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Author |
O'Sullivan, M. |
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Title |
Maximising, optimising, empowering: the work of the public health nurse in a college setting |
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1997 |
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Abbreviated Journal |
Massey University Library |
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NRSNZNO @ research @ 169 |
Serial |
169 |
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Author |
Gasquoine, S.E. |
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Title |
Constant vigilance: the lived experience of mothering a hospitalised child with acute illness or injury |
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Year |
1996 |
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Abbreviated Journal |
Massey University Library |
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This phenomenological study describes the lived experience of mothering a child hospitalised with acute illness or injury. Seven mothers who had experienced this crisis within twelve months of our first interview agreed to share their stories with me. The resulting data were analysed and interpreted using van Manen's interpretation of Heideggerian phenomenology.Four phenomenological themes emerged from this study. Mothers have a special kind of knowing. They have a need to do with and for their child. Handing over to or leaving their child in the care of strangers and waiting for their child to be returned to their care are very difficult things for mothers to do. Their constant vigilance is enabled by their special kind of knowing and their need to do. The difficulty of handing over, leaving and waiting is emphasised by mothers' constant vigilance.Personal experiences during the course of my study presented significant challenges to my ability to offer an effective phenomenological description of the phenomenon under study. Continuous reflection aided by dialogue with fellow phenomenological researchers has resulted in a meaningful narrative.This description of mothering in a context of crisis is useful in the potential contribution it makes to nurses' understanding of mothers' experience of the hospitalisation of their children. It supports the philosophy of family-centered care and highlights the ability of individual nurses to make a positive difference to a very stressful experience |
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NRSNZNO @ research @ 168 |
Serial |
168 |
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Author |
Dixon, D.A. |
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Title |
Critical case studies as voice: the difference in practice between enrolled and registered nurses |
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Year |
1996 |
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Abbreviated Journal |
Flinders University of South Australia |
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An emergent theoretical perspective in the nursing literature relates to nursing as a human science and the application of critical social science and feminist frameworks to nursing research. This research adds to the discipline's knowledge base in that it is at the leading edge of exploring how critical case study illuminates critical issues in the practice of nursing.My interest in the research question came from hearing colleagues espouse the view that other than a legal one, there were no differences in practice between enrolled and registered nurses. How accurate was this perception? Without answers to this question, members of the nursing profession in New Zealand were likely to make some major decisions about the future of enrolled nursing which history will show were ill founded. Since I “walk the talk” of both the world of practice and the corridors of nursing power relationships, I sought answers by incorporating the viewpoints of both groups into the research design.Five registered nurses who had previously been enrolled nurses were asked to consider what was different about their present practice compared to their experiences as an enrolled nurse.Through critically reflexive discourse and journalling, Liz, Emma, Kathy, Helen and myself came to reflect on our nursing worlds in order to transform them.Writing about these transformations in a way that kept our voices alive was more difficult. The cases were written as stories, using storytelling as a legitimate academic activity to link the methodology with the theoretical perspectives. This ensured our individual voices were heard rather than silenced by the research process. It also left a clear decision trail for the reader to follow related to issues of rigor. Paradoxically, the identification of patterns across the case studies was facilitated.Two main patterns emerged in answer to the question “what's different in your practice now from when you were an enrolled nurse?” The differences were explicated in the pattern “Becoming a registered nurse” while “She was one of us” exposed the underlying power and control issues. This study found that the enrolled nurse controls practice at the bedside.The nursing profession's stance on the future of enrolled nurses was also explored through case study. Key nursing stakeholders were interviewed using a proposed legislative change to the Nurses' Act, 1977, that would lead to the demise of the enrolled nurses as a category of nurse, as a focus point. These different perspectives expose for critique the socio-political forces that silence the voice of enrolled nurses in determining their own future. At a legislative level, the stakeholders' voices are dominant. The future of enrolled nurses looks increasingly bleak in New Zealand as the nursing profession positions itself legislatively for the 21st century |
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NRSNZNO @ research @ 167 |
Serial |
167 |
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Author |
Parkes, J. |
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Title |
Patients perception of nurses practice |
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Year |
1993 |
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Abbreviated Journal |
Otago Polytechnic Library. A personal soft bound copy can be obtained by contacting pgnursadmintekot |
