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Author |
Davy, R. |
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Title |
Evaluation of the impact on the quality of women who have participated in a nursing education session on menopause |
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1999 |
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Objective; The objective of this study is to determine if attending a nursing education session on menopause has an impact on women's management of their menopausal symptoms and consequently their quality of life for women aged 40 to 60 years. The hypothesis is that women attending education sessions will start or increase health promotion activities which will reduce menopausal symptoms and thus improve their quality of life.Design and method; Two questionaires were given to the women on the day of the education sessions and another questionnaire was sent to the participant three months later. The sample of 30 completed questionnaires includes feedback from Pacific Island women. A combination of quantitative and qualitative methods were used. The measure of quality of life has been based on the level of impact of menopausal on each women's life before the education session and three months later.Results; Initial analysis indicates that diet, exercise and time out were most commonly reported health activities utilized for relief of symptoms with HRT and herbal remedies used less often. Three months after the education session there was a significant reduction in the impact of symptoms in most categories with 140 incidences of total disappearance of symptoms, 24 incidences of reduction of symptoms, 17 incidences of symptoms increasing while 36 symptoms remained unchanged. Only one woman reported that she continued to have no control over her symptoms while the rest of the sample indicated that they had some or total control. The most common changes in health promotion activities were reduction in caffeine, exercise, relaxation and lubrication with sex. Herbal, homeopathy, dietary and hormone treatment rated low in health activities after the three months.Conclusion; Initial analysis indicates that menopausal symptoms has significantly improved for the majority of women who attended the nursing education session |
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NRSNZNO @ research @ 358 |
Serial |
358 |
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Author |
Bride, A.M. |
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Title |
Contract clinical tutors experience of working with Bachelor of Nursing students in clinical practice |
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1999 |
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Victoria University of Wellington Library |
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The aim of this qualitative study is to explore four clinical tutors' perceptions of their role on facilitating Bachelor of Nursing students' learning in the practice setting of the health sector in New Zealand. Participants were asked to share their personal experiences including the positive aspects and the difficulties and challenges they encountered when working with students.Contract clinical tutors, are employed because of their clinical experience and expertise to enable students to apply the knowledge learned in theory and the professional competencies learned in the laboratory into the reality of clinical practice. This requires that clinical tutors be familiar with the curriculum so that their role as supervisor, teacher, facilitator, guide ands mentor can assist the student in fulfilling their learning requirements when in clinical practice. They are not, however, involved in the development or the teaching of the theoretical component of the programme. The difficulties and challenges identified by the contract clinical tutors in this study, resulted in discussion concerning strategies that could be adapted by the faculty to support clinical tutors in their role of ensuring the students receive the best possible learning opportunities when assigned to the clinical areas.Focus groups interviews were chosen as a means of collecting data from four registered nurses currently or previously employed as contract clinical tutors to work with students from an undergraduate degree programme at a small polytechnic.A two hour focus group interview was held as a means of uncovering the shared thoughts and experiences of participants. A second focus group interview was conducted to qualify information and elaborate on some issues. From the data collected a number of recommendations were identified which if adopted by polytechnics will enhance quality teaching by contract clinical tutors. |
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NRSNZNO @ research @ 361 |
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361 |
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Dickinson, A.R. |
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Title |
Managing it: a mother's perspective of managing their pre-school child's acute asthma episode |
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1997 |
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Massey University Library |
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NRSNZNO @ research @ 367 |
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367 |
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Author |
MacDonald, S. |
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Having attitude: nurses' perceptions of the qualities and skills needed to successfully nurse the 10 -24 year old client |
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1999 |
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Massey University Library, Whitireia Community Po |
