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Shadbolt, Y. T. (1984). Curriculum innovation in a school of nursing – a case study. Ph.D. thesis, , .
Abstract: The study gives an account of curriculum development and innovation in a New Zealand school of nursing and focuses on some aspects of the basic diploma course. The study attempts, through the medium of case study, to illuminate the way in which significant curriculum decisions are made and ideas translated into institutional and technical form. Evidence is derived from the recorded perceptions of the participants, observations, and analyses of documented material. The findings confirm that the field of study is complex, multivariable and dynamic, and that translation of the curriculum on paper involves a multitude of deliberative and factual decisions by practicing teachers
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Mathias, L. (1984). Determination on patient participation in the assessment phase of the nursing process. Ph.D. thesis, , .
Abstract: A pilot study to determine the effectiveness of the assessment tool as a data collection device was crucial to the effectiveness of the major study. The pilot sample consisted of 10 patients who participated in the assessment phase of the Nursing process. Patients complied with therapeutic objectives to control urinary incontinence when they participated in the assessment phase and when 24 hour Nursing support is available. The removal of this support ( within the Hospital environment) may be integral to long term compliance
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Takarangi, J. (1984). Historical review of written descriptions of community based nursing in New Zealand 1910 – 1980. Ph.D. thesis, , .
Abstract: Using the content analysis method all items published in the New Zealand nursing journal over 12 months every 10 years 1910 – 1980 were analysed. The focus was nursing in the community and data was gathered on categories of nurses mentioned, the contexts, categories of clients plus 68 nursing activity sub-categories. The data in analysed and discussed to show demands and patterns over time
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Plenty, J., & Seers, R. (1984). Incidence of backstrain in nurses and orderlies working in a geriatric unit (138 beds). Ph.D. thesis, , .
Abstract: In this study a questionnaire was designed to survey the incidence of back strain amongst staff members of a geriatric unit. This was completed by 71 staff members of a total of 99 forms issued. It would appear that back strain occurs in 70% of cases, but it is reported in only 8%. The causes of back strain in nursing are discussed and preventative measures outlined
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Hand, K. (1984). Nursing, alcohol and the social model: a study of nurse attitudes. Ph.D. thesis, , .
Abstract: Health professionals, as well as clients, appear to often miss, ignore or avoid alcohol as a health problem. Changes in role for Nurses as well as changes in concepts of alcoholism, alcohol and alcohol control especially in sociological terms led to this study of Nurse's attitudes to alcohol as a social issue. Aim was to shed light on the adequacy of Nurses to function in the community and in the application of sociologically oriented programs of alcohol control. 44 Student Nurses on the point of entering clinical practise were questioned on 21 attitude items. Their responses were compared to those of 100 respondents selected as comparable demographically from 10,000 New Zealanders surveyed in 1978-79 by A.L.A.C. Differences were found, but no strong profile of distinctive 'nurse' views could be identified with confidence. No real extra concern for alcohol issues could be established giving some doubts about the efficiency of Nurses in the workplace. Nurses did differ in some areas of social viewpoints from the general New Zealand population but further studies are needed to more exactly define dimensions of these differences
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Tuffnell, C. (1985). Nurses' perception of causes and effects of their back injury. Ph.D. thesis, , .
Abstract: The purpose of this study was to gain insight into the possible factors [precipitating back injury in Nurses who had injured their backs during 1985. 23 Nurses were interviewed and factors such as age, years of Nursing, circumstances of injury, why nurses thought the injury had occurred, were examined. Treatment and the effects of the injury on the Nurse were explored. Significant findings were delay in seeking medical assessment when back injury was suspected, and the changes in lifestyle and home and work habits which followed injury. Findings from this study were used to initiate an action study of Nurses lifting patients
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Rodgers, J. A. (1985). Nursing education in New Zealand 1883 to 1930: the persistance of the Nightingale ethos. Ph.D. thesis, , .
