|
|
McClelland, B. (2004). Critical factors that influence staff retention in an acute perioperative environment. Ph.D. thesis, , .
Abstract: There are a number of factors recognised as significant for nursing staff retention. These include, a lack of organisational care, bullying (commonly referred to as horizontal violence), and high workload acuity. However, there does not appear to be any indication that these factors influence the retention of nurses within the speciality of acute perioperative nursing. A descriptive study using postpositivist methodology and triangulation of methods was designed to answer the question: What are the critical factors that influence staff retention in an acute perioperative environment? Forty-eight perioperative nurses answered a questionnaire in relation to individual needs, provision of nursing care and administration and management. Four nurses subsequently participated in a focus group interview that explored in more depth, the survey data related to the following characteristics: Educational opportunities; Level of workload acuity; Rostering flexibility; Management; Established policies/Quality assurance; Graduate orientation programs and Professional relationships in an acute perioperative setting. Data analysis revealed that > 90% of respondents agreed that these characteristics are important for job satisfaction and influence staff retention in an acute perioperative environment. A sense of belonging appears to be the most important theme that emerged from the qualitative data. Job satisfaction and staff retention are attained when nurses have a sense of belonging in the workplace. To achieve this nurses need to identify barriers, develop their communication and leadership skills and determine the ideal professional practice model. The author suggests that the themes “Finding time” and increased “sick leave”, in relation to workload acuity are new findings that provide a platform for future research.
|
|
|
|
McCloskey, B. A., & Diers, D. (2005). Effects of New Zealand's health reengineering on nursing and patient outcomes. Medical Care, 43(11), 1140–1146.
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.
|
|
|
|
McClunie-Trust, P., & Greenwood, J. (2023). The lived experience of people with psoriasis: a qualitative meta-synthesis. Kaitiaki Nursing Research, 14(1), 25–40.
Abstract: Examines the psycho-social effects for adults living with the chronic dermatological condition. Undertakes a meta-synthesis of research into subjects' experiences of the condition, which yields 19 studies, from which three themes are identified: self-identity, personal well-being, and cultural identity. Makes recommendations for research and education.
|
|
|
|
McDonald, C. (2018). Working collaboratively in hospice and palliative care: Sharing time; a grounded theory. Doctoral thesis, Auckland University of Technology, Auckland. Retrieved June 25, 2024, from http://researcharchive.wintec.ac.nz/6223/
Abstract: Addresses the concerns of health professionals working collaboratively in palliative care. Conducts 25 interviews wit 23 participants to arrive at a theory of sharing time to explain the social process of collaboration while individually managing and maintaining their own areas of concern. Explains the concept of health professionals making time in their work days for and with each other to find common ground.
|
|
|
|
McDonald, R. (1999). Leadership and motivation in nursing practice. Vision: A Journal of Nursing, 5(9), 42–44.
Abstract: This article explores the role of leadership in improving motivation and workplace behaviour. Strategies and tools for managing motivational issues are presented, such as organisational culture, rewards systems and quality assurance.
|
|
|
|
McDonald, S. (2004). Registered nurses' perceptions of their role in acute inpatient care in New Zealand: A qualitative descriptive study. Ph.D. thesis, , .
|
|
|
|
McDonald, S. (2000). A study to investigate the role of the registered nurse in an acute mental health inpatient setting in New Zealand: Perceptions versus reality. [Manukau City]: Manukau Institute of Technology.
|
|
|
|
McDonald, S., Willis, G., Fourie, W., & Hedgecock, B. (2007). Graduate nurses and their experience of postgraduate education within a Graduate Nurse programme (Vol. (Monograph Series 2/2007)). Manukau: Manukau Institute of Technology.
Abstract: The authors note that the literature identifies that the transition from tertiary based training to the realities of industry expectations can be a stressful period for graduates. Various District Health Boards offer postgraduate papers within their graduate nursing programmes, resulting in graduates being expected to perform the role of a beginning practitioner as well as embark on postgraduate education during this first year. As yet, the authors note, there is little evidence available to substantiate the efficacy and impact of such papers. The purpose of this study was to explore graduate nurse's experience of postgraduate education within the Graduate Nurse Programme. The report contains the results of a survey of nurses within the Programme. This report details the results of that survey and make recommendations for consideration.
|
|
|
|
McDonald, S. (2009). Graduate nurses' experience of postgraduate education within a nursing entry to practice programme. Nursing Praxis in New Zealand, 25(3), 17–26.
