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Neville, S. J. Delirium in the older adult: A critical gerontological approach. Ph.D. thesis, , .
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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Davies, M. (2005). Lived experiences of nurses as they engage in practice at an advanced level within emergency departments in New Zealand. Ph.D. thesis, , .
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Baur, P. (2004). Patients who present to the emergency department but do not wait: An exploratory study. Ph.D. thesis, , .
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Jenkinson, F. H. (2003). An evaluation of nursing documentation as it relates to pro re nata (prn) medication administration.
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Richardson, F. I. (2000). What is it like to teach cultural safety in a New Zealand nursing education programme? Ph.D. thesis, , .
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Trout, F. (1999). Health needs assessment within the ecology of caring. Ph.D. thesis, , .
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Carter, G. E. (2005). Critical thinking abilities: Evidence from students' clinical self-evaluation responses: A pilot study.
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Casey, G. (2000). Conditional expertise in chronic illness. Ph.D. thesis, , .
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O'Sullivan, C. (2002). Cardiopulmonary resuscitation: Attitudes and knowledge of medical and nursing staff. Ph.D. thesis, , .
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Rowe, W. (2001). An ethnography of the nursing handover. Ph.D. thesis, , .
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Thomson, M., Kinross, D. N. J., Chick, D. N. P., Corry, M. F., & Dowland, J. (1977). People in hospital: a surgical ward. Ph.D. thesis, , .
Abstract: A study of work patterns on a surgical ward
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Euswas, P. W. (1991). Professional nurses' view of caring in nursing practice: two preliminary studies in New Zealand (Vol. 5). Ph.D. thesis, , .
Abstract: Two convenience samples of 90 NZ registered nurses responded to two structured questionnaires designed to explore nurses views of caring in nursing practice.The studies demonstrate that nurses see caring as a central concept in their practice. From the response the meaning of caring was found to be multi dimensional, consisting of six components: value, expressive, action, relationship, knowledge and purpose. The value dimension includes areas such as humanistic value and professional value. The expressive component consists of empathy, compassion, trust, concern, sharing and willingness. Action components are helping, comforting, being there, empowering, advocacy, nurturing, advising, touching and performing nursing procedures. The major relationship component is partnership. An important part of the knowledge component is clinical expertise and the purposive component of caring consists of meeting health needs and promoting healing and welfare. The meaning of caring begins to emerge from these studies. However, they do not provide full understanding of caring phenomena. A further in-depth study of actual nursing practice is still in progress
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Pybus, M. W. (1993). Public health nurses and families under stress: promoting children's health in complex situations. Ph.D. thesis, , .
Abstract: A description of the interaction between Public Health Nurses and stressed families that include children. It includes the perspective on the relationship of both the Nurses and the families ending with a classification of the goals of the service
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McKillop, A. M. (1998). Native health nursing in New Zealand 1911-1930: A new work and a new profession for women. Ph.D. thesis, , .
Abstract: The focus of this thesis is the practice of the nurses employed in the Native Health Nursing Scheme in New Zealand from 1911 to 1930. These nurses were a vanguard movement for change in community nursing services as they established a new role and developed innovative ways of practicing nursing while claiming greater autonomy and accountability for nurses who worked in community settings. Consequently they contributed to an increase in status for nurses in New Zealand.The Native Health Nursing Scheme was established by the Health Department to replace the Maori Health Nursing Scheme, an initiative by Maori leaders for Maori nurses to provide nursing care for their own people. The original scheme had foundered amid under-resourcing, a lack of support from hospital boards and administrative chaos. Government policy for Maori health was openly assimilationist and the mainly non-Maori Native Health nurses carried out this policy, yet paradoxically adapting their practice in order to be culturally acceptable to Maori.Their work with the Maori people placed the Native Health nurses in a unique position to claim professional territory in a new area of practice. As they took up the opportunities for an expanded nursing role, they practiced in a manner which would develop the scope and status of nursing. The geographical isolation of their practice setting provided the nurses with the challenge of practicing in an environment of minimal administrative and professional support, while also offering them the opportunity for independence and relative autonomy. Obedience, duty and virtue, qualities highly valued in women of the day, were expected especially in nurses. These expectations were in direct contrast to the qualities necessary to perform the duties of the Native Health nurse. The conditions under which these nurses worked and lived, the decisions they were required to make, and the partnerships they needed to establish to be effective in the communities in which they worked, required courage, strength, organizational ability and commitment
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Wenmoth, J. D. A. (1997). A phenomenological study examining the experience of nausea, vomiting and retching associated with pregnancy. Ph.D. thesis, , .
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
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