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Dr Léonie Walker. (2011). Vital Signs: Research Advisory Paper: Highlights of the NZNO Employment Survey, 2011. Wellington: NZNO.
Abstract: This report documents the results of a survey of a random sample of NZNO members.
A 10% sample was drawn by computer from the 45,000 membership, representing nurses and care givers from across New Zealand. Midwives were excluded from the
sample on this occasion.
Issues related to age demographics, low pay, increasing workload, and significant
organisational restructuring continue to contribute to a considerable part of the nursing workforce who will be looking to leave nursing, to nurse overseas, or to retire within the next ten years. These appear to be balanced for now partly by other factors leading to nurses continuing to work long past the normal retirement age.
Changes to the Enrolled Nurse scope of practice (including a drop in employment
opportunities as Enrolled Nurses), difficulties experienced by some newly qualified New Zealand nurses finding suitable employment or supported Nurse Entry to Practice places, and evidence for a drop in the availability of paid access to continuing professional development particularly in the DHB sector, if not addressed urgently, may have longer term implications for the New Zealand nursing workforce and the health service.
Specific issues for nurses under 30 years of age, particularly related to shift work practices and family responsibilities, were explored in more detail in a separate report Young Nurses in Aotearoa New Zealand and specific recommendations made for the long term retention of these skilled and vital health workers.
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Alleyne, D. (2007). The context of nursing in New Zealand prisons from historical and contemporary perspectives. Master's thesis, , .
Abstract: This dissertation by Deborah Alleyne explores the current context of nursing in New Zealand prisons through rediscovering the history of its introduction and development, and review of relevant literature. Prison nursing is recognised as a unique branch of the wider nursing profession by virtue of the environment in which nurses work and the population for whom they provide care. Four key themes are identified from the literature review: custody versus caring; nurses' relationship with custody staff; nurses' relationship with prisoners; isolation.
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Richardson, F. (2012). Editorial: Cultural Safety 20 Years On Time to Celebrate or Commiserate? Available through NZNO library, (19), 5–8.
Abstract: There needs to be more practice-focused research about how cultural safety is experienced by the recipient of care and how it is applied in nursing and healthcare delivery. [...]sociology, science, and knowledge developed from within northern hemisphere societies. Because the ground is different for knowledge arising from the New Zealand experience, theorising cultural safety must be different too.
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Adams, J. (2012). Life Experience for an Adolescent with Type 1 Diabetes: Nursing Strategies to Support a Healthy Lifestyle. Available through NZNO library, (19), 18–26.
Abstract: This article explores the impact a chronic illness has on an adolescent patient, their family, and social, work, cultural and spiritual aspects of their life. The discussion will focus on the patient's healthcare experience and the nursing strategies undertaken to help maintain her optimum health. The personal information used in this article was gathered from an interview with the patient during a second-year undergraduate nursing student clinical learning experience.
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Hendry, C., & East, S. (2013). Impact of the Christchurch earthquakes on clients receiving health care in their homes. Available through NZNO library, 4(1), 4–10.
Abstract: Eighteen months after the first of many large earthquakes, Christchurch-based home health care provider Nurse Maude surveyed staff to identify the impact on the well-being of their mainly elderly clients. Responses from 168 staff identified five key issues. These were: mental health, anxiety, and depression, symptoms similar to post-traumatic stress disorder (PTSD); unsafe environments; loneliness and isolation; difficulty coping with change; and poor access to services. To meet the needs of clients in this challenging environment, staff felt they needed more time to care, including listening to stories, calming clients and dealing with clients who had become slower and more cautious. Damaged and blocked roads, and the fact that many clients moved house without warning, added to the time it took to deliver care in the home. This survey has helped Nurse Maude build on its initial post-earthquake responses to better meet the needs of clients and support health-care workers in this stressful environment.
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Seaton, L., Seaton, P., & Yarwood, J. (2013). Preparedness: Lessons for educators from the Christchurch disaster. Available through NZNO library, 4(1), 11–16.
Abstract: This study describes the impact of a sudden, traumatic natural disaster on a bachelor of nursing programme, and the capacity and processes required to minimise disruption to programme delivery and student learning. This descriptive case study, undertaken across 2011-2012, collected data through interviews, a survey and artefact collection. Six key themes emerged from the inductive and descriptive statistical analyses: context; communication; leadership and followership; decision making; the need to balance shifting priorities around professional responsibilities and personal imperatives; and taking action and action plans. The conclusions reached emphasise safety as the first priority, encourage personal risk mitigation, and emphasise the importance of ongoing support and flexibility for all staff and students as well as the need for clear communication and decision-making. What is perhaps most important to take from this experience is that a plan does not, by itself, equal preparedness; every institution must look to its own context, consider its own priorities, and formulate its own approach to preparedness.
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Ha, I., Huggard, P., & Huggard, J. (2013). Staff support and quality of care provided by palliative care nurses: A systematic literature review. Available through NZNO library, 4(1), 25–32.
Abstract: There is a considerable body of literature discussing the stressors experienced by nurses and other health professionals when caring for those who are terminally ill and dying. Also, a number of articles offer suggestions, including the views of staff, as to what type of professional and organisational support is required when working in this often demanding specialty. There are, however, very few reports of assessment of the effectiveness of such supportive interventions and in particular, the impact of such support on the quality of patient care. This literature review examines any reported relationships between the quality of nursing provided by palliative care nurses and the staff support received by those nurses.
