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Author |
Litchfield, M.; Noroian, E. |
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Title |
Changes in selected pulmonary functions in patients diagnosed with myasthenia gravis |
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Journal Article |
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Year |
1989 |
Publication |
Journal of Neuroscience – Nursing |
Abbreviated Journal |
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Volume |
21 |
Issue |
6 |
Pages |
375-381 |
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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 |
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Call Number |
NRSNZNO @ research @ 370 |
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370 |
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Author |
Parsons, C.D.F. |
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Title |
Reflexive accounts of the related symbols 'communication', 'self-reflection' and 'emancipation' |
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Year |
1978 |
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Abbreviated Journal |
University of Waikato Library |
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NRSNZNO @ research @ 372 |
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372 |
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Author |
Parsons, C.D.F. |
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Title |
Sickness experience and language: aspects of Tongan and Western accounting |
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Year |
1981 |
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Abbreviated Journal |
University of Waikato Library |
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Call Number |
NRSNZNO @ research @ 373 |
Serial |
373 |
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Author |
Pearson, J.R.; Joyce, M.; Khull, J.; MacDonald, S.; Norrish, S.; Southwick, M.; Wilks, T. |
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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 |
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Year |
1993 |
Publication |
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Abbreviated Journal |
Author, Whitireia Community Polytechnic Library |
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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 |
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Call Number |
NRSNZNO @ research @ 374 |
Serial |
374 |
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Author |
Turia, D. |
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Title |
Women's knowledge sources and management decisions |
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Year |
1999 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
Massey University Library, Whitirea Community Poly |
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Volume |
14 |
Issue |
1 |
Pages |
53 |
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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 |
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Call Number |
NRSNZNO @ research @ 376 |
Serial |
376 |
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Author |
Andrew, C. |
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Title |
Optimising the human experience: the lived world of nursing the families of people who die in intensive care |
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Year |
1997 |
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Abbreviated Journal |
Massey University Library |
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Call Number |
NRSNZNO @ research @ 380 |
Serial |
380 |
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Author |
Litchfield, M. |
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Title |
The process of nursing partnership in family health |
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Year |
1997 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
University of Minnesota Library |
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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 |
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Call Number |
NRSNZNO @ research @ 385 |
Serial |
385 |
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Author |
Litchfield, M.; McCombie, M.-L. |
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Title |
The introduction of an advanced nurse practitioner role in mental health: report of the evaluation research undertaken for the Mental Health Service of Capital Coast Health Ltd |
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Year |
1994 |
Publication |
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Abbreviated Journal |
Chief Nurse Advisor, Ministry of Health, PO Box 50 |
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The study was commissioned to define the role of Advanced Nurses Practitioner to inform the establishment of a clinical career pathway. Four new, loosely defined ANP positions were created and the role evolution over three months was described. The impact on the multidisciplinary team functioning was to be given particular attention. The research design was developed in collaboration with the ANP Project Team of the service. Data were derived from surveys of nurses in the units and other staff before and at the end of the 3 months period; interviews with the ANPs and official client advocates; daily journals and weekly logs kept by the ANPs; statistical records of patient loads and staffing. The findings presented the role as the interface of unit management and direct client care, with the ANPs orchestrating the activities of the unit. The ANPs developed the role differently according to quite distinct conceptualisations of nursing which influenced whether direct client care was pivotal or peripheral to the role. This had an effect on whether the strains of the service were seen as inhibitory of focal to the development of the ANP practice. There was little change in unit staff satisfaction. Attempts to incorporate client advocacy to determine change in client satisfaction were unsuccessful. The ANPs used the research as a process of role development |
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Call Number |
NRSNZNO @ research @ 386 |
Serial |
386 |
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Author |
Litchfield, M.; Connor, M.; Eathorne, T.; Laws, M.; McCombie, M.-L.; Smith, S. |
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Title |
Family nurse practice in a nurse management scheme: a pilot service study for the health reforms |
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Year |
