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Author |
Latta, L. |
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Title  |
Exploring the impact of palliative care education for care assistants employed in residential aged care facilities in Otago, New Zealand |
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Year |
2007 |
Publication |
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Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
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Issue |
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Pages |
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Keywords |
Palliative care; Rest homes; Training; Older people |
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Abstract |
Palliative care is a growing specialty in New Zealand with many well-established hospices and palliative care services around the country. However palliative care is not confined to specialist units and is in fact an element of all health services. The aged care sector is one of those services where patients with palliative care needs are prevalent and this is now beginning to be recognised. In these settings care assistants, most of whom have no training, make up a large component of the workforce providing care for residents with increasingly complex needs. In 2005, Hospice New Zealand responded to the recommendations made by the New Zealand Palliative Care Strategy (Ministry of Health, 2001) by developing an eight-hour palliative care course for care assistants employed in residential aged care facilities. The main objective of the course was to increase care assistants' ability to deliver a high standard of palliative care to their residents within their scope of practice.This qualitative study uses descriptive, semi-structured interviews to explore the impact that attending the course had on care assistants and their practice by inviting them to share stories of their experiences caring for dying residents. Factors influencing the implementation of learning in the workplace were identified. The results showed that while attending the course had a positive impact on participants, they were restricted in the extent to which they were able to apply new learning in the workplace, which was largely due to factors that were out of their control. As a result, recommendations are made to enhance workforce development in the aged care sector and to minimise the barriers to the implementation of learning. |
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Call Number |
NRSNZNO @ research @ |
Serial |
812 |
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Author |
Tewin, Maureen Heather |
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Title |
Exploring the impact of the lung cancer Clinical Nurse Specialist role on patient care in a regional hospital in New Zealand |
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Book Whole |
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Year |
2015 |
Publication |
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Abbreviated Journal |
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Volume |
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Issue |
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Pages |
193 p. |
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Keywords |
Lung cancer; Clinical nurse specialist; Patient care; Standards of care; Hospitals |
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Abstract |
Distributes a questionnaire to 50 members of the multidisciplinary team within a regional lung cancer service to investigate the impact of an advanced nursing role within the team. Performs an audit of five months of clinical data relating to patients cared for by the lung cancer Clinical Nurse Specialist as judged against the MOH Standards of Service Provision for Lung Cancer Patients in New Zealand . |
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Call Number |
NZNO @ research @ |
Serial |
1576 |
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Author |
Sheward, K.A. |
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Title |
Exploring the juxtaposition of end of life care in the acute setting and the integrated care pathway for the care of the dying |
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Year |
2005 |
Publication |
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Abbreviated Journal |
Victoria University of Wellington Library |
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Issue |
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Pages |
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Keywords |
Palliative care; Hospitals; Communication; Nurse-patient relations |
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Abstract |
The primary aim of this research paper is to draw on the literature to offer some insight into end of life care in the acute hospital setting. The secondary purpose is to provide an understanding of the integrated clinical pathway (ICP) for the care of the dying, consider its influence related to some of the challenges shaping end of life care and the positive effect it can generate on the quality of care experienced. There are significant challenges that impact on both the delivery and receipt of care for dying patients and their families. Six key influential barriers are considered within the context of the acute setting. Communication and the acute environment are two areas that significantly impact on the quality of care delivered, and are explored in more depth. Narratives from nursing and medical staff convey the realities encountered and difficulties experienced when they are unable to provide the care to which they aspire. Stories are shared by patients and families, which reflect on their experience of end of life care in the acute setting, and offer heath professionals some insight into the lives of the people nurses care for. The literature in relation to the development and implementation of the Liverpool Care of the Dying Pathway, and an overview of the Pathway document is presented. The strengths and limitations of its use are considered, alongside its influence beyond the documentation of clinical care. It is not possible to transfer the hospice service into the hospital setting, however the author suggests that through the implementation of the clinical pathway there is an opportunity to transfer best practice guidelines and positively influence the palliative culture in the acute setting. |
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Call Number |
NRSNZNO @ research @ |
Serial |
772 |
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Author |
Armstrong, S.E. |
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Title |
Exploring the nursing reality of the sole on-call primary health care rural nurse (PHCRN) interface with secondary care doctors |
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Year |
2006 |
Publication |
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Abbreviated Journal |
