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Author Litchfield, M. openurl 
  Title The process of nursing partnership in family health Type
  Year 1997 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal University of Minnesota Library  
  Volume 4 Issue 9 Pages 23-25  
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  Abstract The study reconceptualises the process of nursing practice where health is expanding consciousness. The praxis methodology and design derive from the findings of the previous study (Litchfield, 1993) through which a framework for personal practice was articulated. The philosophical premises were hermeneutic and dialogic reflecting a narrative orientation within a participatory paradigm. Ontology and epistemology merge and language is fundamental. The findings from this subsequent study depict the process of modeling practice as a tetrahedron to show inter-relatedness of four facets, each defined completely by the others: partnership, dialogue, pattern recognition and health as dialectic. Five young families with complex health circumstances were preferred by Plunket Nurses and visited at hole to talk about health and the family. Th e process of health patterning ended with indication of insight as the potential for action; the partnership ended as the closure of the initial contract to provide a summary text to the family. Transformative change in family living was identified. The continuous analysis of the scripts of the evolving conversations and summary text showed the relational, dialogic processes were identified as vision – finding purpose to act in the here-and-now against the backdrop of past and potential of the future; and community – a sense of being connected, participant and relevant in society. This process of research, as if practice, presented health and caring as synonymous and core of the discipline of nursing  
  Call Number NRSNZNO @ research @ 385 Serial (down) 385  
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Author Andrew, C. openurl 
  Title Optimising the human experience: the lived world of nursing the families of people who die in intensive care Type
  Year 1997 Publication Abbreviated Journal Massey University Library  
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  Call Number NRSNZNO @ research @ 380 Serial (down) 380  
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Author Turia, D. openurl 
  Title Women's knowledge sources and management decisions Type
  Year 1999 Publication Nursing Praxis in New Zealand Abbreviated Journal Massey University Library, Whitirea Community Poly  
  Volume 14 Issue 1 Pages 53  
  Keywords  
  Abstract It is evident from the prevalence of items in the popular press and incased research by health professional that, over the last two decades, menopause as been discussed more openly. However, medical information is still largely oriented toward menopause as a disease with emphasis on the pharmacological interventions needed to correct the disease. Literature in medical and nursing journals is also predominantly oriented towards menopause as a state of oestrogen, nurse researchers and feminists writers are challenging this viewsThe aim of the research was to discover how women gain knowledge about menopause, and how they make decisions about “managing” their menopause. In the study knowledge was defined as being more than information. It is seen as being more than information. It is seen as understanding derived from synthesis of data about menopause collected from various sources. Eleven women aged 46-55 recruited through a letter in the researcher's local newspaper, were interviewed. The resulting data was analysed by the constant comparison method as used in grounded theory.A descriptive model was developed including the basic social process of “integrating menopause into midlife”. A tertiary level of education and good social support were found to be associated with the women being seekers of knowledge about their menopause. These women, the majority of the participants, revealed themselves as being self-controlling with respect to their menopause. Among the few who had allowed their menopause to be managed by others, if they experienced adverse effects of the treatment, then there was a move toward greater self management.,Generally, nurses were not seen by the participants as possible sources of information. That finding highlights menopause as an area of health education in which nurses have the potential to play a more active role  
  Call Number NRSNZNO @ research @ 376 Serial (down) 376  
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Author Pearson, J.R.; Joyce, M.; Khull, J.; MacDonald, S.; Norrish, S.; Southwick, M.; Wilks, T. openurl 
  Title 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 Type
  Year 1993 Publication Abbreviated Journal Author, Whitireia Community Polytechnic Library  
  Volume Issue Pages  
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  Abstract 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  
  Call Number NRSNZNO @ research @ 374 Serial (down) 374  
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Author Parsons, C.D.F. openurl 
  Title Sickness experience and language: aspects of Tongan and Western accounting Type
  Year 1981 Publication Abbreviated Journal University of Waikato Library  
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  Call Number NRSNZNO @ research @ 373 Serial (down) 373  
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Author Parsons, C.D.F. openurl 
  Title Reflexive accounts of the related symbols 'communication', 'self-reflection' and 'emancipation' Type
  Year 1978 Publication Abbreviated Journal University of Waikato Library  
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  Call Number NRSNZNO @ research @ 372 Serial (down) 372  
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Author Litchfield, M.; Noroian, E. openurl 
  Title Changes in selected pulmonary functions in patients diagnosed with myasthenia gravis Type Journal Article
  Year 1989 Publication Journal of Neuroscience – Nursing Abbreviated Journal  
  Volume 21 Issue 6 Pages 375-381  
  Keywords  
  Abstract Patients with myisthenia gravis (MG) face major pulmary problems as a part of the disease process. In this descriptive study, changes in selected pulmonary functions (respiratory rate, negative inspiratory force, tidal volume and forced total capacity) in 14 patients diagnosed with mild or moderate MG were measured every two hours from 8.00 a.m. to 8.00 p.m. Females comprised 64% of the sample while 36% were males. All subjects received anticholnesterase medication, and some subjects received additional treatment modalities. Most of the subjects were non-smokers or previous smokers, but two subjects continued to smoke. Ninety-three recent of the sample had forced vital capacities less than 60% of their predicted values. Myasthenic forced vital capacities were significantly lower (p=.0000) than those predicted for normal subjects. The inspiratory force for the sample was low sat 8:00 a.m. as well as in females over 55 years of age. There was a wide variation in total volume to normal values derived from random tables and predicted equations ws not significant. Th major implications from this study are the need to assess pulmonary function in the hospitalized myasthenic every two hours, and the need for a program of coughing, deep breathing and sighing after medication administration when the muscles are strongest  
  Call Number NRSNZNO @ research @ 370 Serial (down) 370  
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Author MacDonald, S. openurl 
  Title Having attitude: nurses' perceptions of the qualities and skills needed to successfully nurse the 10 -24 year old client Type
  Year 1999 Publication Abbreviated Journal Massey University Library, Whitireia Community Po  
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  Abstract 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  
  Call Number NRSNZNO @ research @ 368 Serial (down) 368  
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Author Dickinson, A.R. openurl 
  Title Managing it: a mother's perspective of managing their pre-school child's acute asthma episode Type
  Year 1997 Publication Abbreviated Journal Massey University Library  
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  Call Number NRSNZNO @ research @ 367 Serial (down) 367  
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Author Giddings, D.L.S.; Wood, P.J. openurl 
  Title Revealing sexuality: nurses' knowledge and attitudes. A survey of pre and post registration nursing students 1988-1991 Type Journal Article
  Year 1998 Publication Nursing Praxis in New Zealand Abbreviated Journal  
  Volume 13 Issue 2 Pages 11-25  
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  Call Number NRSNZNO @ research @ 366 Serial (down) 366  
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Author Bride, A.M. openurl 
  Title Contract clinical tutors experience of working with Bachelor of Nursing students in clinical practice Type
  Year 1999 Publication Abbreviated Journal Victoria University of Wellington Library  
  Volume Issue Pages  
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  Abstract 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.  
