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Author Williams, P.
Title The experience of being new in the role of Charge Nurse Type
Year (up) 2004 Publication Abbreviated Journal Auckland University of Technology Library
Volume Issue Pages
Keywords Nursing
Abstract
Call Number NRSNZNO @ research @ 608 Serial 594
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Author Hall, J.
Title Building trust to work with a grounded theory study of paediatric acute care nurses work Type
Year (up) 2004 Publication Abbreviated Journal Auckland University of Technology Library
Volume Issue Pages
Keywords Nurse-family relations; Nurse-patient relations; Children; Paediatric nursing; Intensive care nursing
Abstract Grounded theory methodology has guided the grounded theory methods used to explore the acute care paediatric nurses' perspective of what they do when a child has had a severe accident. The research was initiated from the experience of nursing children in the context of a rehabilitation centre and wondering how acute care nurses promoted a child's recovery after a severe unintentional injury. Many avenues were used to search international and New Zealand literature but the scarcity of literature related to what acute care paediatric nurses do was evident. Nursing children in the acute care ward after a severe accident is complex. It encompasses nursing the family when they are experiencing a crisis. It is critical that the acute care nurse monitors and ensures the child's physiological needs are met, and the nurse “works with” the child to maintain and advance medical stability. Nursing interactions are an important part of “working with”, communication is the essence of nursing. This research has focussed on the nurses' social processes whilst caring for the physical needs of the child and interacting with the family and multidisciplinary team when appropriate. An effective working-relationship with a nurse and family is founded on trust. Grounded theory methods supported the process of exploring the social processes of “building trust” whilst “working with” families in a vulnerable position. Nurses rely on rapport to be invited into a family's space to “work with” and support the re-establishment of the parenting role. The “stepping in and out” of an effective working-relationship with a family is reliant on trust. Nurses build trust by spending time to “be with”, using chat to get to know each other, involving and supporting the family to parent a “different” child and reassuring and giving realistic hope to help the child and parents cope with their changed future. A substantive theory of the concept of “building trust to work with” has been developed using grounded theory methods. The theory has been conceptualised using the perspective of seven registered nurses working in paediatric acute care wards that admit children who have had a severe traumatic accident.
Call Number NRSNZNO @ research @ Serial 597
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Author Best, G.A.
Title Being pruned: Student nurses experience of being shaped in clinical practice by lecturers Type
Year (up) 2004 Publication Abbreviated Journal Auckland University of Technology Library
Volume Issue Pages
Keywords Students; Nursing; Education
Abstract
Call Number NRSNZNO @ research @ Serial 599
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Author Johns, S.
Title Being constrained and enabled: A study of pre-registration nursing students ethical practice Type
Year (up) 2004 Publication Abbreviated Journal Auckland University of Technology Library
Volume Issue Pages
Keywords Ethics; Nursing; Students
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.
Call Number NRSNZNO @ research @ 614 Serial 600
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Author Murray, D.J.
Title The roles of nurses working with adolescents in Auckland secondary schools Type
Year (up) 2004 Publication Abbreviated Journal University of Auckland Library
Volume Issue Pages
Keywords Adolescents; Nurse-patient relations
Abstract
Call Number NRSNZNO @ research @ Serial 605
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Author McDonald, S.
Title Registered nurses' perceptions of their role in acute inpatient care in New Zealand: A qualitative descriptive study Type
Year (up) 2004 Publication Abbreviated Journal University of Auckland
Volume Issue Pages
Keywords Mental health; Psychiatric Nursing
Abstract
Call Number NRSNZNO @ research @ 620 Serial 606
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Author Maloney-Moni, J.
Title Kia Mana: A synergy of wellbeing Type
Year (up) 2004 Publication Abbreviated Journal University of Auckland Library
Volume Issue Pages
Keywords Transcultural nursing; Psychology; Maori
Abstract
Call Number NRSNZNO @ research @ 841 Serial 825
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Author Seton, K.M.
Title Diversity in action: Overseas nurses' perspectives on transition to nursing practice in New Zealand Type
Year (up) 2004 Publication Abbreviated Journal University of Auckland Library
Volume Issue Pages
Keywords Nursing; Cross-cultural comparison; Education
Abstract
Call Number NRSNZNO @ research @ Serial 1110
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Author Doughty, L.