1994 |
Publication |
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Abbreviated Journal |
Centre for Initiative in Nursing & Health Care, P. |
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Abstract |
The independently funded 10 month pilot project demonstrated the autonomy of nursing practice for a new role family nurse. The findings were presented as the health experience of families in strife with complex health circumstances, a description of a beginning model for the nursing practice that addressed the needs of these families as their circumstances changed over time, and its cost-effectiveness. A caseload of nineteen families was found to be optimum. The evaluation research continued throughout as a form of praxis expressed as health patterning, a methodology developed in previous research (Litchfield, 1993). The family nurse'spractice demonstrated qualities common to all nurses: the caring relationship and fiscal responsibility. The unique practice was characterised by a professional partnership of limited duration: the families referred to the service in a predicament of strife, trapped in the immediate present, gained a view to a future, moved towards assuming control over health circumstances, seeking and using services with discernment, and increasing community as family/group members and citizens. Cost containment was achieved through: a) development of a co-operative approach amongst family members, between families and professionals, and amongst all health workers, and b) the families discerning use of services by anticipating a future. Through one family case, cost of saving over the 7 months with the family nurse was estimated as $4000, a possible saving of $16000 over 13 months if the family nurse had been involved earlier, and projected savings in the long term of over a million dollars. The satisfaction of clients, nurses and professionals was shown. The service was positioned within the new health system of health reforms |
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Call Number |
NRSNZNO @ research @ 389 |
Serial |
389 |
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Author |
Anderson, M. |
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Title |
Universal change – individual responses: women's experience of the menopause and of taking hormone replacement therapy |
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Year |
1998 |
Publication |
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Abbreviated Journal |
Massey University Library |
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Call Number |
NRSNZNO @ research @ 392 |
Serial |
392 |
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Author |
Dyson, L. |
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Title |
The role of the lecturer in the preceptor model of clinical teaching |
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Year |
1998 |
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Abbreviated Journal |
Massey University Library |
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Call Number |
NRSNZNO @ research @ 395 |
Serial |
395 |
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Author |
Orchard, S.H. |
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Title |
Characteristics of the clinical education role as percieved by registered nurses working in the practice setting |
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Year |
1999 |
Publication |
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Abbreviated Journal |
Massey University Library |
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Call Number |
NRSNZNO @ research @ 397 |
Serial |
397 |
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Author |
Wilson, D. |
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Title |
Through the looking glass: nurses' responses to women experiencing partner abuse |
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Year |
1997 |
Publication |
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Abbreviated Journal |
Massey University Library |
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Call Number |
NRSNZNO @ research @ 402 |
Serial |
402 |
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Author |
Davenport, F.A. |
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Title |
A descriptive study of the spiritual needs of patients with leukemia |
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Year |
1998 |
Publication |
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Abbreviated Journal |
Massey University Library |
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Call Number |
NRSNZNO @ research @ 403 |
Serial |
403 |
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Author |
Gregg, D. |
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Title |
Survey of student nurse uniform |
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Miscellaneous |
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This study was undertaken to ascertain the opinions of nursing students at Wellington Polytechnic (now Massey University Campus of Wellington) about their current uniform worn on clinical placements. As the NZNO National Student Unit representative at Wellington Polytechnic, it was brought to my attention by my fellow students that the current uniform was not particularly functional. As a result of these comments I concluded the best way for students to voice their opinions further was to circulate a survey. The survey questioned the students about the current uniform and what they thought the future uniform might be. The survey was available for collection by students for a two week period in July 1998. Participation was voluntary and anonymous. It was approved by the Research and Ethics Committee, School of Nursing, Health and Environmental Sciences, Wellington Polytechnic. The results were that sixty percent of students supported a change in the current uniform. Most students chose a tunic top as their preferred option. If there was to be a change, students would be prepared to spend $20-49. Consequently permission has been granted by the Head of Department – School of Nursing to investigate a change to a tunic style top. The item will be trialed by those who wish to purchase it in 1999. I believe that it is of utmost importance that student satisfaction with their clinical uniform is assessed at regular intervals to ensure that the students take a pride in their presentation and the uniform serves the purpose for which it is intended |
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Call Number |
NRSNZNO @ research @ 404 |
Serial |
404 |
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