  Call Number NRSNZNO @ research @ 361 Serial (down) 361  
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Author van Wissen, K.A.; Litchfield, M.; Maling, T. openurl 
  Title Living with high blood pressure Type Journal Article
  Year 1998 Publication Journal of Advanced Nursing Abbreviated Journal  
  Volume 27 Issue 3 Pages 567-574  
  Keywords  
  Abstract An interdisciplinary (nursing-medicine) collaboration in a qualitative descriptive research project undertaken in the Wellington School of Medicine with New Zealand Health Research Council funding. The purpose was to inform the practice of nursing and medical practitioners. A group of patients were interviewed in their homes. Their experience of having a diagnosis of hypertension and prescription of long-term treatment requiring adjustment in their lives and the lives of their families is presented as themes.  
  Call Number NRSNZNO @ research @ Serial (down) 360  
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Author Davy, R. openurl 
  Title Evaluation of the impact on the quality of women who have participated in a nursing education session on menopause Type
  Year 1999 Publication Abbreviated Journal Author  
  Volume Issue Pages  
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  Abstract 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  
  Call Number NRSNZNO @ research @ 358 Serial (down) 358  
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Author van Wissen, K.A.; Woodman, K. openurl 
  Title Nurses' attitudes and concerns to HIV/AIDS: a focus group approach Type Journal Article
  Year 1994 Publication Journal of Advanced Nursing Abbreviated Journal  
  Volume 20 Issue 6 Pages 1141-1147  
  Keywords  
  Abstract An exploratory qualitative study was investigated to further identify nurses'' attitudes to the care of people with human immunodeficiency virus (HIV) and acquired immunodefiency syndrome (AIDS). This follows as a sequel to a study using questionnaire. Data collected from nine focus groups attended by a total of 29 nurses at a hospital within a new Zealand regional health authority. The principal findings suggest that nurses' attitudes to this patient group are varied and depend on social influences, personal experiences and the extent of knowledge regarding HIV/AIDS. Other concerns raised included nurses' rights to choose to care for HIV-positive patients and the issue of universal precautions. Theses findings may have implications for further educational initiatives and information of hospital policy  
  Call Number NRSNZNO @ research @ 356 Serial (down) 356  
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Author Boyle, S.D. openurl 
  Title Nursing education in New Zealand: a case study of experiential learning Type
  Year 1994 Publication Abbreviated Journal Victoria University of Wellington Library & Welli  
  Volume Issue Pages  
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  Abstract This thesis presents a study of a nursing 'practicum' from the perspectives of nursing students and staff 'buddies'. A grounded theory approach was used to interview six nursing students during their transition placement, the final practicum of their Diploma in Nursing programme. Five staff nurse buddies selected by the students were also interviewed. An informal, conversational interview was used and data was analysed from an experiential learning perspective.This study differs from others because it focuses on the clinical experience component of nursing education, 'practicum', and includess practitioners viewpoints. At present there is a re-evaluing of experience within nursing education with a new emphasis on practice-based learning. Experience-based learning is becoming increasingly acceptable within academia as a 'seamless' education system evolves.I identified three learning stages which students' experience during practicum – initiation, exploration and consolidation. The key stage for learning through experience was exploration. Learning during this stage was predominantly buddy-directed which contradicted the self-directed curriculum design. Students and staff nurses however agreed that communication between them during this stage enabled the development of 'competence'.The learning /teaching approach used by the students and staff nurses made it difficult for students to translate their 'all-round' competencies during practicum. It is argued that it is the useof such competencies during practicum which enable nursing students to become autonomous in the attitudinal and epistemological sense. The predominantly 'technical training' approach adopted was understood by students and staff nurses to be reinforced by 'silence' from tutors.Restructuring gives the opportunity for nursing to develop an ';investigative', enquiry-based approach in practice. There will increasingly be an emphasis on practice-based research as a result of the implementation of degree and post-graduate programmes in nursing. This study highlights some aspects of nursing education and it's relationship with practice which can assist the development of such an approach  
  Call Number NRSNZNO @ research @ 339 Serial (down) 339  
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