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Author (down) Lewis, T. url  openurl
  Title Euthanasia: A Foucauldian analysis Type
  Year 2005 Publication Abbreviated Journal ScholarlyCommons@AUT  
  Volume Issue Pages  
  Keywords Law and legislation; Euthanasia; Ethics; Pain management; Terminal care; Nursing; Palliative care  
  Abstract This study drew upon the theoretical insights of Michel Foucault to provide a discursive analysis of the term euthanasia, and the issues surrounding the “right-to-die”. It involved an analysis of primary texts from; nursing, general, and legal literature as well as the media between the years 2002-2004. Drawing upon data researched, the study analyses the main discourses regarding the practice of euthanasia for terminally ill individuals. The two competing discourses that emerged were what the author termed the sanctity-of life-discourse and the right-to-die discourse. The aim of the study was to uncover the discourses understanding of “truth” regarding the right-to-die. The analysis revealed that a small percentage of cancer sufferers (5%) die with their pain insufficiently treated and the right-to-die discourse claims that no individual should have to suffer needlessly, asserting the individuals right to autonomy. Directly opposing this is the sanctity-of life-discourse which states all life is sacred and nothing can justify euthanasia as an acceptable practice in society. These findings indicate the need for effective palliative care and pain management when caring for the terminally ill individual. The legal, ethical and moral implications of euthanasia are many and this study discusses the effects these may have on health professionals involved with the care of terminally ill patients. The study revealed an increasing deployment of the right-to-die discourse in the media and revealed concerns regarding the nursing profession's lack of preparation to deal with euthanasia if it becomes a legal option in end of life care.  
  Call Number NRSNZNO @ research @ Serial 1226  
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Author (down) Lewer, D. openurl 
  Title Analysing the Mental Health Act Type Journal Article
  Year 1999 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal  
  Volume 5 Issue 8 Pages 14-16  
  Keywords Psychiatric Nursing; Mental health; Law and legislation; Ethics  
  Abstract Changes brought by the Mental Health Act (MHA) to clinical practice, and some of the problems it has created for nurses, are examined in this article. Compulsory assessment and treatment orders (CATO) and the role of Duly Authorised Officers (DAO), and moral dilemmas that can arise as a consequence of CATOs used by DAOs are examined. The requirement for DAOs to act as patient advocates and to safeguard cultural beliefs are highlighted. The MHA promotes self responsibility and a treatment philosophy rather than detention of the mentally ill.  
  Call Number NRSNZNO @ research @ 1039 Serial 1023  
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Author (down) Levien, J. url  openurl
  Title Maori health: One area of risk Type Journal Article
  Year 2007 Publication Nursing Journal Northland Polytechnic Abbreviated Journal Available online at coda, An Institutional Repository for the New Zealand ITP Sector  
  Volume 11 Issue Pages 17-21  
  Keywords Colonisation; Maori; Health status; Nursing  
  Abstract This essay explores the social and historical context of the continued incidence of rheumatic fever amongst Maori. This communicable disease is associated with poverty, inadequate housing and overcrowding. These risk factors are all higher for indigenous populations. The article traces the effects of colonisation on Maori health, and presents the Te Whare Tapa Wha health model, which is grounded in a Maori world view, and provides a framework to examine this issue. The implications for nursing practice are explored.  
  Call Number NRSNZNO @ research @ 1316 Serial 1300  
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Author (down) Lesa, Raewyn url  openurl
  Title The contribution of simulation in the development of clinical judgement: Students' perspectives Type Book Whole
  Year 2019 Publication Abbreviated Journal  
  Volume Issue Pages 181 p.  
  Keywords Simulation; Clinical judgement; Nursing students; Pre-registration; Surveys  
  Abstract Conducts an exploratory case study investigating the experiences of third-year undergraduate nursing students in simulations, collecting stories about their experiences in the clinical environment, and highlighting the potential use of simulation as an alternate learning environment to foster the development of clinical judgement in nursing students. Considers two research questions: how do nursing students experience simulation as an environment for learning, and how do nursing students' learning experiences in simulation and clinical practice influence their development of clinical judgement skills? Conducts one-to-one interviews and observes simulations in the course of an exploratory case study.  
