates the work of medical and other colleagues with whom nurses work. Thus it serves to revalue nursing in terms that can maximally utilise the registered nurse's knowledge and skill for the benefit of all concerned. Consequently, it has the potential value for nursing practice, education and research |
|
| |
Call Number |
NRSNZNO @ research @ 245 |
Serial |
245 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Horsburgh, M.; Lamdin, R.; Williamson, E. |
|
| |
Title |
Multiprofessional learning: The attitudes of medical, nursing and pharmacy students to shared learning |
Type |
Journal Article |
| |
Year |
2001 |
Publication |
Medical Education |
Abbreviated Journal |
|
|
| |
Volume |
35 |
Issue |
9 |
Pages |
876-883 |
|
| |
Keywords |
Nursing; Education; Students; Interprofessional relations |
|
| |
Abstract |
This study has sought to quantify the attitudes of first-year medical, nursing and pharmacy students' towards interprofessional learning, at course commencement. The Readiness for Interprofessional Learning Scale (RIPLS) (University of Liverpool, Department of Health Care Education), was administered to first-year medical, nursing and pharmacy students at the University of Auckland. Differences between the three groups were analysed. The majority of students reported positive attitudes towards shared learning. The benefits of shared learning, including the acquisition of teamworking skills, were seen to be beneficial to patient care and likely to enhance professional working relationships. However professional groups differed: nursing and pharmacy students indicated more strongly that an outcome of learning together would be more effective teamworking. Medical students were the least sure of their professional role, and considered that they required the acquisition of more knowledge and skills than nursing or pharmacy students. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
719 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Mockford, A. |
|
| |
Title |
An exploratory descriptive study of the needs of parents after their young child is discharged from hospital following an admission with an acute illness |
Type |
|
| |
Year |
2008 |
Publication |
|
Abbreviated Journal |
ResearchArchive@Victoria |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Parents and caregivers; Health knowledge; Children; Maori; Pacific peoples |
|
| |
Abstract |
This study investigated issues surrounding the high numbers of preventable admissions of young children with acute illnesses, particularly amongst Maori and Pacific children. It focuses on what happens once these children are discharged. Its aims were to find out what the expressed needs of parents were, as they cared for their child, once home. Whilst there has been a small amount of international research undertaken in this area, there is little known about expressed parent need in the New Zealand context. This exploratory descriptive study involved parents of under five year old children, who had been admitted to a hospital, with one of five acute illnesses. Eighteen parents were surveyed over the telephone. This study found the parents expressed a need for reassurance and advice once home, and that they worried about their child getting sick again. It highlighted gaps in discharge planning and support. None of the parents had received a written discharge plan for their child. Only five parents had received either a contact number for advice or a referral back to their primary care provider. This study found that whilst some parents considered their discharge needs had been met, others considered that they had not. Four local discharge practice opportunities to support these families were recommended, these included, providing parents and caregivers with an individualised written discharge plan, giving a contact number for advice after discharge, offering a follow-up phone call in the first 48 hours, and ensuring that all children have a referral back to their primary health care provider. Areas for further research were highlighted, including the need for a larger study to explore and compare the needs of rural and urban parents, and Maori and Pacific parents. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1232 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Martin, M.; Mullard, T. |
|
| |
Title |
High level of compliance with rifampicin chemoprophylaxis of meningococcal disease |
Type |
Journal Article |
| |
Year |
1997 |
Publication |
The New Zealand Public Health Report |
Abbreviated Journal |
|
|
| |
Volume |
4 |
Issue |
6 |
Pages |
41-43 |
|
| |
Keywords |
|
|
| |
Abstract |
This study investigated the degree of compliance and reasons for non-compliance with chemoprophylactic Rifampicin medication among 103 close contacts of memingococcal disease in the greater Auckland region during the period July to September 1996. The study showed a high degree of compliance among close contacts, with 96.1% taking Rifampicin as prescribed. Reasons for compliance were related to the contacts ' perceptions of susceptibility to the illness, the severity of the disease, and the benefits of medical intervention. The contacts found the service provided by the public health staff ws sufficient, and the information provided was valuable |
