| Records |
| Author |
Rose, A. |
| Title |
Is case management an efficient and effective model of care for complex patients in an acute medical setting? |
Type |
|
| Year |
2000 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Clinical decision making; Culture; Nursing; Quality assurance |
Abstract  |
This thesis looks at the prospect of developing and implementing case management as a model of care for complex patients in an acute medical setting. An extensive literature review was conducted to explore the concept of case management and to identify the role of the case manager, including the qualities and qualifications required for the position. Clinical pathways are a tool used in case management so these are also included in the literature review. As the author had been involved in the development of the first clinical pathway for Hutt Valley Health, this is used as an example to clarify how case management and clinical pathways can be used in conjunction. A discussion chapter examines the advantages and disadvantages of case management which shows that it can be an effective and efficient model of care through the development of clinical pathways. The ethical implications of case management are also considered. The thesis concludes with recommendations for the continued development of case management as a model of care to improve the quality of care for both patients and the organisation. During the course of the thesis, other areas that are worth further investigation have also been identified, such as the relevance of case management to different cultures. The thesis suggests that a proposal for case management for complex patients in the acute care setting is developed along with a job description for the role of the case manager. |
| Call Number |
NRSNZNO @ research @ |
Serial |
908 |
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| Author |
Hughes, H.M. |
| Title |
Whakaohonga na Kahungatanga: Awakening from addiction |
Type |
|
| Year |
2007 |
Publication |
|
Abbreviated Journal |
ResearchArchive@Victoria |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Culture; Maori; Substance abuse; Alcoholism |
| Abstract |
This thesis explores the shared experiential journeys of four Pukorero (participants) who successfully completed detoxification and recovery programmes from AOD addiction. Three questions were used to guide the research process to enable the Pukorero to identify positive aspects of their individual detoxification and recovery programmes, surface any barriers and issues they experienced, and clarify the support they received throughout the process. Kaupapa Maori and narrative inquiry was adapted to undertake this study to capture the essence of Maori thinking and reality regarding AOD. Through the use of thematic analysis the data findings of the study reflect the views from each Pukorero of Wairua, Whakapapa and Whanau as key to their successful recovery. This supports the notion that a pathway of detoxification, recovery and hope exists to enable Maori and others to take the journey to reclaim their own health and well-being, and the health and well-being of whanau, hapu, iwi, and Maori community. In honour of these Pukorero, kaumatua, tipuna, whanau, hapu, iwi, Maori katoa, and to celebrate kaupapa Maori and narrative inquiry [as the preferred methodological approach], the use of our tino ataahua reo integrated with English throughout the thesis demonstrates the interwoven connections between the two cultures enshrined in Te Tiriti o Waitangi that comprise the nation of Aotearoa me Te Waipounamu of New Zealand. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1219 |
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| Author |
Taiaroa, H. |
| Title |
Weaving the contemporary position of maatauranga Maaori within nursing practice |
Type |
|
| Year |
2007 |
Publication |
|
Abbreviated Journal |
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| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Maori; Culture; Nursing models; Nursing; Health status |
| Abstract |
This thesis explores the customary kaupapa of Matauranga Maori or Maori knowledge, which the author identifies as the appropriate technique to determine how health care should be maintained by and for Maori. The research highlights the need to meld these kaupapa with that of a contemporary Maori viewpoint, to focus more on a deeper enhancement of these kaupapa, and develop an understanding of the social, cultural, educational, political and economic contexts these concepts have on Maori as a people. This research identified six Maori registered women nurses, who shared their experiences regarding Matauranga Maori and its importance to their nursing practice. Over a period of one year, in-depth conversations unfolded and produced data on what Matauranga Maori involves and how the six participants in the study believe it influences their nursing practices. All were currently practicing nurses within various health settings such as psychiatric and comprehensive nursing. From the inception of this study, the focus was to introduce Matauranga Maori as the epistemological framework of choice. The author notes that the findings of this research indicate that a collection of key kaupapa, namely whakapapa, whanaungatanga, te reo Maori, wairuatanga, tuurangawaewae, manaakitanga and rangatiratanga are crucial to the health and wellbeing of Maori as a people. These kaupapa enable Maori to determine and strengthen their worldview, which in turn reflects the concept of being Maori thereby contributing to the health and status of their whanau, hapu and iwi. She goes on to say that the findings support the view that there is a substantial collection of kaupapa, which are inherent in Matauranga Maori as being able to provide a framework for theoretical research. These kaupapa will provide a framework for nursing practice and educational curricula that will develop and maintain nursing standards to meet the needs of Maori. |
| Call Number |
NRSNZNO @ research @ 489 |
Serial |
475 |
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| Author |