  Call Number NZNO @ research @ Serial 1652  
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Author (down) Lesa, Raewyn openurl 
  Title Personal experience of using a case study for a doctorate Type Journal Article
  Year 2019 Publication Kai Tiaki Nursing Research Abbreviated Journal  
  Volume 10 Issue 1 Pages 68-70  
  Keywords Nursing students; Simulation; Case study; Research methodology  
  Abstract Draws on personal experience us using a case study for doctoral research. Presents practical insights into the process of designing a credible research case study based on the author's research into the experiences of third-year nursing students in simulation and clinical practice.  
  Call Number NZNO @ research @ Serial 1629  
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Author (down) Lesa, R.; Dixon, D.A. openurl 
  Title Physical assessment: Implications for nurse educators and nursing practice Type Journal Article
  Year 2007 Publication International Nursing Review Abbreviated Journal  
  Volume 54 Issue 2 Pages 166-172  
  Keywords Advanced nursing practice; Clinical assessment; Cardiovascular diseases; Nursing; Education  
  Abstract In New Zealand, the physical assessment of a patient has traditionally been the domain of the medical profession. Recent implementation of advanced practice roles has expanded the scope of practice and nurse practitioners may now be expected to perform physical assessments. The aim of this literature review was to discover what could be learnt from the experiences of Western countries. Nurses from the USA, Canada and Australia readily incorporate physical assessment skills into their nursing practice as a component of health assessment. The international literature identified that any change to the nurse's role in health assessment, to include physical assessment skills, requires strategies that involve the regulatory, educational and practice components of nursing.  
  Call Number NRSNZNO @ research @ Serial 786  
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Author (down) Lesa, R. openurl 
  Title Advanced physical assessment skills: Factors that influence registered nurses' use of skills in the clinical setting, on completion of an advanced health assessment course Type
  Year 2007 Publication Abbreviated Journal Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz  
  Volume Issue Pages  
  Keywords Nursing; Primary health care; Nursing specialties; Education  
  Abstract Traditionally the use of advanced physical assessment skills when assessing a patient or client has been the domain of the medical profession. The last few decades has seen many changes in health provision that have influenced nursing practice, as a result of the social and economic trends impacting on New Zealand society. A notable change in nursing practice has been an increased emphasis on the use of advanced physical assessment skills by registered nurses, as an expected part of the registered nurse's health assessment. Nurses in the United States, and more recently Canada and Australia, readily include these skills as an expansion of their health assessment into their nursing practice. The purpose of this research is to investigate whether New Zealand registered nurses have done the same. The factors that influence the registered nurses' use of these skills are also explored. This descriptive design was chosen in order to focus on exploring and describing this phenomenon in a holistic fashion. Data collection involved one hour semi- structured interviews with seven participants who all completed the same postgraduate advanced health assessment educational course. Three themes were identified as influencing the use of advanced physical assessment skills; the registered nurse's work environment, the registered nurse's attributes and the registered nurse's original nursing education. The findings from this research have implications for nurses in practice and nurse educators, in both undergraduate and postgraduate education.  
  Call Number NRSNZNO @ research @ Serial 498  
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Author (down) Leeks, O. openurl 
  Title Lesbian health: Identifying the barriers to health care Type
  Year 2007 Publication Abbreviated Journal Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz  
  Volume Issue Pages  
  Keywords Attitude of health personnel; prejudice; cultural safety  
  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.  