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This phenomenological study described the lived experience of patients within a surgical secondary care setting, and explored patients' perceptions of nurses' practice. The participants in the study were five adult patients who experienced a period of hospitalization within the surgical secondary care setting.This study was influenced by the work of Patricia Benner (1984) who entered the lived world of nurses' practice, through description of nurses' clinical exemplars. In this study, a qualitative research approach was used to enter the lived world of the patient within the surgical secondary setting.The research approach followed Max Van Manen's phenomenological hermeneutic method of 'Researching Lived Experience". This approach includes turning to a phenomenon of concern and interest to the researcher, investigating the experience as it is lived, reflecting on essential themes that emerge from the investigation, describing the phenomenon and bringing it to speech. The data that emerged from the participants stories of their experiences with the surgical secondary care setting, revealed four essential themes. These themes included 'feeling valued', 'human to human contact', 'two way communication', and 'feeling safe'. These themes provided insights into the participants' perceptions of nurses' practice.The participants' stories revealed a range of perceptions about nurses' practice, and the extent to which nurses in their practice valued the patient, had human to human contact, kept the patient informed and ensured patient safety. The themes revealed times when nurses' practice was perceived as dependent and powerless, in the face of, traditional views of womens' work, and the hierarchical and beurocratic constraints of the institution. At times it was also hidden from view, missed or misunderstood. Despite this, nurses' practice was seen as the central and pivotal point, from which the participants were able to make their recovery |
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NRSNZNO @ research @ 166 |
Serial |
166 |
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Author |
O'Connell, M..P. |
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Title |
Perspectives on caring in the patient/nurse relationship |
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Year |
1994 |
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Abbreviated Journal |
Manawatu (UCOL) Library. |
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The caring experiences of patients and nurses, within the context of that relationship, within a mental health setting, were examined. A phenomenological approach was used to discover the meanings beyond the respondents descriptions and expressions of what it meant to be to be cared for, or to provide care |
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NRSNZNO @ research @ 165 |
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165 |
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Author |
Martin, M.; Mullard, T. |
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Title |
High level of compliance with rifampicin chemoprophylaxis of meningococcal disease |
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Journal Article |
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Year |
1997 |
Publication |
The New Zealand Public Health Report |
Abbreviated Journal |
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Volume |
4 |
Issue |
6 |
Pages |
41-43 |
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This study investigated the degree of compliance and reasons for non-compliance with chemoprophylactic Rifampicin medication among 103 close contacts of memingococcal disease in the greater Auckland region during the period July to September 1996. The study showed a high degree of compliance among close contacts, with 96.1% taking Rifampicin as prescribed. Reasons for compliance were related to the contacts ' perceptions of susceptibility to the illness, the severity of the disease, and the benefits of medical intervention. The contacts found the service provided by the public health staff ws sufficient, and the information provided was valuable |
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NRSNZNO @ research @ 164 |
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164 |
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Author |
Gunn, D. |
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Title |
Caring for the dying adolescent: The lived experience of four mothers |
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Year |
1999 |
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Abbreviated Journal |
Victoria University of Technology Library, NZNO Li |
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The aim of this thesis is to present a phenomenological exploration of the experiences of four woman who have had an adolescent child die of cancer. Using the method of hermeneutic phenomenology, as described by van Mann (1984,1990) the study drew on the stories of four woman. From their stories eight emerging themes became apparent.The analysis of the themes is described under the following headings:- wanting to protect; wanting to be with; maintaining normality; feeling positive and hopeful; facing finality; realizing that death was imminent; coping with the common reality; and interacting with health professionals.Further interpretation of the emerging themes revealed “hope expectations” as the phenomenon of concern that captures these mothers' experiences. The hope expectation phenomenon reveals how the mothers coped with adversity, differing hope expectations in the common reality, oscillating hope expectations throughout the journey and hope expectations inspired by the health professionals.The outcome of this work is to provide professional, especially nurses, with insight and knowledge of the maternal experience of caring for the dying adolescent. It is hoped this research will contribute to the body of nursing knowledge and influence the care of parents who experience the trauma of caring for their dying adolescent child |
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NRSNZNO @ research @ 163 |
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163 |
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Author |
Stevenson, A.F. |
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Title |
Realities and rhetoric: general hospital nursing in New Zealand 1945 to 1960 |
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Year |
1997 |
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Abbreviated Journal |
Victoria University of Wellington Library, Welling |
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Up until the 1980s most of the historical writing about nursing and nurses in this country has been told from the points of view of past nursing leaders. The realities of day-to-day nursing in New Zealand general hospitals were relatively unknown.This thesis examines the experience of general hospital nursing between 1945 and 1960. The recollections of thirty-four nurses who nursed during this period have provided the key sources from which the major themes of this study have emerged. These themes, of dirty work, authoritarian control and discipline, and learning nursing are discussed within the context of an expanding hospital system and a shortage of nurses.The study demonstrates the vast differences between the recollections of nurses of the experience of nursing and the rather high-flown rhetoric of the nursing leadership.Changes to the amount of cleaning, the ;level of discipline and control, and ways in which learning nursing was organised were small and gradual and occurred in the late 1950s.Overall, though, nursing in general hospitals by 1960 ws almost unchanged from the 1930s.An ethos of selfless service, opposition to unionism, and Christian altruism was till dominant amongst the nursing leadership. Nurses in training still worked a six day week, were expected to stay on duty until the work was done, and were supervised closely in, on and off duty time |