Title Evaluation of the 2002 Auckland District Health Board: First year of clinical practice programme Type
Year (up) 2004 Publication Abbreviated Journal University of Auckland Library
Volume Issue Pages
Keywords Clinical supervision; Nursing; Education
Abstract
Call Number NRSNZNO @ research @ Serial 1113
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Author Robinson, T.
Title Advancing nursing practice and deep vein thrombosis prevention Type
Year (up) 2005 Publication Abbreviated Journal University of Auckland Library
Volume Issue Pages
Keywords Cardiovascular diseases; Nursing; Prevention
Abstract
Call Number NRSNZNO @ research @ 477 Serial 464
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Author Harding, T.S.
Title Constructing the “other”: On being a man and a nurse Type
Year (up) 2005 Publication Abbreviated Journal University of Auckland Library
Volume Issue Pages
Keywords Gender; Male nurses; Careers in nursing
Abstract This study explores the experiences of men who are nurses in Aotearoa New Zealand. Utilising discourse analysis a social constructionist reading of men, masculinity and nursing is provided to offer an alternative reading to much of the extant literature with respect to men in nursing. The study draws upon a number of different sources of “text”, including over 600 written works, two films and interviews with eighteen men who currently are, have been or are intending to be, nurses. Drawing primarily upon the “literary” textual sources a number of themes were identified for further exploration in interview with the co-researchers. These themes were the construction of masculinity, the construction of images of the nurse, the reaction to men who are nurses, sexuality issues, career development, and men and caring. The findings of this thesis reveal that the literature pertaining to men in nursing is replete with paradox and contradiction and fails to adequately account for the male experience. It is argued that the images and arguments provided in the literature with respect to men in nursing are based on out-of-date models and understandings of gender relations, masculinity and nursing. It is suggested that rather than enjoying patriarchal privilege, men who enter nursing must contend with being constructed as both an inferior man and inferior nurse. Their careers are not, as is alleged in the literature, based on developing “islands of masculinity” and male privilege, nor upon the avoidance of the emotional labour of nursing but reflect a belief that career is one way of doing care. It is argued in this work that men in nursing have fewer “taken-as-givens” upon which to base work and that they work to develop trusting relationships with their patients that are based on communication and empathy within a context defined by the patients' circumstances.
Call Number NRSNZNO @ research @ 595 Serial 581
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Author Mearns, G.
Title Developing autonomous ownership: A grounded theory study of how registered nurses working in aged care are advancing their nursing practice Type
Year (up) 2005 Publication Abbreviated Journal Auckland University of Technology Library
Volume Issue Pages
Keywords Nurse practitioners; Geriatric nursing; Older people; Registered nurses
Abstract The introduction of nurse practitioner registration into New Zealand in 2001 was heralded as a move that would open up a wealth of opportunities for registered nurses to extend their practice into more independent roles and to provide a client-centred health service. It was also seen as a way to retain experienced registered nurses in the clinical practice area by providing a credible clinical career pathway. If nurse practitioner's are to meet these expectations, then, the author suggests, it is important to understand the processes that encourage or discourage nurses from advancing their practice. One of the early scopes of practice to be introduced was nurse practitioner with an endorsement in aged care scope of practice. Grounded theory was the method used to generate an explanation of how registered nurses working in aged care were preparing for the introduction of nurse practitioner roles. An analysis of early data highlighted codes around registered nurses in aged care extending and advancing their practice rather than preparing specifically for the nurse practitioner role. The research question for this study was: 'How are registered nurses in aged care advancing their nursing practice?' Semi-structured interviews were used to collect data from ten experienced registered nurses working in aged care clinical practice settings ranging from secondary hospital facilities, to community settings and residential care villages. Dimensional analysis of the data eventually generated three major conceptual categories: 'ownership of nursing', 'extending practice', and 'moving out of a comfort zone'. Of these, 'ownership of nursing' was identified as the core construct that linked the other categories together. The substantive theory that explains how registered nurses in aged care advance their clinical practice is 'developing autonomous ownership'. Nurses who develop autonomous ownership of nursing are more likely than other nurses to move out of a current comfort zone and advance their practice into more independent roles that suit their autonomous ownership of nursing. This study identified important contextual factors and conditions that support the development of an autonomous ownership of nursing and that subsequently facilitate advancing nursing practice. These include creating supportive environments, organisational commitment to advanced nursing practice roles, visible nursing leadership, congruence between organisational and nursing philosophies, interdisciplinary collaboration and participating in postgraduate education. The author suggests that the significance of this study is that it generated a theory about the processes that encourage or discourage nurses from preparing for, and progressing into, advanced nursing practice roles such as nurse practitioner.
