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Author |
Johns, S. |
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Title |
Being constrained and enabled: A study of pre-registration nursing students ethical practice |
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Year |
2004 |
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Abbreviated Journal |
Auckland University of Technology Library |
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Keywords |
Ethics; Nursing; Students |
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Abstract |
This study uncovers the experience of being ethical from the perspective of pre-registration nursing students. Using the qualitative methodology of phenomenology, specifically that outlined by van Manen, it seeks to show how students act ethically within everyday practice. Providing nursing care is an ethically charged undertaking and despite ethics taking an increasingly important place in nursing education, the author suggests that few studies show the contextual nature of ethical practice from the perspective of students. This study aims to partly redress this situation. In this study the author has interpreted the experiences of twelve pre-registration students. Using seventeen stories shared by the student participants, the author's personal understandings and literature, the meaning of being ethical has been illuminated. Three themes emerged from the interpretation. These include 'keeping things 'nice'', 'being true to yourself' and 'being present'. This thesis asserts that the overarching theme within these themes is that of 'being constrained and enabled'. Being constrained shows the experiences of students as they live through the tensions of being and doing as they strive to be ethical. Being enabled shows the experience of self-determination. Finally the study maintains that the shaping of ethical practice for undergraduate students may be enhanced when their reality is positioned and valued within educational processes. |
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Call Number  |
NRSNZNO @ research @ 614 |
Serial |
600 |
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Author |
Vallant, S.R. |
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Title |
Dialogue and monologue: The relationship between student nurse and nurse clinician: The impact on student learning |
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Year |
2004 |
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Abbreviated Journal |
Massey University Library |
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Keywords |
Students; Nursing; Mentoring |
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Call Number |
NRSNZNO @ research @ 610 |
Serial |
596 |
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Author |
Butterfield, S.L. |
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Title |
Helplessness or self care: a study of nursing practice with depressed patients in an In care setting |
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Year |
1982 |
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Abbreviated Journal |
Massey University Library Palmerston North |
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Abstract |
This study was conducted to investigate the practise of Nurses when working with depressed patients in an In Care setting. A survey of the literature shows that the role commonly prescribed for nurses who work in psychiatric settings is one that emphasises a one- on -one relationship based on models of psychotherapy and focuses on individual illness, pathology, systems and psycho dynamics. It is suggested that this is not a role which most Nurses working in New Zealand psychiatric settings would be able to implement in practise. Three perspective's of Nursing practise were explored in the study. What Nurses were seen to do in practice. What they thought they should do as evidenced in results of an exercise to rank different possible interventions, and what patients said were helpful Nursing interventions. A framework was developed for the study which depicts the process of helplessness(depression) as the negative 'mirror -image' of the process of self care. Results were analysed within this framework to determine whether or not Nurses tended to support behaviours which were indicative of movement towards helplessness or encourage those which indicated progress towards self care by their interventions. There was little evidence of positive reinforcement for independent or coping behaviours with patients in the study sample. Further, the nursing practise showed little relationship to the role prescribed in the literature. The Nurses did demonstrate a warm caring friendly approach that seemed to stem from a more traditional 'succouring, mothering' view of Nurses' role |
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Call Number |
NRSNZNO @ research @ 61 |
Serial |
61 |
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Author |
Williams, P. |
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Title |
The experience of being new in the role of Charge Nurse |
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Year |
2004 |
Publication |
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Abbreviated Journal |
Auckland University of Technology Library |
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Keywords |
Nursing |
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Abstract |
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Call Number |
NRSNZNO @ research @ 608 |
Serial |
594 |
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Author |
Lauder, G.C. |
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Title |
Health in the workplace: An exploration of healthy options for an aged care setting |
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Year |
2004 |
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Abbreviated Journal |
Victoria University of Wellington Library |
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Keywords |
Geriatric nursing; Health behaviour; Workplace |
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Abstract |
People working in aged care settings in New Zealand spend approximately 30% of their lives in their workplace. There is a challenge for workplaces to support people to maintain and improve their health status. This project investigated the question: How can workplaces support staff to maintain health in an aged care environment? The project concerned two considerations: primarily what people can do for themselves and how the organisation can assist their interest and maintain their investment in health based activities and secondly what workplaces can do to make the organisations more healthy. The philosophy and the realities of the workplace were reviewed and the project addressed the strategies that could be adopted by the workplace. The study identifies a series of practical activities and outcomes that aged care facilities can undertake for nurses/caregivers or other members of staff working in the workplace. The findings lead to recommendations about healthy outcomes and managing health and creating a positive climate for health within the workplace. |
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Call Number |
NRSNZNO @ research @ 605 |
Serial |
591 |
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Author |
Coupe, D. |
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Title |
How accountable is accountable for mental health nurses? |
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Year |
2004 |
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Abbreviated Journal |
Victoria University of Wellington Library |
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Keywords |
Accountability; Nursing; Mental health |
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Abstract |
