| Records |
| Author |
Dennis, J. |
| Title |
How will transformative primary health care nursing leadership facilitate better health outcomes for Southlanders? |
Type |
|
| Year |
2005 |
Publication |
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Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
Volume  |
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Issue |
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Pages |
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| Keywords |
Leadership; Nursing; Primary health care |
| Abstract |
Changes within the New Zealand health system have led to an emphasis on primary health care. The New Zealand government and the Southland District Health Board have identified that nurses can make significant contribution to improving the primary health outcomes for New Zealanders. However, within Southland there exist barriers to nurses influencing health outcomes. A Southland draft Primary Health Care Nursing Strategic Plan 2005 recommended that the employment of a primary health care nursing leader would reduce these barriers and lead to a comprehensive primary health care nursing service. This dissertation argues, using literature, that the employment of a transformative nursing leader, using a facilitative style, would implement changes that would develop a community responsive nursing service, establish a primary health care educational structure and ensure quality nursing care. Successful implementation would occur as the leader facilitates experiential learning within groups and with individuals to review current experiences and implement transformative primary health care nursing changes that improves health for all. The dissertation introduces the background to the changing primary health care environment in New Zealand and to the Southland current situation in chapter one. Chapter two describes the unique features of transformative leadership style and how it is applies to nursing and specifically to Southland's changing primary health care environment. The chapter specifically emphasises the role of and the art of facilitation which is a critical transformative leadership process. Chapter three describes the process of the experiential learning cycle, which the author argues will improve health outcomes, when used by the transformative leader to enable nurses to learn from their experiences and make nursing changes that improve health care. Chapter four addresses the dissertation question by describing how transformative leadership will facilitate the experiential learning process to Southlanders and improve health outcomes, reduce inequalities and increase accessibility through a comprehensive primary health care nursing service. |
| Call Number |
NRSNZNO @ research @ |
Serial |
920 |
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| Author |
Dobson, J. |
| Title |
Nurses' experiences of parental informed consent in the neonatal intensive care unit |
Type |
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| Year |
2004 |
Publication |
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Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
| Volume |
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Issue |
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Pages |
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| Keywords |
Neonatal nursing; Parents and caregivers |
| Abstract |
The Guthrie Test has become the standard screening test for early detection of congenital metabolic disorders for newborn babies in New Zealand and is an accepted part of neonatal care. In neonatal care, decisions are made on behalf of babies usually by their parents and, for the Guthrie Test there is a requirement that health professionals obtain informed consent. This qualitative research utilised focus group methodology to discover what neonatal nurses in clinical practice consider when obtaining informed consent from parents for newborn screening, the Guthrie Test. The convenience sample consisted of seven registered nurses who volunteered to participate in the study. They all practice in the Neonatal Intensive Care Unit at Dunedin Public Hospital that provides Level 3 intensive care to neonates in the Otago/Southland regions. There are proven benefits of the current newborn screening programme and in the experience of this focus group not many parents choose to refuse. These neonatal nurses identified the rights of parents to have that choice and to make an informed decision. The findings from this research indicate the importance neonatal nurses place on patients' rights and the information provided to ensure that their rights are respected. However, the results indicated that there is a need for clarification of the purpose and process of informed consent for the Guthrie Test in the Neonatal Intensive Care Unit. Therefore providing sufficient, relevant information at an appropriate time and manner is considered necessary. The findings will be used to inform discussion related to the provision of best practice. |
| Call Number |
NRSNZNO @ research @ |
Serial |
921 |
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| Author |
Johnson, H. |
| Title |
Clinical trials in the intensive care setting: A nursing perspective |
Type |
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| Year |
2008 |
Publication |
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Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
| Volume |
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Issue |
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Pages |
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| Keywords |
Evaluation; Intensive care nursing |
| Abstract |
As carers of patients who are clinical research participants, nurses' contribution to the success of clinical trials is acknowledged in the literature. Ethical dilemmas and challenges that clinical trials may present for nurses are also recognised. Although there is some discussion regarding these issues, few studies explore and identify the perceptions of intensive care nurses regarding clinical trials and how they may impact on nursing practice. This thesis explores and describes the viewpoints and experiences of sixty intensive care nurses from a tertiary level referral centre in New Zealand engaged in clinical research activities. The descriptive study utilised a self-administered questionnaire to gather information regarding nurses' roles in clinical trials, associated issues encountered and contributory factors, and the impact of issues on nursing practice, stress and satisfaction levels. Suggestions for potential strategies to minimise the impact of issues on nurses' practice were also sought. Descriptive statistical and content data analyses identified three key areas in which nurses' encounter issues associated with clinical trials and their practice: nurses' workload; ethical concerns; educational preparation and support. The findings indicate that, when issues exist in these areas, routine patient care can be delayed, the enactment of nurses' patient advocacy role can be affected, and nurses' stress and satisfaction levels can be negatively impacted upon. The perceptions of a group of intensive care nurses who are enveloped in the daily balance of patient care, the need for clinical research, and their professional obligations are discussed in this thesis. While the study's findings are reflective of one group of nurses in a distinct practice setting, their experiences can prompt other nurses, research teams and clinical leaders to reflect upon their own clinical research environment. |
| Call Number |
NRSNZNO @ research @ |
Serial |
923 |
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| Author |