Horsburgh, M.; Perkins, R.; Coyle, B.; Degeling, P. |
| Title |
The professional subcultures of students entering medicine, nursing and pharmacy programmes |
Type |
Journal Article |
| Year |
2006 |
Publication |
Journal of Interprofessional Care |
Abbreviated Journal |
|
| Volume |
20 |
Issue |
4 |
Pages |
425-431 |
| Keywords |
Interprofessional relations; Attitude of health personnel; Nurse managers; Nursing; Education; Organisational culture |
| Abstract |
This study sought to determine the attitudes, beliefs and values towards clinical work organisation of students entering undergraduate medicine, nursing and pharmacy programmes in order to frame questions for a wider study. University of Auckland students entering medicine, nursing and pharmacy programmes completed a questionnaire based on that used by Degeling et al. in studies of the professional subcultures working in the health system in Australia, New Zealand, England and elsewhere. Findings indicate that before students commence their education and training medical, nursing and pharmacy students as groups or sub-cultures differ in how they believe clinical work should be organised. Medical students believe that clinical work should be the responsibility of individuals in contrast to nursing students who have a collective view and believe that work should be systemised. Pharmacy students are at a mid-point in this continuum. There are many challenges for undergraduate programmes preparing graduates for modern healthcare practice where the emphasis is on systemised work and team based approaches. These include issues of professional socialisation which begins before students enter programmes, selection of students, attitudinal shifts and interprofessional education. |
| Call Number |
NRSNZNO @ research @ |
Serial |
937 |
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| Author |
Wilkinson, J.A. |
| Title |
Creating a culture of workplace safety |
Type |
Journal Article |
| Year |
2002 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
| Volume |
8 |
Issue |
6 |
Pages |
14-15 |
| Keywords |
Occupational health and safety; Workplace violence; District nursing; Organisational culture |
| Abstract |
This study investigated the safety of working environments of a group of urban district nurses. Six district nurses were interviewed and participated in a focus group. The findings focus on the risks associated with client behaviour and with the organisational structure in which district nurses work. Recommendations for primary, secondary and tertiary prevention of harm to nurses working in isolation in the community are presented. The author describes her personal background in district nursing, which prompted the study. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1002 |
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| Author |
Fleck, K. |
| Title |
Finding the shadows in the mirror of experience: An ontological study of the global-co-worker |
Type |
|
| Year |
2008 |
Publication |
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Abbreviated Journal |
ScholarlyCommons@Victoria |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Culture; Nursing philosophy |
| Abstract |
This study explores the phenomenon of a personal exploratory field visit to HIV programmes in Malawi and how that informs the author's future plans to work cross-culturally with HIV. He uses hermeneutic phenomenology with the guidance of Heidegger and Gadamer, and draw on Ackermann, Hill, Maluleke, Moltmann, and Thielicke for theological direction. This study analyses how personal formation takes place and how the meaning of that experience can inform future cross-cultural interaction. The data of this study is drawn from a range of people interviewing 'me'. This includes a pre and post interview in relation to the author's three week exploratory visit to Malawi, and recorded daily reflections during the visit. Upon return he was interviewed about the experience by ten people from the following areas: nursing, counselling, development, theology, business, medicine, clergy, an Expatriate Malawian, and a women working from a Maori paradigm. These interviews focused on the author's experience with questions framed from the interviewer's specialty area. The transcripts become further data for this study. The findings of this thesis suggest that people wishing to work cross-culturally need to understand their motivation for their work, and understand who they are before entering a foreign land. This transformative journey also needs to continue as part of the process of working with people because we can only be effective with change if we are listening and hearing the other's perspective. It is in being open to this difference between persons that we continue to find ourselves. While perhaps we have a tendency to want to make everybody like us, we can only grow into our full potential in relationship with truly different others. Tensions experienced demonstrate that there is a complex need to understand how the context controls how HIV is perceived. This requires uncovering some of the deeper issues of HIV and culture, and knowing how to conceptualise these in both positive and informative ways. This thesis asks four key questions for the global-co-worker to work through before embarking on cross-cultural mission: 1. How do you know you should go?; 2. How are you going to make a difference?; 3. Who are you going to be?; and 4. What will sustain your involvement? The author's own experience has drawn me into a deeper awareness of the need for a vital connectedness of faith, hope and love underpinning the everydayness of such an experience. |
| Call Number |
NRSNZNO @ research @ 1250 |
Serial |
1235 |
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| Author |
Apelu, J. |
| Title |
Pacific community mental health nurses' experiences of working for a district health board in New Zealand |
Type |
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| Year |
2008 |
Publication |
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Abbreviated Journal |
ResearchArchive@Victoria http://hdl.handle.net/10063/684 |