|
| |
Call Number |
NRSNZNO @ research @ 164 |
Serial |
164 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Ryder-Lewis, M. |
|
| |
Title |
Reliability study of the Sedation-Agitation Scale in an intensive care unit |
Type |
|
| |
Year |
2004 |
Publication |
|
Abbreviated Journal |
ResearchArchive@Victoria |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Intensive care nursing; Interprofessional relations |
|
| |
Abstract |
This study is an extension of a previous study by Riker, Picard and Fraser (1999) to determine whether doctors and nurses rate patients similarly using the Sedation-Agitation Scale (SAS) in a natural Intensive Care Units (ICU) setting. The author notes that it is essential to establish whether these different professionals provide consistent scores and have a mutual understanding of the SAS and its constituent levels. This will help ensure that clinical decisions relating to sedation-needs can be made appropriately and consistently. This quasi-experimental reliability study was set in a 12-bed tertiary general ICU in New Zealand. The SAS had recently been introduced into this unit and a convenience sample of 42 nursing and medical staff performed paired ratings on 69 randomly selected adult ICU patients over an eight week time frame. The mean patient age was 58 years, and 79% of patients were on continuous infusions of Propofol. Intubated patients made up 91% of the sample. 74% of patients were given the same SAS score by the doctor-nurse pair. The weighted kappa score for inter-rater agreement was 0.82 indicating very good agreement. Of the 26% of scores where there was a difference, the two readings were only one score apart. Most of the difference occurred around SAS scores of 1-2 and 3-4. Further analysis found no staff or patient variables to be statistically significant in impacting on the ratings. The SAS was found to be a reliable sedation-scoring tool in a general ICU when used by nurses and doctors of varying experience. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1203 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Cook, N.; Phillips, B.N.; Sadler, D. |
|
| |
Title |
The Tidal Model as experienced by patients and nurses in a regional forensic unit |
Type |
Journal Article |
| |
Year |
2005 |
Publication |
Journal of Psychiatric & Mental Health Nursing |
Abbreviated Journal |
|
|
| |
Volume |
15 |
Issue |
5 |
Pages |
536-540 |
|
| |
Keywords |
Psychiatric Nursing; Nursing models; Evaluation; Nurse-patient relations |
|
| |
Abstract |
This study looks at the effect of implementing the Tidal Model at Rangipapa, a regional secure mental health forensic unit. A phenomenological study was undertaken to obtain reflective description of the nursing care experience from the perspective's of four registered nurses and four “special patients”. Five major themes were identified that appeared to capture the experiences of the participants. The themes show changes to the unit's unique culture and values following implementation of the model. These changes engendered a sense of hope, where nurses felt they were making a difference and patients were able to communicate in their own words their feelings of hope and optimism. Levelling was experienced as an effect emerging from individual and group processes whereby a shift in power enhanced a sense of self and connectedness in their relationships. These interpersonal transactions were noted by the special patients as being positive for their recovery. This enabled effective nurse-patient collaboration expressed simply as working together. The participants reported a feeling of humanity, so that there was a human face to a potentially objectifying forensic setting. Implications arising from this study are that the use of the model enables a synergistic interpersonal process wherein nurses are professionally satisfied and patients are validated in their experience supporting their recovery. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
941 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Wenmoth, J.D.A. |
|
| |
Title |
Involuntary unemployment: A grounded theory analysis of the experience of five nurses |
Type |
|
| |
Year |
2000 |
Publication |
|
Abbreviated Journal |
|
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
|
|
| |
Abstract |
This study outlines the use of grounded theory strategy to analyse the experience of nurses who become involuntarily unemployed. It then proceeds to develop a theoretical framework that explain the common patterns in this experience. Using the Glasser and Strauss (1967) Grounded Theory approach, empirical observation was undertaken expressly for the purpose of generating insights which may lead to new understanding of the subject of this study. Using two inter-related procedures known as theoretical sampling and constant comparative analysis, data is systematically collected, coordinated and subjected to an ongoing analysis. Theory is then 'grounded ' in the real world. The study involved in depth interviewing of five mid-career nurses who were involuntarily unemployed. The data was transcribed and analysed to yield theoretical concepts and categories that were integrated into propositions to explain common patterns. It will be argued that this experience is a grieving process that is more that just grieving a job loss. It is proposed that there are three phases – 1. Personal devastation due to losses experienced.. 2. A period of healing. 3. Recovery and re-establishment of the 'new' person. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