Wassner, A. |
| Title |
Labour of love: Childbirth at Dunedin Hospital, 1862-1972 |
Type |
Book Whole |
| Year |
1999 |
Publication |
Dissector |
Abbreviated Journal |
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| Volume |
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Issue |
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Pages |
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| Keywords |
Hospitals; History of nursing; Maternity care; Registered nurses; Nursing; Education |
| Abstract |
This book covers obstetrical care from a nursing perspective at the Dunedin Hospital's Maternity Units. The researcher found little information on the two lying-in (maternity) wards of the first two Dunedin Hospitals. The book presents historical records outlining obstetric nursing procedures and maternity culture at the Dunedin Hospitals, The Benevolent Institution, The Batchelor Maternity Hospital, and Queen Mary Hospital. It covers cultural, social and legislative changes over the period, and examines conditions and pay for nursing staff across this time. A chapter on the evolution of baby care looks at changes in acceptable practices around nursery care, breast and bottle feeding, and medical procedures. The book has an extensive list of appendices, including staff lists, training notes for staff, duty lists, and interviews with staff and patients. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1049 |
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| Author |
Whittle, R. |
| Title |
Decisions, decisions: Factors that influence student selection of final year clinical placements |
Type |
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| Year |
2007 |
Publication |
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Abbreviated Journal |
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| Volume |
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Issue |
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Pages |
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| Keywords |
Clinical assessment; Nursing; Education; Students |
| Abstract |
Clinical practice is an essential and integral component of nursing education. The decision-making process involved in student selection of clinical placements is influenced by a range of factors which are internal or external to students. As there was little research that explored these factors and the influence they have on student decisions, the author sought to investigate this further. A mixed-method approach was used, using a questionnaire and focus group interview, to give breadth and depth to the research. This study found that students are particularly influenced by previous positive experiences, or an interest in a particular area of practice. Their personality will also influence their placement decisions. Nurse preceptors and clinical lecturers also provide a key support role to students in the clinical environment. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1103 |
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| Author |
Gallagher, P. |
| Title |
Rethinking the gap: Investigating the theory-practice relationship in nursing |
Type |
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| Year |
2005 |
Publication |
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Abbreviated Journal |
Coda |
| Volume |
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Issue |
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Pages |
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| Keywords |
Nursing; Education; Nursing models; Nursing philosophy |
| Abstract |
A Grounded Theory approach was taken to explore the concept of the gap between theory and practice, whereby they are seen to be discrete entitites. For this study, the first phase of data collection was a series of computer mediated group discussions, and the second a number of individual interviews. In both sets of interviews participants were asked to describe how they experienced and managed differences they perceived between theory and practice in nursing. The participants referred to different types of theory relevant and central to effective nursing practice. The first was private theory; the second was formal theory and third was situational theory. For the students it was a conflict that produced uncomfortable emotions, distrust of others and personal self doubt. In an effort to reduce this discomfort the students sought an explanation for the differences between theory and practice, some of which challenged their key personal values. However, the most emotionally neutral explanation that also preserved the integrity of their key values was that there was a gap between the theory and the practice of nursing. The theory Negotiating Different Experiences has implications for the education of nurses in that personal knowledge and experiences must be incorporated in a programme of study and the feelings evoked by learning must be acknowledged as a catalyst to enhance learning. Further, the different forms of theory to which students will be exposed must be made explicit and nursing educators who must involve the individual student as an active partner in the mapping of a personalised programme, which includes the creation of individual assessment methods. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1104 |
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| Author |
Roddick, J.A. |
| Title |
When the flag flew at half mast: Nursing and the 1918 influenza epidemic in Dunedin |
Type |
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| Year |
2005 |
Publication |
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Abbreviated Journal |
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| Volume |
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Issue |
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Pages |
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| Keywords |
History of nursing; Public health |
| Abstract |
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| Call Number |
NRSNZNO @ research @ 1120 |
Serial |
1105 |
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| Author |
Stokes, G. |
| Title |
Who cares? Accountability for public safety in nurse education |
Type |
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| Year |
2005 |
Publication |
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Abbreviated Journal |
Online at Research Space @ Auckland University |
| Volume |
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Issue |
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Pages |
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| Keywords |
Nursing; Education; Accountability; Patient safety |
| Abstract |