| Volume |
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Issue |
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Pages |
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| Keywords |
Psychiatric Nursing; Pacific peoples; Community health nursing; District Health Boards; Culture |
| Abstract |
This study explored the perspectives of Pacific nurses on what it is like for them to work in a Pacific community mental health (PCMH) service within a district health board. Five Pacific Island nurses who worked in the three Pacific community mental health services based in the Auckland region participated in the project. The study employed narrative inquiry to gather data through focused storytelling method. The results of the study have indicated that PCMH nursing is a unique nursing field as well as highlighting significant practice issues for nurses. Complex service infrastructure and language have been found to be the major contributing practice constraints. The findings suggest the need for district health board authorities, Pacific mental health service management, professional nursing education and development programs to consider addressing these practice issues to prevent further increase in the problem of PCMH nurses shortage and enhance recruitment and retention of these nurses. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1153 |
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| Author |
Wilson, J. |
| Title |
Walking the line: Managing type 2 diabetes: A grounded theory study of part-Europeans from Fiji |
Type |
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| Year |
2004 |
Publication |
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Abbreviated Journal |
ScholarlyCommons@AUT |
| Volume |
|
Issue |
|
Pages |
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| Keywords |
Diabetes Type 2; Culture; Pacific peoples; Research |
| Abstract |
This study examines the experience of managing Type 2 diabetes from the perspective of part-European people from Fiji who have this disorder. A qualitative approach was used, and the methodology was grounded theory based on the theoretical perspective of symbolic interactionism. Data was collected from the in-depth interviews of nine participants who have been living with Type 2 diabetes. Text from the interview transcripts was analysed using the version of grounded theory advocated by Strauss and Corbin (1998). This process facilitated the discovery of 'Carrying On With Life And Living' as the main concern shared by part-Europeans managing Type 2 diabetes. It also identified the substantive theory of 'Walking The Line' as the core category and the basic social and psychological process by which part-Europeans resolve their main concern of 'Carrying On With Life And Living'. This was a three-stage process involving firstly 'Carrying on Regardless', secondly 'Attempting Balance in Time and Motion and Control', and thirdly 'Balancing, Unbalancing, and Recovering Balance'. The results of this study reveal that the social and historical contexts of part-European culture, such as heavy drinking, carrying on with life and living in the face of adversity, and taking traditional medicine impact significantly throughout their managing process. Findings of this study may contribute to development of some culturally aware strategies that could assist healthcare services to provide appropriate support, intervention, and education for part-Europeans with Type 2 diabetes. This study also addresses the lack of studies concerned with the management of Type 2 diabetes in Pacific peoples and serves to inform research initiatives and priorities set by the Health Research Council of New Zealand. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1233 |
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| Author |
Kidd, J.D. |
| Title |
Aroha mai: Nurses, nursing and mental illness |
Type |
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| Year |
2008 |
Publication |
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Abbreviated Journal |
University of Auckland Library |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Mental health; Nursing; Culture |
| Abstract |
This research takes an autoethnographical approach to exploring the connections between being a nurse, doing nursing work, and experiencing a mental illness. Data is comprised of autoethnographical stories from 18 nurses. Drawing on Lyotard's (1988) postmodern philosophy of 'regimes of phrases' and 'genres of discourse,' the nurses' stories yielded three motifs: Nursing, Tangata Whaiora (people seeking wellness) and Bullying. Interpretation of the motifs was undertaken by identifying and exploring connected or dissenting aspects within and between the motifs. |
| Call Number |
NRSNZNO @ research @ 478 |
Serial |
465 |
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| Author |
McBride-Henry, K.; Foureur, M. |
| Title |
Organisational culture, medication administration and the role of nurses |
Type |
Journal Article |
| Year |
2006 |
Publication |
Practice Development in Health Care |
Abbreviated Journal |
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| Volume |
5 |
Issue |
2 |
Pages |
208-222 |
| Keywords |
Patient safety; Medical errors; Organisational culture; Nursing; Drug administration |
| Abstract |
This research study was designed to identify ways of enhancing patient safety during the administration of medications within the New Zealand context. The researchers employed a multi-method approach that included a survey using the Safety Climate Survey tool, focus groups and three clinical practice development groups. The authors conclude that the outcomes of this study indicate that practice development initiatives, such as the ones outlined in this project, can have a positive effect on nurses' perceptions of organisational safety, which in turn has been demonstrated to have a positive impact on patient safety. |
| Call Number |
NRSNZNO @ research @ |
Serial |
784 |
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| Author |
Wepa, D. |
| Title |