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This thesis presents a grounded theory study following Glaser's methodological stance. It explores nursing of the 10-24 year old client through interviews with thirteen registered nurses. The participants worked in a variety of clinical settings including community, hospital and specific adolescent services. From the analysis of the data emerged the complexity of the nurses work with the chosen age group. The study identifies that the quality of the nurse/client encounter may enable the young person to feel accepted and to be empowered to make their own health choices.This thesis identifies how Having Attitude is seen by the nurse participants as critical in the care of the young person. Having Attitude is about the nurse balancing the dependence/independence needs of the young person with their family and peers, and about being acceptable to the client. This results from the work of the nurse which is characterised by the nurse being competent' and 'being supportive whilst taking into account all of the socio-political factors that effect the nurses working situation. The socio-political context impacts upon the young persons life in terms of the types of health issues they have, and the availability and affordability of appropriate health services. It also impacts on the environment in which the nurse works, in terms of the complexity of the concerns with which young people present, current health reforms and funding issues. The nurse needs to have a broad knowledge base and ability to work within a complex situation. Nurses believe they can make a difference to the young persons health experience when they are supportive, competent and have attitude |
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NRSNZNO @ research @ 368 |
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368 |
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Parsons, C.D.F. |
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Reflexive accounts of the related symbols 'communication', 'self-reflection' and 'emancipation' |
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1978 |
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University of Waikato Library |
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NRSNZNO @ research @ 372 |
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372 |
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Parsons, C.D.F. |
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Title |
Sickness experience and language: aspects of Tongan and Western accounting |
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1981 |
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University of Waikato Library |
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NRSNZNO @ research @ 373 |
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373 |
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Pearson, J.R.; Joyce, M.; Khull, J.; MacDonald, S.; Norrish, S.; Southwick, M.; Wilks, T. |
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Beginning the journey to self reflective practice. A study of teaching and learning in the first year of the Diploma in Nursing programme at Whitireia Community Polytechnic |
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1993 |
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Author, Whitireia Community Polytechnic Library |
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This research project was undertaken with the aim of making teaching and learning processes in the first year of the programme explicit to ensure successful strategies could be replicated and limitations addressed. Action research methodology was utilized to explore which tutors and students the philosophy of teaching, the student/tutor relationship, preferred learning styles and teaching methods, and influences on student learning. Findings elucidated that the philosophy and teaching methods used in the programme were congruent with the goals of the Polytechnic,, the curriculum aims, and current nursing ideologies. Students preferred small group, interactive teaching, did not always rate their ability accurately, and tended to downgrade their ability and did progressively less preparatory work for classes as the year progressed. Factors that impacted on the learning of this mainly mature group were external to the programme and included paid employment, family responsibilities, unexpected life events, lack of time and/or space to study, and financial problems. The research was used to determine the structure of the first year of the 1994 Bachelor of Nursing programme which articulated more clearly the process and pathway for students to become self directed learners. The research process was challenging and provided many useful insights for tutors and students |
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NRSNZNO @ research @ 374 |
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374 |
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Andrew, C. |
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Optimising the human experience: the lived world of nursing the families of people who die in intensive care |
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1997 |
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Massey University Library |
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NRSNZNO @ research @ 380 |
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380 |
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Litchfield, M.; McCombie, M.-L. |
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The introduction of an advanced nurse practitioner role in mental health: report of the evaluation research undertaken for the Mental Health Service of Capital Coast Health Ltd |
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1994 |
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Chief Nurse Advisor, Ministry of Health, PO Box 50 |
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The study was commissioned to define the role of Advanced Nurses Practitioner to inform the establishment of a clinical career pathway. Four new, loosely defined ANP positions were created and the role evolution over three months was described. The impact on the multidisciplinary team functioning was to be given particular attention. The research design was developed in collaboration with the ANP Project Team of the service. Data were derived from surveys of nurses in the units and other staff before and at the end of the 3 months period; interviews with the ANPs and official client advocates; daily journals and weekly logs kept by the ANPs; statistical records of patient loads and staffing. The findings presented the role as the interface of unit management and direct client care, with the ANPs orchestrating the activities of the unit. The ANPs developed the role differently according to quite distinct conceptualisations of nursing which influenced whether direct client care was pivotal or peripheral to the role. This had an effect on whether the strains of the service were seen as inhibitory of focal to the development of the ANP practice. There was little change in unit staff satisfaction. Attempts to incorporate client advocacy to determine change in client satisfaction were unsuccessful. The ANPs used the research as a process of role development |