University of Otago Library |
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Issue |
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Pages |
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Keywords |
Rural nursing; Rural health services; Relationships |
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Abstract |
A qualitative framework was used to explore the nature and the quality of interactions between sole on-call primary health care rural nurses and secondary care doctors as a component of rural nursing practice and representative of the primary-secondary care interface. Crucial to patient centred care, the premise was that the quality of this interface would be variable due to multiple influences such as: the historical nurse/doctor relationship that has perpetuated medical dominance and nursing subordination; current policy direction encouraging greater inter-professional collaboration; and changing role boundaries threatening traditional professional positioning. A total of 11 nurses representing 10 separate rural areas participated in semi-structured interviews. Rural nurses typically interact with secondary care doctors for acute clinical presentations with two tiers of interaction identified. The first tier was presented as a default to secondary care doctors for assistance with managing primary care level clinical presentations in the absence of access to a general practitioner or an appropriate Standing Order enabling appropriate management. The second tier presented itself as situations where, in the professional judgement of the nurse, the client status indicated a need for secondary level expertise and/or referral to secondary care. The needs of the rural nurse in these interactions were identified as access to expertise in diagnosis, therapy and management, authorisation to act when intervention would exceed the nurse's scope of practice; the need to refer clients to secondary care; and the need for reassurance, encompassing emotional and professional issues. The quality of the interactions was found to be variable but predominantly positive. Professional outcomes of positive interactions included professional acknowledgement, support and continuing professional development. For the patient, the outcomes included appropriate, timely, safe intervention and patient centred care. The infrequent but less than ideal interactions between the participants and secondary care doctors led to professional outcomes of intraprofessional discord, a sense of invisibility for the nurse, increased professional risk and professional dissatisfaction; and for the client an increased potential for deleterious outcome and suffering. Instead of the proposition of variability arising from interprofessional discord and the current policy direction, the data suggested that variability arose from three interlinking factors; appropriate or inappropriate utilisation of secondary care doctors; familiarity among individuals with professional roles and issues of rurality; and acceptance by the primary care doctor of the sole on-call primary health care rural nurse role and the responsibility to assist with the provision of primary health care. Recommendations for improving interactions at the interface include national, regional and individual professional actions. |
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Call Number |
NRSNZNO @ research @ |
Serial |
493 |
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Author |
Armstrong, S.E. |
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Title |
Exploring the nursing reality of the sole on-call primary health care rural nurse interface with secondary care doctors |
Type |
Book Chapter |
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Year |
2008 |
Publication |
Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 225-46) |
Abbreviated Journal |
Ministry of Health publications page |
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Volume |
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Issue |
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Pages |
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Keywords |
Interprofessional relations; Rural nursing; Primary health care |
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Abstract |
A qualitative framework was used to explore the nature and the quality of interactions between sole on-call primary health care rural nurses and secondary care doctors. This study is framed as investigating a specific component of rural nursing practice and as being representative of the primary-secondary care interface. The primary-secondary care interface is crucial for the delivery of patient-centered care, and there is an increased focus on preventive primary health care. The New Zealand government sees the repositioning of professional roles and increasing emphasis on collaboration as an opportunity to re-define and address the current constraints to nursing practice. This has resulted in tensions between the medical and nursing professions. These tensions are not new, with the relationship sometimes marred by conflict which has been attributed to historical medical dominance and nursing deference. This study explores some specific areas which affect collaboration and makes recommendations at the national, regional and individual level to address them. |
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Call Number |
NRSNZNO @ research @ 780 |
Serial |
764 |
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Author |
Winters, Shelley |
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Title |
Exploring the perceptions of nursing students and nursing academic lecturers on the use of gallows humour in the clinical setting |
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Book Whole |
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Year |
2019 |
Publication |
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Abbreviated Journal |
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Volume |
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Issue |
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Pages |
146 p. |
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Keywords |
Humour; Nursing students; Nursing academics; Surveys |
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Abstract |
Investigates the perceptions of students enrolled in any of the three years of an undergraduate nursing degree programme, including the nurse lecturers in charge of their teaching. Compares their results with students' to determine differences in perception between those with clinical experience and those without. Collects data using an online questionnaire to identify differences in perception of gallows humour by lecturers, and by older versus younger students. |
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Call Number |
NZNO @ research @ |
Serial |
1639 |
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Author |
Roy, D.E. |