Accountability has been described by nurses as an elusive concept or myth. The author suggests that this elusive concept or myth can partly be attributed to accountability becoming visible usually following a critical incident. The overall goal of this project is to provide nurses working within mental health with the incentive to raise their awareness and explore what their roles and responsibilities are within the accountability process in a more positive scenario. This research paper reports on an exploration of the key components of accountability within the New Zealand mental health environment. It describes significant influences that affect accountability. This is achieved by the means of a literature review, sharing of the author's experience of being involved in a national inquiry, and the adaptation of a who what and how framework, in conjunction with a diagram displaying accountability levels and lines for mental health nurses. The author points out that the domains of accountability for nurses will continue to evolve and expand but what remains important is that consumers have access to good quality mental health care. |
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Call Number |
NRSNZNO @ research @ 604 |
Serial |
590 |
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Author |
Vandergoot, A. |
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Title |
From ward nurse to proficient critical care nurse: A narrative inquiry study |
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Year |
2005 |
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Abbreviated Journal |
Akoranga Theses Collection, Auckland University of Technology |
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Keywords |
Nursing specialties |
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Abstract |
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Call Number |
NRSNZNO @ research @ 602 |
Serial |
588 |
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Author |
Pybus, M.W.; Thomson, M. |
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Title |
Health awareness and health actions of parents health |
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Year |
1979 |
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Abbreviated Journal |
Department of Nursing Studies Archives 68.101/68.3 |
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Abstract |
The parents of 238 children in standard one (7 – 8 year olds) in two localities in New Zealand (one group chosen randomly, the other a census of a small community) were interviewed about health matters. Objectives of the study were:1. To describe parents understanding of the nature of health.2. Their understanding of threats to their health.3. To describe actions they take to promote their own and their children's health.Few respondents describe health as being just the absence of illness: the concept of energy is important in many descriptions of health. Threats to the health of children are seen as coming more from the environment as compared with adults, for whom more threats are seen as having a physiological origin. Only 13% of adults thought that they put a lot of effort into keeping healthy. The underlying rationale is the recognition of the importance of people's own actions in the attainment and maintenance of health |
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Call Number |
NRSNZNO @ research @ 60 |
Serial |
60 |
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Author |
Green, D.E. |
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Title |
Prediction of academic success and attrition on nursing students |
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Year |
1976 |
Publication |
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Abbreviated Journal |
Victoria University of Wellington Library |
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Abstract |
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Call Number |
NRSNZNO @ research @ 6 |
Serial |
6 |
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Author |
Neville, S.J. |
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Title |
Delirium in the older adult: A critical gerontological approach |
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Year |
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Abbreviated Journal |
Massey University Library |
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Keywords |
Geriatric nursing; Older people |
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Abstract |
The purpose of this thesis has been to explore the discursive production of delirium in people over the age of 65 years. The philosophical approaches underpinning the study were derived from the field of critical gerontology, postmodernism and the utilisation of a Foucauldian understanding of discourse and power/knowledge. Data sources included published documents on delirium, interviews with people over the age of 65 years who had been delirious (as well as their clinical notes), family members, registered nurses and a doctor. Textual analysis revealed the presence of two contesting and contradictory discourses that impacted on being an older person who had delirium. These were identified as the discourse of delirium as a syndrome and a personal discourse of delirium. The discourse of delirium as a syndrome is underpinned by the biomedicalisation of the ageing process. This process utilises scientific methods as the foundation from which to understand, research and provide a health service to older people with delirium. Any personal perspectives on delirium are rendered unimportant and relegated to marginalised positions. Nursing through its vicarious relationship to medicine is interpellated into deploying the discourse of delirium as a syndrome and has largely ignored the personal dimensions associated with this phenomenon. Consequently, the older delirious 'body' is known and inscribed as unruly, problematic, physically unwell, cognitively impaired and at risk. Conversely, a personal discourse of delirium privileges the individual narratives of people who have been delirious and provides a different perspective of delirium. The deployment of a personal discourse of delirium offers another position that views this group of older people as bringing to the health care setting a rich tapestry of life experiences that are more than a cluster of signs and symptoms. It is these varied life experiences that need to be included as a legitimate source of knowledge about delirium. This thesis demonstrates how nursing needs to espouse a critical gerontological position when working with older people who have delirium. Critical gerontology provides nurses with the theoretical tools to challenge the status quo and uncover the multiple, varied, contradictory and complex representations of delirium in older people. |
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Call Number |
NRSNZNO @ research @ 598 |
Serial |
584 |
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Author |
Carter, G.E. |
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Title |
Critical thinking abilities: Evidence from students' clinical self-evaluation responses: A pilot study |
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Year |
2005 |
Publication |
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Abbreviated Journal |
Massey University Library |
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Issue |
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Pages |
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Keywords |
Clinical assessment; Critical thinking |
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Abstract |
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Call Number |
NRSNZNO @ research @ 597 |
Serial |
583 |
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Author |
Miles, M.A.P. |
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Title |
A critical analysis of the relationships between nursing, medicine and the government in New Zealand 1984-2001 |
