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Watson, P. B., & Feld, A. (1996). Factors in stress and burnout among paediatric nurses in a general hospital. Nursing Praxis in New Zealand, 11(3), 38–46.
Abstract: High stress and staff turnover in a multi-specialty paediatric area prompted this study that aimed to :1) measure the burnout level of nurses in a multi-specialty paediatric area2) identify and validate causes of stress3) identify new ways of preventing stress on the wardFifty four percent (n=14) of the paediatric nurses completed the questionnaire booklet that included demographic data, the Maslach Burnout Inventory, the Nursing Situations Questionnaire the Hopkins Symptom Checklist-21 the Ways of Coping Checklist and open ended questions about sources of stress and satisfaction at work. Results indicated levelsof burnout and distress comparable with larger studies. Conflict with doctors was the major source of stress followed by workload, inadequate preparation in dealing with the emotional needs of patients and their families and death and dying. Conflict with doctors has not previously been identified as the major source of stress. However workload and death and dying are commonly identified as sources in the literature. Suggestions for further research and the low response rate are discussed
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Clendon, J., & McBride-Henry, K. (2014). History of the Child Health and Development Book : part 2: 1945-2000. Nursing Praxis in New Zealand, 30(2), 5–17.
Abstract: Highlights how women challenged the concept of 'medicalised mothering' during the period 1945-2000, and how these views affected the development of the Well Child/Tamariki Ora Health book, or Plunket book. Analyses how the language of the book reflects tensions between competing discourses and knowledge sources among mothers and health professionals.
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Winnington, R., & Cook, C. (2021). The gendered role of pastoral care within tertiary education institutions: An autoethnographic reflection during COVID-19. Nursing Praxis in Aotearoa New Zealand, 37(3). Retrieved June 28, 2024, from www.nursingpraxis.org
Abstract: Highlights the exacerbated gendered inequities for academic women caused by the pandemic, including gender pay gap, and women being channelled into administrative, teaching, and pastoral care roles not recognised with career advancement and remuneration compared to research routes facilitated for male colleagues. Uses a collaborative auto-ethnographic approach to reflect on the authors' experiences of emotional labour in supporting nursing students throughout the Covid-19 pandemic and the invisibility of the work within academia. Notes that the patriarchal construction of academia remains present and highly visible to the detriment of many female career trajectories.
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Aspinall, C. (2022). The impact of intersectionality on the empowerment and development of nurses into leadership roles. Doctoral thesis, University of Auckland, Auckland. Retrieved June 28, 2024, from https://hdl.handle.net/2292/61957
Abstract: Highlights the impact of the intersection of socially-constructed identities such as race, gender, and class, on nurses' ability to develop as leaders. Aims to learn how to create a culture of nursing leadership by explaining the impact of intersectionality on the empowerment and development of nurses into leadership roles. Designs a mixed-methods, explanatory, sequential research study in two phases, comprising an online questionnaire and 31 semi-structured interviews with nurses and managers.
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Smit, C. (2017). Making self-care a priority. Whitireia Nursing and Health Journal, (24), 29–35.
Abstract: Highlights the importance of prioritising self-care for palliative care nurses whose prolonged exposure to work-related stress may result in burn-out. Recommends a self-care plan that addresses individual strengths and challenges, including physical, emotional, cognitive, relational and spiritual. Suggests the use of self-care strategies, such as the identification of professional and personal strengths, and the application of mindfulness and stress-reduction techniques to improve self-awareness.
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Tipa, Z. (2021). Mahi Ngatahi: Culturally-responsive ways of working with whanau accessing Well Child/Tamariki Ora services. Ph.D. thesis, Auckland University of Technology, Auckland. Retrieved June 28, 2024, from http://hdl.handle.net/10292/14007
Abstract: Highlights the perspectives of Maori families using health services provided by Well Child/Tamariki Ora (WCTO), citing institutional racism and unconscious bias. Interviews 18 families with children under five years, about their experiences of WCTO services. Employs a Kaupapa Maori research methodology to develop Mahi Ngatahi, a theory for culturally-responsive WCTO services.
