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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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Stuart, J. (2003). How can nurses address generalist/specialist/nursing requirements of the urban/rural population of Southland.
Abstract: This study, which is undertaken in the Southland area, explores the effect of the increasing specialisation of nursing services in what is a rural/urban environment. It is indicated in the literature that systemic changes in health, such as the health reforms, and the increase in the use of technology have meant that nurses are required to function in disease oriented roles rather than according to their more traditional generalist roots. A significant event, which also affected nursing scope of practice, was the transfer of nurse education to the tertiary education institutions environment from the hospitals in the mid 1970s. The traditional nursing hierarchy and its nurse leadership role disappeared and the adoption of specialist nurse titles increased, and identified with a disease or disorder, for example 'diabetes' nurse. The increase in specialist categories for patients contributed to the nurse shortage by reducing the available numbers of nurses in the generalist nursing pool. The nurses in this rural/urban environment require generalist nurse skills to deliver their nursing services because of the geographical vastness of the area being a barrier to specialist nurses. Workforce planning for nurses in the rural/urban then must focus on how to reshape the nursing scope of practice to utilise the existing resources. This study explores how key areas of health services could be enhanced by reclaiming the nurse role in its holistic approach, in mental health, public health, geriatric services and psychiatric services.
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Love, E. (2000). Towards the best of both worlds: Developing a partnership between education and practice to improve clinical practicum experience and learning outcomes for undergraduate nursing students.
Abstract: One proposed method for addressing concerns about a `theory-practice gap' in nurse education and perceived clinical shortcomings in beginning practitioners, is improved collaboration between education and practice. This paper is about a New Zealand nursing initiative to promote optimal learning outcomes for nursing students through supported hospital clinical experiences. It is implemented through a contractual partnership between Lakeland Health Limited in Rotorua, and Waiariki Institute of Technology. An associated “Clinical Nurse Educator Programme”, developed by lecturers at Waiariki's nursing school, prepares hospital nurses to be Clinical Nurse Educators. These “C.N.Es” replace and enhance the clinical role formerly provided by nursing lecturers, and short term contracted nurses. The programme is entering its fourth year with positive evaluations, and has extended into another hospital. Literature suggests that although educators are important, students may consider hospital nurses much more significant for their clinical learning and developing confidence 'in the real world'. These nurses are on hand, and generally have clinical credibility not afforded to academic staff. However, ward nurses, like contracted nurse teachers, have reported not having enough curriculum knowledge, nor teaching skills to optimise student learning. This C.N.E programme addresses these shortcomings through its selection of experienced nurses in current practice, and 50 hours of theoretical and practical course content, to prepare them for the role. This paper provides a clinical and personal perspective of the C.N.E programme, its beginnings, how it works locally, and process for its ongoing development. Not only does this programme provide a bridge between theory and practice for students during their clinical practicum placements, but communication, consultation and collaboration between education, practice and the workplace have also improved. Nurses in both sectors are confident that through the developing partnerships, students and future practice will benefit from the aim to provide students with 'the best of both worlds'.
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Davidson, L. (2000). Family-centred care perceptions and practice: A pilot study.
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Phillips, S. (1999). Exploration of the socio-cultural conditions and challenges which may impede nursing development in the twenty-first century and proactive strategies to counter these challenges.
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Delugar, A. (1999). An historical inquiry to identify the contribution Beatrice Salmon's writings made to nursing education in New Zealand, 1969-1972.
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Lamb, J. (2009). The Effect of Cigarette Smoking On the Frequency of Colposcopy Visits, Treatments and Re-referrals. Master's thesis, , .
Abstract: Current research has confirmed that cigarette smoking is a risk factor for cervical cancer. The objective of this pilot study was to observe if women who smoked and were referred to the colposcopy department at Christchurch Women?s Hospital, required more follow up visits, treatments and re-referrals compared to non-smokers. New patients (n=494) who attended at the Christchurch Women?s Hospital colposcopy department in 2001 had their data observed for a six year period. The results identified that women who smoked were three times more likely to need a third follow up visit and twice more likely to need further treatments to remove abnormalities when compared to non-smokers. This pilot study also identified that 71% of Maori women attending the clinic were smokers compared to 44% of non-Maori women. The results are being used to highlight to health professionals that treatment has a greater chance of success if patients cease smoking. The results have also supported the maintenance and development of the smoking cessation clinic for colposcopy patients at Christchurch Women's Hospital where the link to cervical abnormalities and smoking is explained and behaviour modification is offered. We also found that Maori women were poor attendees for colposcopy when compared to non-Maori and these results identified a need for further research and development of strategies to improve attendance.