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NRSNZNO @ research @ 386 |
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386 |
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Litchfield, M.; Clarke, M.; Edwards, R.; Richardson, F.; Tansley, R.; Woodman, K. |
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A description of the needs of people with cancer and support people |
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1995 |
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Author, Wellington Division of the Cancer Society |
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The report of a research project commissioned by the Wellington Division of the New Zealand Cancer Society to provide a foundation for policy to give direction to development of its services. The research approach and methodology had an ecological theory foundation. It involved a survey and in-depth interviews with people with cancer and those caring for them to understand their experience. Needs were identified from the data and presented according to three distinct phases in the course of living with cancer. People moved from the shock of diagnosis, through the time of treatment when usual living was suspended and focus narrowed on the intensive fight against the disease, then into a very different phase of on-going ?wait-and-see? time requiring a new way of living with uncertainty for both patient and carers. The last phase was where most of the unmet needs lay. Recommendations were made for services to provide a continuous caring relationship for patients and carers with a knowledgeable person from the point of diagnosis. |
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NRSNZNO @ research @ |
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387 |
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Litchfield, M.; Connor, M.; Eathorne, T.; Laws, M.; McCombie, M.-L.; Smith, S. |
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Title |
Family nurse practice in a nurse management scheme: a pilot service study for the health reforms |
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1994 |
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Centre for Initiative in Nursing & Health Care, P. |
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The independently funded 10 month pilot project demonstrated the autonomy of nursing practice for a new role family nurse. The findings were presented as the health experience of families in strife with complex health circumstances, a description of a beginning model for the nursing practice that addressed the needs of these families as their circumstances changed over time, and its cost-effectiveness. A caseload of nineteen families was found to be optimum. The evaluation research continued throughout as a form of praxis expressed as health patterning, a methodology developed in previous research (Litchfield, 1993). The family nurse'spractice demonstrated qualities common to all nurses: the caring relationship and fiscal responsibility. The unique practice was characterised by a professional partnership of limited duration: the families referred to the service in a predicament of strife, trapped in the immediate present, gained a view to a future, moved towards assuming control over health circumstances, seeking and using services with discernment, and increasing community as family/group members and citizens. Cost containment was achieved through: a) development of a co-operative approach amongst family members, between families and professionals, and amongst all health workers, and b) the families discerning use of services by anticipating a future. Through one family case, cost of saving over the 7 months with the family nurse was estimated as $4000, a possible saving of $16000 over 13 months if the family nurse had been involved earlier, and projected savings in the long term of over a million dollars. The satisfaction of clients, nurses and professionals was shown. The service was positioned within the new health system of health reforms |
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NRSNZNO @ research @ 389 |
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389 |
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Author |
Anderson, M. |
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Title |
Universal change – individual responses: women's experience of the menopause and of taking hormone replacement therapy |
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1998 |
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Massey University Library |
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NRSNZNO @ research @ 392 |
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392 |
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Author |
Dyson, L. |
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Title |
The role of the lecturer in the preceptor model of clinical teaching |
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1998 |
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Massey University Library |
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Call Number |
NRSNZNO @ research @ 395 |
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395 |
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Author |
Orchard, S.H. |
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Title |
Characteristics of the clinical education role as percieved by registered nurses working in the practice setting |
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1999 |
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Massey University Library |
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NRSNZNO @ research @ 397 |
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397 |
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Author |
Wilson, D. |
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Title |
Through the looking glass: nurses' responses to women experiencing partner abuse |
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1997 |
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Massey University Library |
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Call Number |
NRSNZNO @ research @ 402 |
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402 |
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