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Call Number |
NRSNZNO @ research @ 162 |
Serial |
162 |
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Author |
Bland, M.F. |
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Title |
Challenging the myths: the lived experience of chronic leg ulcers |
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Year |
1994 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
Massey University Library |
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Volume |
2 |
Issue |
3 |
Pages |
13-14 |
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Abstract |
This phenomenological study explored the experiences of five men and four women whose lives have been shaped by chronic leg ulcers. It reveals the suffering that accompanies these wounds, and challenges health professionals to move from a focus on wound management to understanding the realities of chronic illness experience |
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NRSNZNO @ research @ 160 |
Serial |
160 |
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Author |
West, S.R.; Harris, B.J.; Warren, A.; Wood, H.; Montgomery, B.; Belsham, V.L. |
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Title |
A retrospective study of patients with cancer in their terminal year |
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Journal Article |
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Year |
1986 |
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New Zealand Medical Journal |
Abbreviated Journal |
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Volume |
99 |
Issue |
798 |
Pages |
197-200 |
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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 |
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NRSNZNO @ research @ 16 |
Serial |
16 |
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Author |
Batten, L. |
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Title |
The casual nurse: an enigma? |
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Year |
1995 |
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Abbreviated Journal |
Massey University Library |
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The experiences of nurses employed on casual contracts were explored using grounded theory methodology. Data analysis showed that the experience of casual nursing is constituted by interwoven processes of discontinuity and marginality with an overall theme and processes of compromise to obtain a sense of balance by the casual nurse. Implications for permanent staff, casual nurses and organizations are developed |
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NRSNZNO @ research @ 159 |
Serial |
159 |
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Author |
Andrews, E. |
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Title |
The living power of words |
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Year |
1996 |
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E. I. T. Library, Gloucester Street, Taradale, Haw |
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The experience of loneliness within a people-centered profession has supported nursings silencing and invisibility. A literature expedition through communication texts and journals led to an awareness of the paucity of literature which explores and acknowledges how we dialogue together, rather than the more fashionable focus on how we should communicate with others. |
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NRSNZNO @ research @ 158 |
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158 |
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Author |
Clark, R.R.; Wasilewska, T.; Carter, J. |
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Title |
Lymphoedema: a study of Otago women treated for breast cancer |
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Journal Article |
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Year |
1997 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
12 |
Issue |
2 |
Pages |
4-15 |
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Otago women who had been treated for breast cancer were asked by questionnaire about patterns of arm swelling post treatment. Almost one third indicated they had had swelling at some time. Few had received preventive advice or what to do should arm swelling occur |
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NRSNZNO @ research @ 157 |
Serial |
157 |
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Author |
Watson, P.B.; Feld, A. |
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Title |
Factors in stress and burnout among paediatric nurses in a general hospital |
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Journal Article |
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Year |
1996 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
11 |
Issue |
3 |
Pages |
38-46 |
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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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Call Number |
NRSNZNO @ research @ 156 |
Serial |
156 |
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Author |
Watson, P.B. |
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Title |
A study of cardiac inpatient participation in Canterbury Health's cardiac rehabilitation programme |
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Year |
1994 |
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Author |
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A telephone survey was conducted with 61 randomly selected patients who had been admitted to the cardiology service with an Myocardial infarction but did not attend the cardiac rehabilitation programme. Findings show that many patients who would benefit from cardiac rehabilitation are denied access because it is only open to patients who have Myocardial Infarctions. Only a small percentage of MI admissions attend rehabilitation the main reason being patients are not informed the service is available. Women are under represented among rehabilitation participants and lack of transport is a major factor inhibiting women from attending. Improvements in referral systems and follow up are recommended |
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Call Number |
NRSNZNO @ research @ 155 |
Serial |
155 |
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