69 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Horsburgh, M.; Perkins, R.; Coyle, B.; Degeling, P. |
|
| |
Title |
The professional subcultures of students entering medicine, nursing and pharmacy programmes |
Type |
Journal Article |
| |
Year |
2006 |
Publication |
Journal of Interprofessional Care |
Abbreviated Journal |
|
|
| |
Volume |
20 |
Issue |
4 |
Pages |
425-431 |
|
| |
Keywords |
Interprofessional relations; Attitude of health personnel; Nurse managers; Nursing; Education; Organisational culture |
|
| |
Abstract |
This study sought to determine the attitudes, beliefs and values towards clinical work organisation of students entering undergraduate medicine, nursing and pharmacy programmes in order to frame questions for a wider study. University of Auckland students entering medicine, nursing and pharmacy programmes completed a questionnaire based on that used by Degeling et al. in studies of the professional subcultures working in the health system in Australia, New Zealand, England and elsewhere. Findings indicate that before students commence their education and training medical, nursing and pharmacy students as groups or sub-cultures differ in how they believe clinical work should be organised. Medical students believe that clinical work should be the responsibility of individuals in contrast to nursing students who have a collective view and believe that work should be systemised. Pharmacy students are at a mid-point in this continuum. There are many challenges for undergraduate programmes preparing graduates for modern healthcare practice where the emphasis is on systemised work and team based approaches. These include issues of professional socialisation which begins before students enter programmes, selection of students, attitudinal shifts and interprofessional education. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
937 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
McCloskey, B.A.; Diers, D. |
|
| |
Title |
Effects of New Zealand's health reengineering on nursing and patient outcomes |
Type |
Journal Article |
| |
Year |
2005 |
Publication |
Medical Care |
Abbreviated Journal |
|
|
| |
Volume |
43 |
Issue |
11 |
Pages |
1140-1146 |
|
| |
Keywords |
Patient safety; Organisational change; Nursing; Hospitals |
|
| |
Abstract |
This study sought to examine the effects that hospital re-engineering may have on adverse patient outcomes and the nursing workforce. In 1993, New Zealand implemented policies aimed at controlling costs in the country's public health care system through market competition, generic management, and managerialism. The study was a retrospective, longitudinal analysis of administrative data. Relationships between adverse outcome rates and nursing workforce characteristics were examined using autoregression analysis. All medical and surgical discharges from New Zealand's public hospitals (n=3.3 million inpatient discharges) from 1989 through 2000 and survey data from the corresponding nursing workforce (n=65,221 nurse responses) from 1993 through 2000 were examined. Measures included the frequency of 11 nurse sensitive patient outcomes, average length of stay, and mortality along with the number of nursing full time equivalents (FTEs), hours worked, and skill mix. After 1993, nursing FTEs and hours decreased 36% and skill mix increased 18%. Average length of stay decreased approximately 20%. Adverse clinical outcome rates increased substantially. Mortality decreased among medical patients and remained stable among surgical patients. The relationship between changes in nursing and adverse outcomes rates over time were consistently statistically significant. The authors conclude that in the chaotic environment created by re-engineering policy, patient care quality declined as nursing FTEs and hours decreased. The study provides insight into the role organisational change plays in patient outcomes, the unintended consequences of health care re-engineering and market approaches in health care, and nursing's unique contribution to quality of care. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1052 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Day, D.R.; Mills, B.; Fairburn, F. |
|
| |
Title |
Exercise prescription: Are practice nurses adequately prepared for this? |
Type |
Journal Article |
| |
Year |
2001 |
Publication |
New Zealand Journal of Sports Medicine |
Abbreviated Journal |
|
|
| |
Volume |
29 |
Issue |
2 |
Pages |
32-36 |
|
| |
Keywords |
Practice nurses; Health education; Primary health care |
|
| |
Abstract |
This study sought to examine whether practice nurses were prepared to provide exercise prescriptions to clients. It involved administering questionnaires to 53 practice nurses in Otago to examine their understanding of green prescriptions and their knowledge and participation in exercise prescription. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
628 |
|
| Permanent link to this record |
