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Author (down) Whitehead, N.; Parsons, J.; Dixon, R.
Title Quality and staffing : is there a relationship in residential aged care? Type Journal Article
Year 2015 Publication Kai Tiaki Nursing Research Abbreviated Journal
Volume 6 Issue 1 Pages 28-35
Keywords Residential Aged Care; Nursing Homes; Staffing; Relationships
Abstract Explores whether there is a relationship between staffing and quality indicators in residential care of older people, in both rest homes and continuing-care hospitals. Conducts a longitudinal survey of 18 residential-care rest homes and 16 continuing-care hospitals in the greater Auckland region to explore the relationship between direct-care staffing levels, skill mix and quality indicators. Collects data over a 6-month period on type of staffing, including registered nurses, enrolled nurses, and support workers; quality indicators, including falls, new fractures, pressure ulcers, weight loss, urinary tract infections (UTI), poly-pharmacy or multiple medications, presence of indwelling catheters and use of daily restraints. Uses logistic analysis to analyse the inverse relationship between staffing levels and adverse events, and whether there is an association between staff type and the incidence of the five quality indicators.
Call Number NZNO @ research @ Serial 1409
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Author (down) Whitehead, N.
Title Quality and staffing: Is there a relationship in aged residential care Type
Year 2007 Publication Abbreviated Journal University of Auckland Library
Volume Issue Pages
Keywords Rest homes; Patient safety; Older people; Nursing specialties
Abstract This thesis reports a mixed methods study, longitudinal in nature, of consenting Age Related Residential Care (ARRC) hospitals in the upper half of the North Island, which was conducted to examine several factors, including AARC hospital efficiency at producing adverse event free days for residents. An interpretativist approach examined what best practice strategies were implemented by the ARRC hospitals that were identified to be most successful at producing adverse event free days for the residents.
Call Number NRSNZNO @ research @ Serial 1159
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Author (down) Westrate, Jan; Cummings, Cathy; Boamponsem, Louis; Towers, Andy
Title What factors influence compliance with health and disability service standards for aged residential care in New Zealand? Type Journal Article
Year 2019 Publication Kai Tiaki Nursing Research Abbreviated Journal
Volume 10 Issue 1 Pages 47-53
Keywords Standards; Aged care; Compliance; Certification; Audits
Abstract Compares compliance with health and disability services standards (HDSS) in aged residential care (ARC) in 2016 with previous years, and relates the findings to the increase in complaints among the public. Quantifies the degree to which 185 ARC facilities complied with HDSS, and reports their level of compliance.
Call Number NZNO @ research @ Serial 1624
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Author (down) Westenra, Belinda
Title A framework for cultural safety in paramedic practice Type Journal Article
Year 2019 Publication Whitireia Journal of Nursing, Health and Social Services Abbreviated Journal
Volume Issue 26 Pages 11-17
Keywords Paramedic; Diversity; Cultural safety; Sociological framework
Abstract Critically considers the application of cultural safety to working with diversity in paramedic practice in NZ. Presents a sociological framework, based on Mills's concept of 'sociological imagination' to analyse the connections between social and cultural factors in NZ and the author's professional experience.
Call Number NZNO @ research @ Serial 1631
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Author (down) West, S.R.; Harris, B.J.; Warren, A.; Wood, H.; Montgomery, B.; Belsham, V.L.
Title A retrospective study of patients with cancer in their terminal year Type Journal Article
Year 1986 Publication New Zealand Medical Journal Abbreviated Journal
Volume 99 Issue 798 Pages 197-200
Keywords
Abstract This was a retrospective study of 100 Auckland people suffering from cancer in their terminal year. It aimed firstly to report the development of limitations in daily living activities and of dependence on help, and secondly to develop a method of assessing the functions of both patients and those who cared for them in such a way that support services could be matched to needs. The observations showed problems of progressive disability and dependence, which varied with the age of the patient and the type of malignancy. They showed clearly the long lasting emotional problems of the careers after the patients' death
Call Number NRSNZNO @ research @ 16 Serial 16
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Author (down) Wepa, D.