Abstract: Explores graduate nurses' experiences of postgraduate education embedded within a Nursing Entry-to-Practice (NETP) programme, a programme aimed at socialising new nursing graduates into their new role and work environment during their first year of practice.
|
|
|
|
McEldowney, R. A. (2002). Shape-shifting: Stories of teaching for social change in nursing. Ph.D. thesis, , .
Abstract: This research explores why and how nurse educators teach for social change. Critical feminist educators provide a useful framework for theorising about teaching for change that addresses issues of hegemony, agency, praxis, individual voice, difference, justice and equity. Six women Pakeha/Tauiwi nurse educators from throughout New Zealand volunteered to participate in this research and share their lived experiences of teaching for social change. In-depth conversations over two years unfolded new and rich material about how and why these six women continue to teach the evaded subjects, like mental health, women's health, community development and cultural safety. All teach in counter-hegemonic ways, opening students' eyes to the unseen and unspoken. Among the significant things to emerge during the research was the metaphorical construct of shape-shifting as an active process in teaching for social change. It revealed the connectedness and integrity between life as lived and the moral imperative that motivates the participants to teach for difference. Shape-shifting was also reflected in other key findings of the study. As change agents, the participants have had significant shape-shifting experiences in their lives; they live and work as shape-shifters within complex social and political structures and processes to achieve social justice; and, they deal with areas of health practice where clients are socially and politically displaced. The research also generated new methods for gathering life-stories and new processes for analysis and interpretation of life-stories. It is hoped that this research will open pathways for other nurse educators to become shape-shifters teaching for social change.
|
|
|
|
McEldowney, R. A. (1995). Critical resistance in nursing education: a nurse educator's story. Ph.D. thesis, , .
|
|
|
|
McEldowney, R. A. (1992). A new lamp is shining: life histories of five feminist nurse educators. Ph.D. thesis, , .
|
|
|
|
McEldowney, R. A., Richardson, F., Turia, D., Laracy, K., Scott, W., & MacDonald, S. (2006). Opening our eyes, shifting our thinking: The process of teaching and learning about reflection in cultural safety education and practice: An evaluation study. Wellington: Victoria University of Wellington.
Abstract: The purpose of the research was an evaluation of practice exemplars as a reflective process in teaching and learning about cultural safety. Six Maori, two Pacific and five Pakeha students, ranging in age from 30 to 40, took part in the research. The research findings revealed five sub themes: personal safety, power/ powerlessness, reflection, teaching and learning and cultural safety. The presentation, while acknowledging that cultural safety shared some commonalities with culture care theory, highlighted differences between the two. These included that cultural safety was explicit in identifying the inherent power of the nurse in health care relationships; related to the experience of the recipient of nursing care, and extended beyond cultural awareness and sensitivity; provided consumers of nursing services with the power to comment on practices; and contributed to the achievement of positive outcomes and experiences for them. It outlined the characteristics of a culturally safe nurse as a nurse who had undertaken a process of reflection on her/his own cultural identity and who recognised the impact their personal culture had on client care.
|
|
|
|
McGinty, M., Poot, B., & Clarke, J. (2020). Registered nurse prescribing: A descriptive survey of prescribing practices in a single district health board in Aotearoa New Zealand. Nursing Praxis in New Zealand, 36(3). Retrieved June 25, 2024, from http://dx.doi.org/https://doi.org/10.36951/27034542.2020.014
Abstract: Surveys 11 RN prescribers working in cardiology, respiratory health, diabetes and primary care working in one DHB, about the medicines they prescribe for their areas of practice. Reveals the importance of regular updates to the list of medications available for RN prescribers.
|
|
|
|
McHardy, J. (2012). Improving the health of children through: improving the primary-secondary interface for child health; Child health practice within the integrated family health centres; Improving care for medically-fragile children: Margaret May Blackwell Travel Fellowship 2011/12. Wellington, N.Z.: Nursing Education and Research Foundation (NERF).
Abstract: Provides observations, insights and knowledge gained from undertaking the travel fellowship to study integrated health service for children aged 0-5 years in hospital, and community care settings in Great Britain, Sweden and the Netherlands.
|
|