The focus of this study is the management of unsafe nursing students within the tertiary education context. The moral dilemmas experienced by nurse educators, specifically linked to the issue of accountability for public safety, are explored. The theoretical framework for the thesis is informed by the two moral voices of justice and care identified by Gilligan and further developed using the work of Hekman and Lyotard. Case study methodology was used and data were collected from three schools of nursing and their respective educational organisations. Interviews were conducted with nurse educators and education administrators who had managed unsafe nursing students. Interviews were also conducted with representatives from the Nursing Council of New Zealand and the New Zealand Nurses Organisation to gain professional perspectives regarding public safety, nurse education and unsafe students. Transcripts were analysed using the strategies of categorical aggregation and direct interpretation. Issues identified in each of the three case studies were examined using philosophical and theoretical analyses. This thesis explores how students come to be identified as unsafe and the challenges this posed within three educational contexts. The justice and care moral voices of nurse educators and administrators and the ways in which these produced different ways of caring are made visible. Different competing and conflicting discourses of nursing and education are revealed, including the discourse of safety – one of the language games of nursing. The way in which participants positioned themselves and positioned others within these discourses are identified. Overall, education administrators considered accountability for public safety to be a specific professional, nursing responsibility and not a concern of education per se. This thesis provides an account of how nurse educators attempted to make the educational world safe for patients, students, and themselves. Participants experienced different tensions and moral dilemmas in the management of unsafe students, depending upon the moral language games they employed and the dominant discourse of the educational organisation. Nurse educators were expected to use the discourses of education to make their case and manage unsafe students. However, the discourses of nursing and education were found to be incommensurable and so the moral dilemmas experienced by nurse educators were detected as differends. This study bears witness to these differends. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1106 |
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| Author |
Cobham, J. |
| Title |
Why do nurses stay in nursing? A test of social identity, equity sensitivity and expectancy theory |
Type |
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| Year |
2005 |
Publication |
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Abbreviated Journal |
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| Volume |
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Issue |
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Pages |
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| Keywords |
Nursing; Recruitment and retention; Identity |
| Abstract |
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| Call Number |
NRSNZNO @ research @ |
Serial |
1107 |
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| Author |
Reilly, S. |
| Title |
Barriers to evidence based practice by nurses in the clinical environment |
Type |
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| Year |
2005 |
Publication |
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Abbreviated Journal |
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| Volume |
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Issue |
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Pages |
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| Keywords |
Evidence-based medicine; Nursing |
| Abstract |
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| Call Number |
NRSNZNO @ research @ 1123 |
Serial |
1108 |
| Permanent link to this record |
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| Author |
Neehoff, S.M. |
| Title |
The invisible bodies of nursing |
Type |
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| Year |
2005 |
Publication |
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Abbreviated Journal |
University of Otago Library |
| Volume |
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Issue |
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Pages |
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| Keywords |
Nursing philosophy |
| Abstract |
In this thesis, the author explores what she terms 'invisible bodies of nursing', which are the physical body of the nurse, the body of practice, and the body of knowledge. She argues that the physical body of the nurse is absent in most nursing literature. Her contention is that the physical body of the nurse is invisible because it is tacit and much nursing practice is invisible because it is perceived by many nurses to be inarticulable and is carried out within a private discourse of nursing, silently and secretly. Nursing knowledge is invisible because it is not seen as being valid or authoritative or sanctioned as a legitimate discourse by the dominant discourse. This analysis is informed by Luce Irigaray's philosophy of the feminine, Michel Foucault's genealogical approach to analysing, and Maurice Merleau-Ponty's phenomenology. The author discusses strategies that nurses could use to make themselves more 'visible' in healthcare structures. |
| Call Number |
NRSNZNO @ research @ 1124 |
Serial |
1109 |
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| Author |
Seton, K.M. |
| Title |
Diversity in action: Overseas nurses' perspectives on transition to nursing practice in New Zealand |
Type |
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| Year |
2004 |
Publication |
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Abbreviated Journal |
University of Auckland Library |
| Volume |
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Issue |
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Pages |
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| Keywords |
Nursing; Cross-cultural comparison; Education |
| Abstract |
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| Call Number |
NRSNZNO @ research @ |
Serial |
1110 |
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| Author |
Davenport, F.A. |
| Title |
Dying to know: A qualitative study exploring nurses' education in caring for the dying |
Type |
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| Year |
2004 |
Publication |
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Abbreviated Journal |
Massey University Library |
| Volume |
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Issue |
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Pages |
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| Keywords |
Nursing; Education; Terminal care |
| Abstract |
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| Call Number |
NRSNZNO @ research @ |
Serial |
1111 |
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| Author |
Sargison, P.A. |
| Title |
Essentially a woman's work: A history of general nursing in New Zealand, 1830-1930 |
Type |
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| Year |
2002 |
Publication |
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Abbreviated Journal |
University of Otago Library |
| Volume |
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Issue |
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Pages |
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| Keywords |
History of nursing; Gender |
| Abstract |
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| Call Number |
NRSNZNO @ research @ 1127 |
Serial |
1112 |
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| Author |
Doughty, L. |
| Title |
Evaluation of the 2002 Auckland District Health Board: First year of clinical practice programme |
Type |
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| Year |
2004 |
Publication |
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Abbreviated Journal |
University of Auckland Library |
| Volume |
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Issue |
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Pages |
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| Keywords |
Clinical supervision; Nursing; Education |
| Abstract |
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| Call Number |
NRSNZNO @ research @ |
Serial |
1113 |
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