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Gifford, H., Walker, L., Clendon, J., Wilson, D., & Boulton, A. (2013). Maori nurses and smoking; Conflicted identities and motivations for smoking cessation. Available through NZNO library, 4(1), 33–38.
Abstract: This research aims to design and test the feasibility of an intervention promoting smoking cessation, and reducing smoking relapse, among Māori nurses who smoke. It is being conducted in two phases. Phase one, a national web-based survey, conducted in December 2012, explored the views of Māori nurses (smokers, ex-smokers and non-smokers) regarding smoking. This paper reports on the analysis of qualitative responses from 410 nurses and nursing students identifying as Māori who completed an online survey. Five themes were identified: beliefs about smoking; ?for our tamariki?; personal stories of quitting; dissatisfaction with current approaches; and plans for future strategies. The findings confirm that nurses who smoke may experience feelings of conflict, and regard their behaviour as inconsistent with their role as nurses and health promoters. Nurses who smoke must be supported to become, and to stay, smokefree. Tailored Māori-specific cessation initiatives are needed.
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Ward, V. C. (2013). Preoperative fluid management of the older adult patient with hip fracture. Master's thesis, Victoria University of Wellington, Wellington, NZ. Retrieved July 5, 2024, from http://www.nzno.org.nz/resources/library/theses
Abstract: Explores the relationships between pre-operative fluid management (PFM) and post-operative outcomes. Undertakes an observational study of 100 consecutive older adult patients admitted to a tertiary NZ hospital with traumatic hip fracture between March and Sept 2012. Gathers data regarding cohort demographics and in-hospital events, including surgical details, alongside PFM and post-operative outcomes. Itemises characteristics of the patients, predominantly female with a mean age of 85.2 years. Finds no statistically significant relationship between pre-operative fluid management and post-operative outcomes.
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Keer-Keer, T. (2012). The lived experience of adults with myasthenia gravis : a phenomenological study. Master's thesis, , .
Abstract: Examines the lived experiences of adults with myasthenia gravis(MG). Uses an interpretive phenomenological approach applying the research methodology of van Manen (1990). Interviews seven people living with MG and records their experiences of the disease. Poses broadly-worded questions about various topics related to MG, that include diagnosis, symptoms, treatments and coping strategies, guided by individual experiences. Reveals by means of thematic analysis that MG affects every aspect of a person?s ?lifeworld?: their sense of time, body, and space and their relationships with others. Highlights three main themes embedded in the data experienced by a person with MG: living with uncertainty, living with weakness and living with change.
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Fischer, R., Roy, D. E., & Niven, E. (2014). Different folks, different strokes: becoming and being a sroke family. Kai Tiaki Nursing Research, 5(1), 5–11.
Abstract: Reports a study exploring family experiences of stroke during the first six months following a stroke. Performs a hermeneutic phenomenological study in which four participants from two Auckland families are interviewed in 2011 and 2012, at three time-intervals within the first six months post-stroke. Identifies three themes of the families' experiences: loss of a life once lived; navigation of an unfamiliar path; re-creation of a sense of normality. Stresses the importance of contact with the health-care team in facilitating the transition to post-stroke life.
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Stewart, J., Floyd, S., & Thompson, S. (2015). The way we were : collegiality in nursing in the '70s and '80s. Kai Tiaki Nursing Research, 6(1), 4–8.
Abstract: Reports the findings of oral history research into nurses' experiences of training and working in hospitals in NZ during the 1970s and 1980s and their accounts of early collegiality forged as a result of residential living and training in hierarchical hospitals. Conducts two focus group discussions among 10 long-serving nurses from two district health boards (DHBs).
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Rhodes, J. (2015). Using PeerWise in nursing education -- a replicated quantitative descriptive research study. Kai Tiaki Nursing Research, 6(1), 10–15.
Abstract: Surveys the views of third-year Bachelor of Nursing students with the aim of replicating or refuting the results from an earlier study on the use of the online learning tool PeerWise in nursing education. Uses a quantitative descriptive research method and survey, as in the earlier study, to determine whether PeerWise does provide a positive medium for nursing students to acquire, extend and revise nursing knowledge. Employs manifest content analysis on the data collected in the first study in 2013.
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Clendon, J., Tseng, A., & O'Connor, M.(and others). (2015). Working with young nurses to develop peer-support strategies : evaluation of a participatory project. Kai Tiaki Nursing Research, 6(1), 16–23.
Abstract: Evaluates a project undertaken with a group of nurses aged under 30, to identify and implement mechanisms of support for peers in the workplace. Employs a participatory research approach to work with 9 nurses over two years. Conducts two projects : a website with a forum and Facebook page; the Young Nurse of the Year Awards.
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Burke, A., Walker, L., & Clendon, J. (2015). Managing intergenerational nursing teams : evidence from the literature. Kai Tiaki Nursing Research, 6(1), 24–27.
Abstract: Examines current literature on the intergenerational nature of the nursing workplace, and presents strategies for creating work environments that acknowledge and cater for differences among nurses spanning four generations. Suggests recommendations to managers and policy-makers on how to utilise generational strengths and minimise intergenerational conflict.
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