Title An exploration of the experiences of cultural safety educators in New Zealand: An action research approach Type Journal Article
Year 2003 Publication Journal of Transcultural Nursing Abbreviated Journal
Volume 14 Issue 4 Pages 339-348
Keywords Cultural safety; Nursing; Education; Teaching methods; Organisational culture; Maori
Abstract This research is a study of the experiences of four cultural safety educators in nursing education in Aotearoa, New Zealand. Action research methods assisted the participants to implement change in their practice and gain positive personal involvement in the study. Reflective diaries provided the major tool in this process as participants were able to achieve at least one action research cycle by identifying issues, planning action, observing the action, and reflecting. The findings of the research revealed that the participants not only coped with everyday stressors of teaching but were also required to formulate knowledge for cultural safety. For the Maori participants, their stress was confounded with recruiting and retaining Maori students and macro issues such as commitment to their iwi (tribe). Lack of support to teach cultural safety was identified to be a key theme for all participants. An analysis of this theme revealed that many issues were organisational in nature and out of their control. Action research provided a change strategy for participants to have a sense of control of issues within their practice. Recommendations include the following: support for cultural safety educators to have a dialogue on a regular basis, the introduction of nurse educator programmes, paid leave provisions for educators to conduct and publish research so that a body of knowledge can be developed, and that Maori cultural safety educators be recognised for their professional and cultural strengths so that they do not fall victim to burnout.
Call Number NRSNZNO @ research @ Serial 887
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Author (down) Wepa, D.
Title An exploration of the experiences of cultural safety educators Type
Year 2003 Publication Abbreviated Journal Held in NZNO Library thesis collection
Volume Issue Pages
Keywords Cultural safety; Nursing; Education; Teaching methods
Abstract This thesis is a study of the experiences of four cultural safety lecturers in nursing education in Aotearoa / New Zealand. A review of literature reveals the recent and turbulent evolution of cultural safety. The media which documented this journey in a negative light in the 1990s prompted ministerial inquiries and the publication of the Nursing Council of New Zealand's guidelines for cultural safety in nursing and midwifery education (1996). Action research methods enabled the participants to implement change in their practice and gain positive personal involvement in the study. Reflective diaries provided the major tool in this process as participants were able to achieve at least one action research cycle by identifying issues, planning action, observing the action and reflecting. The findings of the research revealed that the participants not only coped with every day stressors of teaching but they were also required to formulate knowledge of cultural safety. For the Maori participants their stress was confounded with recruiting and retaining Maori students and macro issues such as commitments to iwi. Lack of support to teach cultural safety was identified to be a key theme for all participants. An analysis of this theme revealed that it was organisational in nature and out of their immediate control. Action research provided a change strategy for participants to have a sense of control of issues within their practice. Recommendations have been made which focus on supporting cultural safety educators to dialogue on a regular basis through attendance at related hui; the introduction of nurse educator programmes; paid leave provisions for cultural safety educators to conduct and publish research so that a body of knowledge can be developed; and that Maori cultural safety educators be recognised for their professional and cultural strengths so that they do not fall victim to burn out.
Call Number NRSNZNO @ research @ Serial 1137
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Author (down) Wenmoth, J.D.A.
Title A phenomenological study examining the experience of nausea, vomiting and retching associated with pregnancy Type
Year 1997 Publication Abbreviated Journal Massey University Library
Volume Issue Pages
Keywords
Abstract This paper outlines a phenomenological study carried out to explore the experience of nausea, vomiting and retching associated with pregnancy. These phenomena lack Nursing research and are debilitating symptoms which effect the quality of life for 50-75% of all pregnant women. Madjar ( 1991) indicates that the communication of such experiences can deepen our understanding of human life and coping. It is importance for Nurses to develop an understanding of lived experiences so that they can make more effective interventions. This study explores the essential humanness of life experiences as they are for those who live them. It involved collecting data from those experiencing the phenomena and analysing it. It focuses on the study of phenomena not as separate entities in themselves but as they are perceived as they are experienced. A 'purposeful sample' was required for this study. The aim was to include women who had direct knowledge of the phenomena of nausea, vomiting and retching associated with pregnancy. The study involved in depth interviewing of six women, the interviews were taped and independently transcribed, the transcripts were analysed to determine the meaning of the experience and to identify common themes. The experiences of the women are discussed in relation to what van Manen (1990) describes as four main life world existentials; the lived body, the lived other, lived space and lived time
Call Number NRSNZNO @ research @ 15 Serial 15
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Author (down) 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
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Author (down) Weidenbohm, K.