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Houliston, S. (2007). Flight nurse perceptions of factors inflencing clinical decision making in their practice environment. Master's thesis, , .
Abstract: Flight nurse perceptions of factors inflencing clinical decision making in their practice environment: a thesis presented in partial fulfilment of the requirements for the Degree of Master of Nursing at the Eastern Institute of Technology, Taradale, New Zealand
The research project sought to describe the flight nurses perceptions about the factors that influence clinical decision making in their flight nursing practice, using a descriptive survey methodology. Themes emerged as factors which participants perceived influenced clinical decision making in their flight nursing role and in the aeromedical role. These themes included pre-flight preparation, patient status, experience and education of the nurse, and the challenges associated with the physical and atmospheric environments.
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Clendon, D. J. (2009). Motherhood and the 'Plunket Book': A social history. Ph.D. thesis, , .
Abstract: The Well Child/Tamariki Ora Health Book (the Plunket book) is a small booklet given to New Zealand mothers on the birth of a child. Although use of the book has decreased since it?s inception in 1920, it is frequently kept within the family and handed on from mother to child. Utilising an oral history approach, this study has traced the development of the Plunket book over time and explored the experiences of a group of 34 women and one man who have reflected on their ownership of, or involvement with, Plunket books. The study found that the book remains an effective clinical tool for mothers and nurses. Nurses use the book as a tool to help develop a relationship with a mother and her family, and to identify and build on strengths. Mothers have used the book as a tool to link past with present, to maintain kinship ties across generations, to deal with change intergenerationally, and in a manner that contributes to their self-identity as woman and mother. The study recommends that nurses and other health professionals continue to use the Plunket book as a clinical tool mindful of the fact that the book remains in use beyond the health professional?s immediate involvement with the mother and child, playing an important role in the context of the New Zealand family across generations.
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Hayward, S. (2009). Evaluation of a change programme: model of nursing care delivery. Master's thesis, , .
Abstract: A dissertation submitted in partial fulfilment for the degree of Master of Health Sciences.
Primary nursing as a framework within which nurses deliver patient care has been a nursing care delivery system of choice in New Zealand for the last two decades. A number of studies have been carried out, with a review of the literature suggesting inconclusive support for this delivery system over other functional nursing care models. However, there is support for the philosophy underpinning this model, with documented evidence that this framework can help nurses achieve a degree of professional development and autonomous practice that other models cannot. Using documented information created during the move from one model of nursing care to another this work evaluates what were the drivers for the change, how it was managed and what the outcomes were.
Findings indicated that this change project was a success. Analysis of the data collected pre and post implementation indicated some positive shifts, but more importantly it was the information gathered from both patients and nurses that gave creditability to the new model of nursing care.
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Gibbison, B. (2010). Are we there yet?: Factors associated with, and experiences of, weight maintenance in the Adult Weight Management Programme in the Waikato. Master's thesis, , .
Abstract: A research portfolio submitted in partial fulfilment of the requirements for the degree of Master of Nursing, the University of Auckland, 2010.
Sustained weight loss maintenance is a constant challenge, especially for morbidly obese individuals who have tried and failed repeatedly. Why is it then, that some individuals are successful whilst others are not so successful? This two-phase sequential, mixed methods study sought to identify and gain insight into the factors associated with successful weight loss maintenance for participants in an adult weight management programme in the Waikato. Success appeared to be independent of age, gender, ethnicity, domicile, employment status and the presence of co-morbities.
Four major themes emerged:
- “Actions speak louder than words – just do it” (Following a lower energy diet, having higher levels of physical activity, regular self weighing, and vigilance in adjusting their behaviours based on the results)
- Routines were also important in supporting the changed behaviours
- What's it worth to me
- Valuing the achievements associated with lesser weight was seen as another important factor of success
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Shih, L. - C. (2009). Impact of Dialysis on Rurally Based Mäori Clients and Their Whänau. Master's thesis, , .