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Darkins, T. (2016). Merging health and social day care: report on a New Zealand-based model of holistic day care service for the elderly, frail and those with disabilities. Wellington, N.Z.: Nursing Education Research Foundation (NERF). Retrieved June 28, 2024, from http://www.nzno.org.nz/resources/library/theses
Abstract: Highlights the service innovation model that establishes a new community relationship between health and nursing services, and day-care providers to the elderly, frail and those with disabilities. Performs a literature review of research on the topic, outlining the goals of adult day care, and describing the Forget Me Not (FMN) programme used at the FMN Centre in Whangarei. Highlights the levels of care within the programme and the proposed outcomes.
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Blunden, J., & Poulsen, M. (2021). Answering the call: Academic nurse educators returning to practice on the eve of COVID-19. Nursing Praxis in Aotearoa New Zealand, 37(3). Retrieved June 28, 2024, from www.nursingpraxis.org
Abstract: Highlights the value of academic staff having clinical currency that allows them to meet moral and professional responsibilities to return to work during a pandemic. Makes clear that a collaborative relationship between education and healthcare providers allows access to frontline-prepared, highly-skilled registered nurses to be called upon in a time of need. Argues that academic and clinical roles should not be mutually exclusive.
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Rook, H., Hales, C., Milligan, K., & Jones, M. (2021). Dr Jill Wilkinson's discourse analysis of the sources of power and agency for nursing. Nursing Praxis in New Zealand, 37(1). Retrieved June 28, 2024, from http://dx.doi.org/https://doi.org/10.36951/27034542.2021.012
Abstract: Highlights two articles written by Jill Wilkinson in 2008 pertaining to the Ministerial Taskforce on Nursing in 1998, in which she discusses the conflict between autonomy and unionism in nursing and the development of the nurse practitioner (NP) role. Considers the ongoing challenges to establish NP toles in mainstream health services.
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Baldwin, A. (1999). Effective home based care to enhance the health status of children under five years. Margaret May Blackwell Study Fellowship Report 1998. Margaret May Blackwell Travel Study Fellowship Reports. Dunedin: Nursing Education and Research Foundation (NERF).
Abstract: Highlights well-child and family health programmes in the US, Canada, and the UK. Provides an overview of the programmes and their clinical effectiveness, focusing on the themes that emerged. Part of the Margaret May Blackwell Scholarship Reports series.
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White, E. L. (1983). Wellington School of Nursing: the first thirty years. Ph.D. thesis, , .
Abstract: Historical facts from 1881 pertaining to Wellington Hospital, and the training of nurses, commencing with the employment of unpaid Lady Nurses, the conditions of employment for probationers (circa 1883), the formal teaching of probationers 1888, progressing to a three year training, and, with Miss Ellen Dougherty a Wellington trainee being the first registered nurse in the world in 1901. Management of the 1880's and 90's appears a little strange, not employing their own trainees, nor appointing Miss Dougherty as matron, when she had been acting matron.Extrapolation of historical facts to give a probable characterisation of the unpaid Lady nurses and the day in the life of a probationer nurse of these times.Inferences suggest that nursing in New Zealand had military rather than religious origins and, perhaps Misses Selena Sutherland and Dougherty were not lady like enough to be employed by Wellington Hospital!
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Gingell, M. E. (2005). Home based treatment nursing in Aotearoa New Zealand: Factors influencing the successful delivery of care.
Abstract: Home Based Treatment in acute mental health care is a relatively new phenomenon in New Zealand, although it has been utilised successfully overseas for many years. This paper considers factors that are integral elements of its successful implementation, specifically considering the relationship of nursing care to crisis intervention methodology. It describes how Home Based Treatment fits with contemporary crisis services and how the adherence to crisis intervention models can enable nurses to create a clearly defined recovery perspective in their practice. The author notes that service users in New Zealand and overseas have openly voiced their concerns around the discrepancies between how services have traditionally been delivered and how they wish services to be. He suggests that, as an alternative to inpatient care, Home Based Treatment is an option that promotes recovery and self determination. It is also an arena in which nurses can deconstruct the traditional power relationships between themselves and clients to create a new and invigorating way of practicing.
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Leeks, O. (2007). Lesbian health: Identifying the barriers to health care. Ph.D. thesis, , .