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Title |
Exploring the realities: the lived experienced of chronic rheumatoid arthritis |
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Year |
1995 |
Publication |
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Abbreviated Journal |
Massey University Library, UNITEC Institute of Te |
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Pages |
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Keywords |
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Abstract |
Rheumatoid arthritis is a chronic, systemic inflammatory disease of the connective tissues. People with rheumatoid arthritis often experience chronic pain, chronic fatigue and functional impairment for a large apart of their lives. The cause of rheumatoid arthritis is unknown, with three times more women than men being affected. There are many women who live with rheumatoid arthritis throughout much of their adult lives. Women with rheumatoid arthritis face the challenges and stresses of parenting, partnerships, and employment along with the need to cope with a chronic and increasingly debilitating disease.A review of the literature related to rheumatoid arthritis reveals a dearth of qualitative research, with few studies that focus specifically on women even though they constitute a significant percentage of the client group. Little is known from the clients' perspective of what it is like to live with chronic rheumatoid arthritis. This study, a single-participant case study using a phenomenological analysis, explores one woman's' reality of living with rheumatoid arthritis. As this woman's story unfolds, it is revealed how daily living with rheumatoid arthritis had been incorporated into a new way of being-in-the world. Her way of being-in-the-world is such that rheumatoid arthritis is very much a reality, impacting on most aspects of her life. Yet it does not dominate, as she continues with a very full and active life despite this disease |
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Call Number |
NRSNZNO @ research @ 188 |
Serial |
188 |
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Author |
Dwyer, Rosemary |
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Title |
Exploring the relationships between attitudes to ageing and the willingness of new graduate nurses to work in aged residential care in rural New Zealand |
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Book Whole |
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Year |
2022 |
Publication |
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Abbreviated Journal |
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Volume |
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Issue |
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Pages |
120 p. |
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Keywords |
Aged residential care; Rural conditions; Ageism; Surveys |
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Abstract |
Examines the relationship between attitudes to ageing and the willingness of pre-registration nursing students to work in aged residential care (ARC), and in
rural NZ. Undertakes a cross-sectional study using a self-administered online survey, of third-year nursing students in southern NZ. Recommends gerontology course content and ARC clinical placements for nursing students. |
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Call Number |
NZNO @ research @ |
Serial |
1838 |
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Author |
Mowat, Rebecca; Parsons, Matthew |
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Title |
Exploring the role of health care assistants as mobility activators for older people in an Assessment, Treatment, and Rehabilitation ward |
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Journal Article |
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Year |
2016 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
32 |
Issue |
2 |
Pages |
21-29 |
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Keywords |
Rehabilitiation; Health-care assistants; Nurses; Interdisciplinary; Mobility |
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Abstract |
Employs a qualitative descriptive approach to examine the feasibility of health care assistants’ participation in rehabilitation for older people. Enrols health care assistants in focus groups before and after a mobility programme for inpatients promoting independence and functional rehabilitation. Involves ten in-patients who had sustained a fractured neck of femur in the functional exercises with the health care assistants. Analyses the interview data thematically. |
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Call Number |
NZNO @ research @ |
Serial |
1517 |
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Author |
Lawless, J.; Moss, C. |
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Title |
Exploring the value of dignity in the work-life of nurses |
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Journal Article |
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Year |
2007 |
Publication |
Contemporary Nurse |
Abbreviated Journal |
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Volume |
23 |
Issue |
2 |
Pages |
225-236 |
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Keywords |
Work; Nursing philosophy; Job satisfaction; Ethics |
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Abstract |
In this paper the authors draw attention to the value and understandings of nurse dignity in the work-life of nurses. A review of nursing literature and a theoretical lens on worker dignity derived from recent work by Hodson (2001) was used to explore these questions. In the context of current and international workforce issues associated with recruitment and retention, analysis of the construct of worker dignity within the profession takes on a strong imperative. Findings of this inquiry reveal that while there is a degree of coherence between the nursing research and elements of Hodson's (2001) research on worker dignity, the dignity of nurses, as a specific construct and as an intrinsic human and worker right has received little explicit attention. Reasons for this may lie partly in approaches that privilege patient dignity over nurse dignity and which rely on the altruism and self-sacrifice of nurses to sustain patient care in environments dominated by cost-control agendas. The value of dignity in the work-life of nurses has been under-explored and there is a critical need for further theoretical work and research. This agenda goes beyond acceptance of dignity in the workplace as a human right towards the recognition that worker dignity may be a critical factor in sustaining development of healthy workplaces and healthy workforces. Directing explicit attention to nurse dignity may benefit the attainment of both nurse and organisational goals. Hodson's (2001) framework offers a new perspective on dignity in the workplace. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1031 |