Abstract: A research portfolio submitted in partial fulfilment of the requirements for the degree of Master of Nursing, The University of Auckland, 2009
This paper is a report of a study seeking to understand the experience of New Zealand rural dwelling Mäori clients with end-stage renal disease who receive haemodialysis. End stage renal disease (ESRD) is related to lifestyle, genetic factors and environment, and Mäori are at higher risk of renal disease which results of need for renal replacement therapy to sustain their lives. Dialysis clients are a group of ?silent? clients under the care of the dominant health professionals. Adherence with therapeutic regimes has been a main issue for health care professionals and service delivery, as it directly contributes to the efficacy of the treatment and cost effectiveness. Mäori clients? experience of living with haemodialysis has not been explored. Although there are a number of studies describing the experience of patients living on dialysis so far, no studies have yet focused specifically on the experience of Mäori clients towards their renal replacement therapy. The continual demands of dialysis treatment are significant and given the high proportion of Mäori having dialysis. It is timely to explore the experience of Mäori clients and their family/whänau in order to understand the need for quality of care and to promote Mäori health outcomes in chronic kidney disease management
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Hooker, M. (2010). Implementing the rheumatic fever guidelines: Identifying the challenges and crossing the theory practice divide. Master's thesis, , .
Abstract: A research portfolio submitted in partial fulfilment of the requirements for the degree of Master of Health Sciences, The University of Auckland, 2010.
Background:
The 2006 New Zealand (NZ) Guidelines for Rheumatic Fever (RHF) (National Heart Foundation of New Zealand and Cardiac Society of Australia and New Zealand, 2006) have an over-arching objective to support appropriate management of RHF to prevent recurrent attacks and reduce mortality and morbidity from RHF and Rheumatic Heart Disease (RHD) (Craig, Anderson, & Jackson, 2008; National Heart Foundation of New Zealand and Cardiac Society of Australia and New Zealand, 2006).
Aims:
The aims of this study were to audit current practice and service provision associated with RHF programmes and initiatives in NZ District Health Boards (DHBs) against the 2006 NZ Guidelines for RHF and to identify the barriers and facilitators to clinicians meeting the guidelines.
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McClunie-Trust, P. (2010). Negotiating Boundaries: The Nurse Family Member Caring for Her Own Relative in Palliative Care. Ph.D. thesis, , .
Abstract: This research illuminates the challenges of living well within one's own family as a nurse caring for her own relative who is dying of a cancer-related illness. Developing a deeper awareness of the consequences of this caring work has been the central focus for inquiry in this research. Nursing requires epistemologies that encompass new ways of understanding how we live within our own families and communities and practice as nurses. The theoretical framework that guides this research interprets the French Philosopher Michel Foucault's (1926-1984) critical history of thought as an ethical project for nursing. It uses conceptual tools developed in his later writing and interviews to draw attention to how discursive knowledge and practices constitute subjectivity in relations of truth, power and the self's relation to the self. The first aspect of the analysis, landscapes of care examines the techniques of discourse as relations of power and knowledge that constitute nurse family members as subjects who have relationships with their own families and other health professionals. The second aspect analyses care of the self and others as self work undertaken to form the self as a particular kind of subject and achieve mastery over one's thoughts and actions.As an exploration of the complex and contradictory subjectivities of the nurse family member, this research illuminates the forms and limits of nursing practice knowledge. It shows how nursing is practised, and the identity of the nurse is created, through intellectual, political and relational work, undertaken on the self in relation to others, as modes of ethical engagement.
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Eden, S. (2011). An integrated literature review of the role of the nurse practitioner in the emergency department. Master's thesis, , .
Abstract: A dissertation in partial fulfilment of Master Health Sciences (Clinical)through University of Otago
The nurse practitioner is one of the newest nursing health care professionals to be introduced to the New Zealand health system for many years. Eighty-six nurse practitioners are credentialed in New Zealand, with three working in urban Emergency Department settings. Nurse Practitioners are common internationally especially in the United States, Canada, United Kingdom and Australia. The purpose of this integrated literature review is to explore current research and literature in regards to the Emergency Department Nurse Practitioner, and their role within emergency settings. This review presents the growth and development of the nurse practitioner as an advanced practice nursing position. Four key themes emerge from the literature review; education of the Emergency Nurse Practitioner , how and who defined the Emergency Nurse Practitioner role, practice setting of the Emergency Nurse Practitioner, and what the barriers are to independent practice. The economic, legal and governance aspects of the Nurse Practitioner role are also portrayed. This integrated review documents the potential for further development and expansion of the Emergency Nurse Practitioner scope of practice to provide a broad range of patient care services within Emergency Departments, and emergency care settings. Future research is essential for the promotion of autonomous practice of the Emergency Nurse Practitioner within the international and New Zealand health care system.
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