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Author |
Margetts, M.; Cuthbertson, S.; Streat, S.J. |
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Title  |
Bereavement follow-up service after fatal critical illness |
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Year |
1995 |
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Abbreviated Journal |
DCCM, Auckland Hospital |
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Abstract |
Fatal illness is often short. Communication between patient and family is impaired and how to best meet family needs is unclear. We began a follow-up service to determine current next-of-kins outcomes and remedy service deficiencies. A critical care nurse identified deaths from our data base and completed a structured telephone interview with the next-of-kin. There were 374 admissions from 1/1/95 – 17/5/95, 55 died. Next- of-kin of 52 patients (M29, age 19-88 median 52) were contactable 16-70 (median 33)days later. All (defacto/wives 18, husbands 9, mothers 9, daughters 8, others 8) consented to interview (5 -80, median 15 minutes). Forty-nine had resumed normal home activities and 23/25 workers had returned to work. Thirty-three still had disturbed sleep, three were taking hypnotics. Twenty-four had had contact with their general practitioner because of the death (six were prescribed sedatives or hypnotics). Nineteen had financial problems. Forty-seven described DCCM care positively, 35 specifically (nursing care and compassion 15, communication 8, flexible visitors policy8) but 13 had particular difficulties (communication 4 , waiting 2, facilities 4) and 4 serious non-DCCM issues. Forty-six considered themselves well informed and understood well the sequence of events. Forty-eight identified family and friends as primary support. Three requested information about another agency (counseling), 9 asked us to contact as further relative. A telephone bereavement service is well received by next-of-kin. Most families members resolve their early grief without external agencies but sleep and money are problems. We have improved our facilities and are addressing communication and cultural issues |
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Call Number |
NRSNZNO @ research @ 199 |
Serial |
199 |
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Author |
Margetts, M.; Cuthbertson, S.; Streat, S.J. |
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Title |
Bereavement follow-up – its impact on practice |
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Year |
1996 |
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Abbreviated Journal |
DCCM Auckland Hospital |
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Since 1995 we have provided a bereavement follow-up service but the benefits of this to clinical care have not previously been reported . We reviewed the 1995 results, documentation methods, system design, discussed with reviewers their data collection, interview process and its effect on them and their practice. Next-of-kin of only 99/151 patients ( M87 age 14-88) were contacted 16-149 median 34 days after the death. Sleep disturbance (55/99) were the most common problems. We now give next-of- kin literature including a pamphlet which introduces our service and discusses these problems. Most next-of-kin (77/99) commented favorably on DCCM care, but 16/99 identified inadequate facilities and communication problems as service deficiencies. We have improved facilities (paint, furniture, telephone, drinks machine). We now notify patients general practitioners of every death and bring families back for meetings with staff when necessary. We changed systems of case identification and recording of next-of-kin information. Nurse interviewers (8) identified their needs for improved telephone skills, education about grief and research, debriefing after calls and their need for acknowledgement of participation in this service. Study days now address these issues. Interviewers difficulties with interview content have lead to changes. They suggested peer review of data forms to improve completeness which now occurs. Some found the interview process personally disturbing, but all reported positive changes in their practice with bereaved families.Within two years a bereavement service has led to improvements in facilities, communication, and staff expertise, it is now part of our holistic care |
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Call Number |
NRSNZNO @ research @ 200 |
Serial |
200 |
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Author |
Best, G.A. |
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Title |
Being pruned: Student nurses experience of being shaped in clinical practice by lecturers |
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Year |
2004 |
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Abbreviated Journal |
Auckland University of Technology Library |
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Keywords |
Students; Nursing; Education |
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Call Number |
NRSNZNO @ research @ |
Serial |
599 |
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Author |
Johns, S. |
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Title |
Being constrained and enabled: A study of pre-registration nursing students ethical practice |
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Year |
2004 |
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Abbreviated Journal |
Auckland University of Technology Library |
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Keywords |
Ethics; Nursing; Students |
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Abstract |
This study uncovers the experience of being ethical from the perspective of pre-registration nursing students. Using the qualitative methodology of phenomenology, specifically that outlined by van Manen, it seeks to show how students act ethically within everyday practice. Providing nursing care is an ethically charged undertaking and despite ethics taking an increasingly important place in nursing education, the author suggests that few studies show the contextual nature of ethical practice from the perspective of students. This study aims to partly redress this situation. In this study the author has interpreted the experiences of twelve pre-registration students. Using seventeen stories shared by the student participants, the author's personal understandings and literature, the meaning of being ethical has been illuminated. Three themes emerged from the interpretation. These include 'keeping things 'nice'', 'being true to yourself' and 'being present'. This thesis asserts that the overarching theme within these themes is that of 'being constrained and enabled'. Being constrained shows the experiences of students as they live through the tensions of being and doing as they strive to be ethical. Being enabled shows the experience of self-determination. Finally the study maintains that the shaping of ethical practice for undergraduate students may be enhanced when their reality is positioned and valued within educational processes. |