Call Number NRSNZNO @ research @ Serial 585
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Author Vandergoot, A.
Title From ward nurse to proficient critical care nurse: A narrative inquiry study Type
Year (up) 2005 Publication Abbreviated Journal Akoranga Theses Collection, Auckland University of Technology
Volume Issue Pages
Keywords Nursing specialties
Abstract
Call Number NRSNZNO @ research @ 602 Serial 588
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Author Sheridan, N.F.
Title Mapping a new future: Primary health care nursing in New Zealand Type
Year (up) 2005 Publication Abbreviated Journal University of Auckland Library
Volume Issue Pages
Keywords Primary health care; Chronic diseases; Community health nursing; Nursing models
Abstract The aim of the study was to determine the practice of nurses employed in integrated care projects in New Zealand from late 1999 to early 2001. Integrated care was a major health reform strategy that emphasised primary health care as a means to improve service provision between the health sectors. An investigation of nurses' practice sought to determine the extent to which primary health care principles had been adopted in practice, as a comprehensive primary health care approach has been advocated globally in the management of chronic conditions; the leading cause of disability throughout the world and the most expensive problems faced by health care systems. The philosophical basis of the research was postpositivism. The study employed a quantitative non-experimental survey design because it allowed numeric descriptions of the characteristics of integrated care projects to be gained for the purpose of identifying nurses' practice. The unit of inquiry was the integrated care project, and 80 comprised the study population. Data were obtained on projects from expert informants (n=27) by telephone survey using a structured interview questionnaire developed by the researcher. Data obtained from interviews were statistically analysed in two stages. First, data were produced to comprehensively describe the characteristics of integrated care projects and nurses practice. The 'Public health interventions model' was used as a framework to analyses the interventions (activities) and levels of population-based practice of nurses. Following this, the social values embedded in nurses' practice were determined using 'Beattie's model of health promotion' as a framework for analysis. A strong association was found between nurses' practice in projects and strategies used in integrated care, such as information sharing, guideline development and promotion, and case management, and projects with an ethnic focus, low income focus, chronic condition focus, and well-health focus. Whilst nurses undertook interventions most frequently at the individual practice level they were also strongly associated with the small proportion of interventions that were undertaken at the community level. The majority of interventions by nurses reflected the health promotion value of health persuasion, indicating a paternalist and individual-oriented philosophy. Nurses were engaged in two interventions that indicated a collective-oriented philosophy – coalition building and community development, the latter reflecting health promotion values of negotiation, partnership and empowerment. The study demonstrated that nurses' practice in projects was predominantly centred on individual-focused population-based practice suggesting the need for a framework to assist nurses to transition their practice to include more activity at the community and systems levels. Without a reorientation of practice, nurses will remain limited in their ability to achieve health gains for populations. In response to this conclusion, and drawing on research results and reviewed literature, a new model, The 'Primary Health Care interventions model' was constructed. Recommendations include advocacy for the acceptance of the model by the health funder, professional nursing bodies, health organisations, educational institutions, nurses, communities, and individuals.
Call Number NRSNZNO @ research @ 679 Serial 665
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Author Betts, J.A.
Title Establishing and evaluating a nurse practitioner leg ulcer clinic: The journey Type
Year (up) 2005 Publication Abbreviated Journal University of Auckland Library
Volume Issue Pages
Keywords Nurse practitioners; Community health nursing
Abstract
Call Number NRSNZNO @ research @ 684 Serial 670
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