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Author |
Clayton, J.R. |
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Title |
Exploring transitions: Working in “the space between the no longer and the not yet” |
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Year |
2008 |
Publication |
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Abbreviated Journal |
ResearchArchive@Victoria |
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Volume |
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Issue |
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Pages |
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Keywords |
Communication; Nurse-patient relations; Case studies |
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Abstract |
This thesis uncovers a personal journey of reflective practice, focusing on the author's emerging role as a nurse facilitating transitions using a dialectical approach in the context of a private nursing practice. Transitions encompass: life changes, loss, and adjustment to changes in function. Dialectical nurse facilitation of transition (DNFT) is a way of exploring self in the transitional space between “the no longer and the not yet”. In this facilitated process people potentially discover paradoxes, tensions, and creative energy, as they search for a way forward. The research design details a dialectical heuristic quest through journaling and reflecting on practice supervision and peer review, over a two year period. Exemplars written after reflecting on case notes reveal the lived experiences of participants. These case reviews show the complexity of patterns for people undergoing transitions and nurse facilitation. A relational pattern for DNFT encompasses compassionate engagement, catalytic mirroring, and interconnectedness. An exploration of literature encompasses nursing theories, facilitation, dialogue, loss, grief, spirituality and transition. This thesis provides a basis for evaluative research on the effectiveness of DNFT in health care settings in the future. Discussions regarding the expansion of these reflective and praxis genres are included which may be of interest to nursing education and practice contexts. |
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Call Number |
NRSNZNO @ research @ 1203 |
Serial |
1188 |
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Author |
Lienert-Brown, Melanie Faye |
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Title |
Exploring undergraduate nursing students' experiences of their first clinical placement in an acute adult mental health inpatient service |
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Book Whole |
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Year |
2013 |
Publication |
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Abbreviated Journal |
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Volume |
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Issue |
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Pages |
124 p. |
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Keywords |
Undergraduate nursing students; Clinical learning; Mental health nursing |
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Abstract |
Seeks to develop a better understanding of the undergraduate nursing students' experience of their clinical placement in mental health, and to identify the influences on student learning in an acute adult mental health service. Enrols a cohort of 13 nursing students to analyse their lived experiences through their written reflections on practice, which offered important insights into the students' experience of their first mental health clinical placement. Identifies six themes by means of thematic analysis. |
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Call Number |
NZNO @ research @ |
Serial |
1567 |
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Author |
Skerman, N.; Manhire, K.; Thompson, S.; Abel, S. |
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Title |
Extended Plunket Service for vulnerable teenage mothers : well-child nurses' perspectives |
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Journal Article |
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Year |
2015 |
Publication |
Kai Tiaki Nursing Research |
Abbreviated Journal |
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Volume |
6 |
Issue |
1 |
Pages |
36-40 |
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Keywords |
Teenage Mothers; Well-Child Nurses; Nurse-Client Relationships; Social Issues; Postnatal Health Services; Surveys |
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Abstract |
Reports nurses' perspectives on their role in the extended Well Child/Tamariki Ora service to teenage mothers which has been delivered by the Royal NZ Plunket Society since 2011 to adolescent mothers in Hawke's Bay. Focuses on what nurses consider necessary for this client population and the challenges nurses face. Evaluates the service at two intervals : first when the babies were six months old, and second when they were three years. Conducts interviews to identify the factors essential to successful service delivery : trusting nurse/client relationships, strong inter-agency relationships, team-work and support. |
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Call Number |
NZNO @ research @ |
Serial |
1410 |
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Author |
Wyllie-Schmidt, Cilla; Tipa, Zoe; McClunie-Trust, Patricia |
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Title |
Factors affecting access to immunisation of under-five-year-olds |
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Journal Article |
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Year |
2019 |
Publication |
Kai Tiaki Nursing Research |
Abbreviated Journal |
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Volume |
10 |
Issue |
1 |
Pages |
39-46 |
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Keywords |
Immunisation; Communicable disease; Preschool children; International research |
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Abstract |
Identifies the obstacles for families that prevent immunisation of children under five years. Uses an integrative review to aggregate and examine the findings of published international research on factors affecting immunisation of younger children. Considers child poverty and education level of parents in NZ to be potential barriers to disease prevention through vaccination. |
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Call Number |
NZNO @ research @ |
Serial |
1623 |
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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 |
Type |
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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Keywords |
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Abstract |
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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