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Call Number |
NRSNZNO @ research @ 614 |
Serial |
600 |
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Author |
Desmond, N. |
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Title |
Aspects of nursing in the general practice setting and the impact on immunisation coverage |
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Year |
2007 |
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Abbreviated Journal |
University of Auckland Library |
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Keywords |
Nurse-family relations; Immunisation; Primary health care; Nursing |
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Call Number |
NRSNZNO @ research @ 510 |
Serial |
496 |
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Author |
Kidd, J.D. |
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Title |
Aroha mai: Nurses, nursing and mental illness |
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Year |
2008 |
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Abbreviated Journal |
University of Auckland Library |
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Keywords |
Mental health; Nursing; Culture |
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Abstract |
This research takes an autoethnographical approach to exploring the connections between being a nurse, doing nursing work, and experiencing a mental illness. Data is comprised of autoethnographical stories from 18 nurses. Drawing on Lyotard's (1988) postmodern philosophy of 'regimes of phrases' and 'genres of discourse,' the nurses' stories yielded three motifs: Nursing, Tangata Whaiora (people seeking wellness) and Bullying. Interpretation of the motifs was undertaken by identifying and exploring connected or dissenting aspects within and between the motifs. |
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Call Number |
NRSNZNO @ research @ 478 |
Serial |
465 |
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Author |
Robinson, T. |
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Title |
Advancing nursing practice and deep vein thrombosis prevention |
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Year |
2005 |
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Abbreviated Journal |
University of Auckland Library |
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Keywords |
Cardiovascular diseases; Nursing; Prevention |
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Abstract |
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Call Number |
NRSNZNO @ research @ 477 |
Serial |
464 |
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Author |
Hetaraka, B. |
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Title |
A study of nurses working in a community development model |
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Year |
2006 |
Publication |
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Abbreviated Journal |
Auckland University of Technology Library |
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Keywords |
Community health nursing; Health promotion; Nursing |
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Call Number |
NRSNZNO @ research @ 486 |
Serial |
472 |
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Author |
Blue, R.G. |
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Title |
A new net goes out fishing: options for change within the public health nursing service |
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Year |
1995 |
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Abbreviated Journal |
University of Auckland Library |
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Abstract |
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Call Number |
NRSNZNO @ research @ 314 |
Serial |
314 |
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Author |
Hay, J. |
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Title |
A needs assessment of and for people with head injuries in the greater Auckland area |
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Year |
1991 |
Publication |
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Abbreviated Journal |
University of Auckland Library |
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Call Number |
NRSNZNO @ research @ 308 |
Serial |
308 |
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Author |
Farrell, E. |
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Title |
A lamp to light the way: Public health nurses' perceptions and experiences of professional/clinical supervision |
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Year |
2003 |
Publication |
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Abbreviated Journal |
Auckland University of Technology |
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Volume |
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Pages |
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Keywords |
Public health; Nursing; Clinical supervision; Professional competence |
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Abstract |
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Call Number |
NRSNZNO @ research @ 887 |
Serial |
871 |
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Author |
Williams, H.; Cuthbertson, S.; Newby, L.; Streat, S.J. |
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Title |
A follow-up service improves bereavement care in an intensive care unit |
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Year |
1998 |
Publication |
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Abbreviated Journal |
Auckland Hospital Library |
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Call Number |
NRSNZNO @ research @ 149 |
Serial |
149 |
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