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Year |
2005 |
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Abbreviated Journal |
University of Otago Library |
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Keywords |
Policy; Nursing |
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Abstract |
This thesis concerns an investigation of the tripartite arrangements between the government, the nursing and the medical sectors in New Zealand over the period 1984 to 2001 with a particular focus on primary health care. The start point is the commencement of the health reforms instituted by the Fourth New Zealand Labour Government of 1984. The thesis falls within a framework of critical inquiry, specifically, the methodology of depth hermeneutics (Thompson, 1990), a development of critical theory. The effects of political and economic policies and the methodologies of neo-liberal market reform are examined together with the concept of collaboration as an ideological symbolic form, typical of enterprise culture. The limitations of economic models such as public choice theory, agency theory and managerialism are examined from the point of view of government strategies and their effects on the relationships between the nursing and medical professions. The influence of American health care policies and their partial introduction into primary health care in New Zealand is traversed in some detail, together with the experiences of health reform in several other countries. Post election 1999, the thesis considers the effect of change of political direction consequent upon the election of a Labour Coalition government and concludes that the removal of the neo-liberal ethic by Labour may terminate entrepreneurial opportunities in the nursing profession. The thesis considers the effects of a change to Third Way political direction on national health care policy and on the medical and nursing professions. The data is derived from various texts and transcripts of interviews with 12 health professionals and health commentators. The histories and current relationships between the nursing and medical professions are examined in relation to their claims to be scientific discourses and it is argued that the issue of lack of recognition as a scientific discourse is at the root of nursing's perceived inferiority to medicine. This is further expanded in a discussion at the end of the thesis where the structure of the two professions is compared and critiqued. A conclusion is drawn that a potential for action exists to remedy the deficient structure of nursing. The thesis argues that this is the major issue which maintains nursing in the primary sector in a perceived position of inferiority to medicine. The thesis also concludes that the role of government in this triangular relationship is one of manipulation to bring about necessary fundamental change in the delivery of health services at the lowest possible cost without materially strengthening the autonomy of the nursing or the medical professions. |
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Call Number |
NRSNZNO @ research @ 596 |
Serial |
582 |
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Author |
Harding, T.S. |
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Title |
Constructing the “other”: On being a man and a nurse |
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Year |
2005 |
Publication |
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Abbreviated Journal |
University of Auckland Library |
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Keywords |
Gender; Male nurses; Careers in nursing |
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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. |
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Call Number |
NRSNZNO @ research @ 595 |
Serial |
581 |
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Author |
Yarker-Hitchcock, V. |
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Title |
Clinical supervision in a home care context |
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Year |
2005 |
Publication |
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Abbreviated Journal |
Victoria University of Wellington Library |
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Keywords |
Clinical supervision; Home care; Rural nursing; Rural health services |
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Abstract |
Despite the widespread acceptance of the value of supervision among practitioners and the large quantity of literature on the topic, there is very little empirical evidence in relation to its effect on clinical practice. It is not clear whether supervision actually produces a change in clinician behaviour, or whether it produces benefits in terms of client outcomes. This thesis evaluates the impact of clinical supervision on five co-ordinators in a rural home care setting. It looks at the impact clinical supervision has on their practice and professional growth. The nurses all belong to one organisation, Access Homehealth Ltd. The study builds on the findings of a clinical supervision pilot, which was trialed within the organisation in 2002. The pilot examined which model of supervision was most beneficial for Access Homehealth staff. Clinical Supervision is defined as a designated interaction between two or more practitioners within a supportive environment, that enhances reflective practice and professionalism, which in turn contributes to improved practice and client outcomes. The methodology of this research was qualitative evaluation. The themes which emerged related to personal support, managing stress and alleviating feelings of isolation, reflection, enhancing practice, improved communication skills and the concept of clinical supervision as a safety net. Participants also revealed that one-on-one supervision appeared more helpful than group supervision, and that phone supervision facilitated in-depth dialogue. These findings are important, as they demonstrate it is feasible to simultaneously offer a number of formats of clinical supervision within one organisation, allowing for the organisation to provide what works best for different workers. They also show that clinical supervision is a valuable and useful support tool for home care co-ordinators in order to facilitate empowerment, reflection and growth in practice. Further research is needed to provide evidence of the benefits of supervision on improving client outcomes. |
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Call Number |
NRSNZNO @ research @ 593 |
Serial |
579 |
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Author |
Mitchell, M.H. |
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Title |
Clinical decision-making processes in emergency nursing |
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Year |
2005 |
Publication |
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Abbreviated Journal |
Victoria University of Wellington Library |
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Keywords |
Emergency nursing; Education; Clinical decision making |
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Abstract |
The aim of this research paper is to explore the processes of clinical decision-making in relation to emergency nurses and to examine the educational requirements for the development of clinical decision-making skills. Clinical decision-making is foundational to professional nursing practice. It is the expectation of the profession and the organisations in which nurses work that appropriate clinical decision-making will occur. Patients also rightly expect, when being cared for by nurses, that the clinical decisions pertaining to their care will be optimal. |
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Call Number |
NRSNZNO @ research @ 592 |
Serial |
578 |
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