Abstract: Homosexuality has been practiced since ancient times, but through the centuries this expression of sexual identity has moved from being acceptable to unacceptable and finally regarded in a contemporary era as a mental health problem that needed to be, and it was thought could be, cured. This paper focuses on the barriers that lesbian women perceive when wanting to access health care. Most of the research about lesbian women has been conducted in the United States with some in the United Kingdom, Canada and New Zealand. Through reviewing the available literature and grouping common themes, the author identifies three main barriers to health care that exist for lesbian women. Firstly, ignorance or insensitivity of the health care professional about the specific health care needs of this client group; secondly, homophobia or heterosexism that may be present in the health care environment; and thirdly the risk of disclosing one's sexual orientation. These barriers are discussed using the concepts of cultural safety and nursing partnership. The author concludes that the negative health care experiences that lesbian women encounter leave them feeling vulnerable and fearful. This fear and stigmatisation has resulted in lesbian women becoming an 'invisible' community. It is the assumption of heterosexuality that immediately places the lesbian woman at a disadvantage and this potentially may produce missed opportunities to provide individualised care to the lesbian client. The purpose of this work is to encourage discussion within nursing to challenge attitudes and the approach to women who identify as lesbian. The author hopes that this paper will contribute to the increasing body of knowledge in regard to this client group.
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Johnson, S. (2007). Hope in terminal illness. Ph.D. thesis, , .
Abstract: Hope is considered an elusive, vague, over-used, and ambiguous concept in nursing practice which lacks clarity, but hope is essential to the quality of life in the terminally ill. Therefore, hope is an important concept to research further. A gap in nursing research has been identified in the area of hope in terminal illness. The aims of this research were to clarify the concept of hope as perceived by patients with a terminal illness; to develop hope as an evidence-based nursing concept; and to contribute new knowledge and insights about hope to the relatively new field of palliative care. Utilising Rodgers' (2000b) evolutionary concept analysis methodology and thematic content analysis, 17 pieces of research-based literature on hope as perceived by adult patients with any terminal illness pathology (from the disciplines of nursing and medicine) have been reviewed and analysed. Hope's attributes, antecedents, consequences, social-cultural variations, temporal variations, surrogate terms, and related concepts have been considered. An exemplary case of the concept in action is presented along with the evolution of the concept hope in terminal illness. Ten essential attributes of the concept were identified in this research: positive expectation, personal qualities, spirituality, goals, comfort, help / caring, interpersonal relationships, control, legacy, and life review. The evolution of hope in terminal illness has evolved from patients hoping for a prosperous healthy future to an enrichment of being is more important than having or doing. Patients' hopes and goals are scaled down and refocused in order to live in the present and enjoy the time they have left with loved ones. Hope in the terminal phase of one's illness is orientated in the past and the present, hope in the here and hope in the now. The author concludes that by completing all the steps to Rodgers' (2000b) evolutionary view of concept analysis, a working definition and clarification of the concept in its current use has been achieved, providing a solid conceptual foundation for further study. Recommendations are made for hope-enhansing strategies, that may help to maximise the quality of life of terminally ill patients in the future.
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Simpson, J. (1998). Hospice nurses responses to patient non-acceptance of treatment or care. Ph.D. thesis, , .
Abstract: Hospice nurses in New Zealand provide supportive care to patients of settings. In doing so, the hospice nurse and team are likely to have an ideal of a “good death” that guides their practice.A 'good death“ is one where symptons are well controlled without over medicalisation, where there is an acceptance of death by the patient and loved ones and where appropriatepreparation and completion of unfinished business has occurred. The death itself is peaceful and the loved ones are present. However, patients or their families do not always accept the treatment or care that the nurses offer to facilitate the best quality of life and a ”good death“ for the patient. This may leave the nurses involved feeling distressed and confused, as they are confronted with the conflict between the patients' path and the nurses' ideals.This study employs critical incident technique to explore how nurses respond and feel when the patients decline the treatment or care the nurse feels will improve their quality of life and eventually lead to a ”good death“. The findings illustrate a broad range of treatment or care that is declined by either patients or their families in the first instance. This study uncovers a number of action responses nurses use in these situations, which demonstrate acceptance of patient choice but also need to help the patient experience a ”good death". In addition it demonstrates that nurses experience a gamut of emotional responses to such situations, some of which are painful for the nurse and have the potential to cause stress. Recommendations are made which may assist nurses limit the distress they experience when patients of their families decline the treatment or care, and empower nurses with further strategies to use in such situations
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