Abstract: The Nightingale ethos with its allegiance to the traditional belief in women's responsibility for nurturance, cleanliness and order, aided in the shaping of early formal nursing education in New Zealand
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Takarangi, J. (1985). Nursing workforce. Ph.D. thesis, , .
Abstract: An indepth appraisal of the nursing workforce planning report (1985) has been made which challenges some of the basic assumptions. The report findings have been reconsidered using the primary health care perspective
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Crisp, B. G. (1985). Staff levels in a long term ward – are they adequate? New Zealand Nursing Journal, 78(11), 12–15.
Abstract: In this article, the author will discuss the way in which the task of finding out whether staff levels were adequate in a long term ward was approached. Figures were collated using a patient dependency rating (described below) in use at the time of the article, estimated nursing hours per patient and staff numbers per day; the 3 sets of figures were kept over a 28 day period. The results gained were compared to results from articles and reports perused by the author and conclusions reached as to whether the staff levels were adequate or not. Following this, implications of lack of staff and possible solutions were discussed
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Jones, M. (1985). The complexities of post operative pain management and a study of the effectiveness of continuous intravenous narcotic infusion pumps as a means of pain relief in the first 48 hours post operatively. Ph.D. thesis, , .
Abstract: The purpose of this paper was to observe the effectiveness of continuous intravenous narcotic infusions as a means of pain relief in the first 48 hours post operatively. 12 patients who had experienced major thoracic or abdominal surgery participated in the study. Pain was assessed at rest and on activity on visual analogues at 5 specific times daily for up to 48 hours post operatively. Data was also collected from a structured interview within the first 48 hours and a retrospective interview when the infusion was discontinued. Results indicated- 1. Very little correlation of changes in pain relief dose to the assessment of pain intensity. 2. Documentation and assessment was not always thoroughly completed. 3. Inadequate treatment of pain post operatively was evident especially on activity. It should be emphasised that pain management could be improved through a focus in interdisciplinary consultation, continuing in service education on pain management and accountability in procedure.
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Allen, N. R. (1985). The transition to institutional living: the experience of elderly people. Ph.D. thesis, , .
Abstract: The research identifies how elderly people perceive the transition from home to institutional living. The methodology for the discovery of grounded theory is used. A conceptualisation of the transition to institutional living as five sequential and inter-related phases is introduced. In the first phases of anticipation and reaction; subjects responses to challenges introduced by transition tend to predominate. The third and fourth phases are characterised by subjects working through these challenges to achieve mastery within the new situation. The final phase is manifest in each individuals' attributing personal meaning to the transition within the context of his or her total life. Mastery within the new situation is achieved through problem solving approaches to increasing dependency, acceptance of personal responsibility for adjustment and the perception of institutionalisation as but one incident in each person's life. This transition was found to differ from those described amongst younger populations. It is proposed that this difference occurs as a function of developmental stage , frailty and the environmental situation. The research a) emphasises the holistic nature and complexity of nursing with frail elderly clients, b) support the uses of concepts from developmental theory as a basis for nursing practise with elderly clients, and c) suggests ways in which nursing education and research may contribute to the development of nursing care for elderly clients
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Perry, J.(see also C.). (1985). Theory and practice in the induction of five graduate nurses: a reflexive critique. Ph.D. thesis, , .
Abstract: This study investigates the induction of comprehensive Nurses into a professional culture during their polytechnic education and the first year of Hospital practise. A critical theory framework combined with case study method is used to demonstrate the ways in which social forces constrain individual and professional action. It is argued that a more socially critical approach to the design of Nursing curricula might begin to transform some of the social structures which presently inhibit and constrain the professional choices and actions of student and graduate Nurse
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Monro, J. A. (1985). Person-environment imbalance in an occupational setting: a comparative study of nursing stress in several hospital wards. Ph.D. thesis, , .
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King, B. E., Fletcher, M. P., & Main, L. G. (1985). Institutional provisions for the aged: a survey of one region. Ph.D. thesis, , .
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Filshie, K. E. (1985). Nursing education in New Zealand: 1960-1973. The struggle to attain professional status for the New Zealand nurse. Ph.D. thesis, , .
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