Title Pioneering rural nursing practice: An impact evaluation of a preventive home visiting service for older people Type
Year 2006 Publication Abbreviated Journal University of Auckland Library
Volume Issue Pages
Keywords Community health nursing; Rural health services; Older people; Home care; Preventive health services
Abstract
Call Number NRSNZNO @ research @ 579 Serial 565
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Author (down) Weber, Heidi
Title Deciding on a safe site for intramuscular injections in an acute mental health setting Type Journal Article
Year 2023 Publication Kaitiaki Nursing Research Abbreviated Journal
Volume 14 Issue 1 Pages 58-61
Keywords Intramuscular injections; Mental health patients
Abstract Aims to provide practical guidance for health-care providers to ensure the safe and effective administration of intramuscular injections, when there is the potential for violence and agitation, as well as during personal restraint. Undertakes a realist review of the evidence comparing the dorsogluteal and ventrogluteal sites.
Call Number NZNO @ research @ Serial 1852
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Author (down) Watson, P.B.; Feld, A.
Title Factors in stress and burnout among paediatric nurses in a general hospital Type Journal Article
Year 1996 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 11 Issue 3 Pages 38-46
Keywords
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
Call Number NRSNZNO @ research @ 156 Serial 156
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Author (down) Water, Tineke; Rasmussen, Shayne; Neufeld, Michael; Gerrard, Debra; Ford, Katrina
Title Nursing's duty of care: from legal obligation to moral commitment Type Journal Article
Year 2017 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 33 Issue 3 Pages p.7-20
Keywords Duty of care; Registered nurses; Professional standards; Legal obligation; Moral commitment
Abstract Maintains that duty to care is a fundamental basis of nursing practice. Explores the historical origins and development of the concept, alongside nurses' legal, ethical and professional parameters associated with duty of care. Identifies major concepts including legal and common-law definitions of duty of care, duty of care as an evolving principle, the moral commitment to care, and the relevance of duty of care to nursing practice in NZ.
Call Number NZNO @ research @ Serial 1587
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Author (down) Warren, B; Dovey, S; Griffin, F
Title The evidence behind more than a decade of policy recommending influenza vaccination for young New Zealanders with long term medical conditions Type Journal Article
Year 2011 Publication Kai Tiaki Nursing Research Abbreviated Journal Held by NZNO Library
Volume 2 Issue 1 Pages 27-32
Keywords
Abstract This article reviews the recent evidence underpinning the New Zealand Ministry of Health's recommendation to offer free annual influenza vaccination to people aged six months to 64 years who have certain chronic medical conditions (eligible younger people). These results show there is relatively limited research providing evidence underpinning recommendations for influenza vaccination among people aged <65 years. These results show that there is a need to increase nurses' awareness of the rationale behind the New Zealand influenza vaccination policy, that this may in turn increase their willingness to recommend influenza vaccine to more eligible younger people.
Call Number NZNO @ research @ Serial 1359
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Author (down) Wareham, P.; McCallin, A.; Diesfeld, K.
Title Advance directives: The New Zealand context Type Journal Article
Year 2005 Publication Nursing Ethics Abbreviated Journal
Volume 12 Issue 4 Pages 349-359
Keywords Law and legislation; Patient rights; Nursing; Ethics
Abstract Advance directives convey consumers' wishes about accepting or refusing future treatment if they become incompetent. There are associated ethical issues for health practitioners and this article considers the features that are relevant to nurses. In New Zealand, consumers have a legal right to use an advance directive that is not limited to life-prolonging care and includes general health procedures. Concerns may arise regarding a consumer's competence and the document's validity. Nurses need to understand their legal and professional obligations to comply with an advance directive. What role does a nurse play and what questions arise for a nurse when advance directives are discussed with consumers? This article considers the cultural dimensions, legal boundaries, consumers' and providers' perspectives, and the medical and nursing positions in New Zealand.
Call Number NRSNZNO @ research @ 1069 Serial 1054
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