  Call Number NRSNZNO @ research @ Serial 816  
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Author (down) Lee, S.V. openurl 
  Title The advanced practitioners' guide to integrating physical and mental health: Introducing the role of the mental health consultation liaison nurse Type
  Year 2005 Publication Abbreviated Journal Victoria University of Wellington Library  
  Volume Issue Pages  
  Keywords Advanced nursing practice; Mental health; Nursing specialties  
  Abstract Evidence within the literature highlights that staff within the general hospital wards are not necessarily equipped to assess and meet the needs of patients with mental health or behavioural problems. The author notes that this is cause for concern as a number of people requiring admission to the general wards often have a complex, interrelated combination of physical and mental health problems. Within New Zealand there have also been a number of changes to health care policies that have increased general nurses contact with mental health patients over the last decade. The Mental Health Consultation Liaison Nurse is an advanced nurse specialist who can meet this need. Having reviewed the literature and communicated with Mental Health Consultation Liaison Nurses in New Zealand and Australia, the author says it is clear that the availability of a mental health nurse within the district health board general wards would be advantageous to all. The role has been shown to positively influence the care of patients and benefit other health care professionals. It provides an improved system of care that is co-ordinated, integrated and responsive to the needs of patients and health care staff. The implementation of the Mental Health Consultation Liaison Nurse role has the potential to cut costs in relation to decreasing length of stay with untreated mental health issues, and reduce the cost of continued use of 'specialling' unnecessarily. Also of importance is the fact that such a position would assist the district health board to comply with the standards of health care provision as directed by the Mental Health Commission and the Ministry of Health. The author suggests that the introduction of the Mental Health Consultation Liaison Nurse role represents a change in traditional ways of providing general nursing and consequently there are a number of issues that may hinder its success. This dissertation aims to increase the visibility of mental health nursing and provide a resource for others debating the development and implementation of the Mental Health Consultation Liaison Nurse role.  
  Call Number NRSNZNO @ research @ Serial 771  
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Author (down) Ledesma-Libre, Krizia openurl 
  Title Factors influencing nurses' choice to work in mental health services for older people Type Journal Article
  Year 2019 Publication Kai Tiaki Nursing Research Abbreviated Journal  
  Volume 10 Issue 1 Pages 61-62  
  Keywords Aged care; Mental health nursing; Motivation; Recruitment and retention  
  Abstract Explores what influences nurses to work in mental health services for older people (MHSOP)and what factors encourage those who did not choose this area of nursing, to continue in MHSOP. Includes nurses' positive and negative perceptions of MHSOP. Collects data via focus group discussions with 30 mental health nurses.  
  Call Number NZNO @ research @ Serial 1627  
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Author (down) Leamy, J. openurl 
  Title The healing journey: survivors of ritual abuse Type
  Year 1994 Publication Abbreviated Journal Massey University Library  
  Volume Issue Pages  
  Keywords  
  Abstract  
  Call Number NRSNZNO @ research @ 274 Serial 274  
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Author (down) Lawton, M.M.(deceased); Students, openurl 
  Title Congenital abnormalities and pre-natal influences Type Miscellaneous
  Year Publication Abbreviated Journal  
  Volume Issue Pages  
  Keywords  
  Abstract  
  Call Number NRSNZNO @ research @ 39 Serial 39  
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Author (down) Lawton, M.M.(deceased); Students, openurl 
  Title Needs for ante-natal education Type Miscellaneous
  Year Publication Abbreviated Journal  
  Volume Issue Pages  
  Keywords  
  Abstract  
  Call Number NRSNZNO @ research @ 76 Serial 76  
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Author (down) Lawton, M.M.(deceased); Students, openurl 
  Title Survey – at risk patients Type Miscellaneous
  Year Publication Abbreviated Journal  
  Volume Issue Pages  
  Keywords  
  Abstract  
  Call Number NRSNZNO @ research @ 105 Serial 105  
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Author (down) Lawton, M.M.(deceased); Students, openurl 
  Title Survey – breast feeding Type Miscellaneous
  Year Publication Abbreviated Journal  
  Volume Issue Pages  
  Keywords  
  Abstract  
  Call Number NRSNZNO @ research @ 106 Serial 106  
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