An exploration of the experiences of cultural safety educators in New Zealand: An action research approach |
Type |
Journal Article |
| Year |
2003 |
Publication |
Journal of Transcultural Nursing |
Abbreviated Journal |
|
| Volume |
14 |
Issue |
4 |
Pages |
339-348 |
| Keywords |
Cultural safety; Nursing; Education; Teaching methods; Organisational culture; Maori |
| Abstract |
This research is a study of the experiences of four cultural safety educators in nursing education in Aotearoa, New Zealand. Action research methods assisted the participants to implement change in their practice and gain positive personal involvement in the study. Reflective diaries provided the major tool in this process as participants were able to achieve at least one action research cycle by identifying issues, planning action, observing the action, and reflecting. The findings of the research revealed that the participants not only coped with everyday stressors of teaching but were also required to formulate knowledge for cultural safety. For the Maori participants, their stress was confounded with recruiting and retaining Maori students and macro issues such as commitment to their iwi (tribe). Lack of support to teach cultural safety was identified to be a key theme for all participants. An analysis of this theme revealed that many issues were organisational in nature and out of their control. Action research provided a change strategy for participants to have a sense of control of issues within their practice. Recommendations include the following: support for cultural safety educators to have a dialogue on a regular basis, the introduction of nurse educator programmes, paid leave provisions for educators to conduct and publish research so that a body of knowledge can be developed, and that Maori cultural safety educators be recognised for their professional and cultural strengths so that they do not fall victim to burnout. |
| Call Number |
NRSNZNO @ research @ |
Serial |
887 |
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| Author |
Woodgyer, A.R. |
| Title |
Living without the song of the tui: A nursing lecturer's experience in India facilitating a New Zealand degree programme for registered nurses |
Type |
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| Year |
2006 |
Publication |
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Abbreviated Journal |
Victoria University of Wellington Library |
| Volume |
|
Issue |
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Pages |
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| Keywords |
Curriculum; Nursing; Education; Culture |
| Abstract |
This research considers the issues raised by the transfer from New Zealand to India of a degree for registered nurses. In the context of globalisation and the continuing migration of nurses, many countries are actively facilitating the transfer of educational programmes from other countries into their own. This transfer brings with it particular challenges for educators establishing and implementing programmes in a new environment and culture. Based on the experience and reflections of one educator involved in such a transfer, this research considers pedagogical issues such as addressing cultural safety in course content and delivery, expectations of teaching and learning styles, as well as the ethical issues raised by transferring a programme to another country in order to facilitate nurses' migration from it. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1141 |
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| Author |
Simon, V.N. |
| Title |
Characterising Maori nursing practice |
Type |
Journal Article |
| Year |
2006 |
Publication |
Contemporary Nurse |
Abbreviated Journal |
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| Volume |
22 |
Issue |
2 |
Pages |
203-213 |
| Keywords |
Registered nurses; Maori; Nursing models; Culture |
| Abstract |
This paper summarises research which addresses the question What might constitute Maori nursing practice? The research design adopted was influenced by kaupapa Maori methodology and used a semi-structured, qualitative, in-depth interview process. It was found that by understanding the current experiences of Maori registered nurses, their reflections on their preparation for practice, and their current practice, it is possible to identify the present and future training and practice needs of Maori nurses. Maori nursing practice can be characterised as having five features: the promotion of cultural affirmation including cultural awareness and identity; the support of, and access to Maori networks; the adoption of Maori models of health; the enabling of visibility and pro-activity as Maori nurses; and, the validation of Maori nurses as effective health professionals. Three recommendations for promoting Maori nursing practice are made in relation to staff in the workplace and in nurse education programmes: all nursing staff need to be alert to: 1. the impact of western scientific models on Maori healthcare; 2. the (often passive) non-acceptance of Maori within mainstream institutions; and iii) the benefits of valuing indigenous nursing programmes. |
| Call Number |
NRSNZNO @ research @ |
Serial |
936 |
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| Author |
McBride-Henry, K.; Foureur, M. |
| Title |
A secondary care nursing perspective on medication administration safety |
Type |
Journal Article |
| Year |
2007 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
|
| Volume |
60 |
Issue |
1 |
Pages |
58-66 |
| Keywords |
Patient safety; Drug administration; Organisational culture; Nursing |
| Abstract |
This paper reports on a study to explore how nurses in a secondary care environment understand medication administration safety and the factors that contribute to, or undermine, safe practice during this process. Data were collected in 2005 using three focus groups of nurses that formed part of a larger study examining organisational safety and medication administration from a nursing perspective. A narrative approach was employed to analyse the transcripts. Participants had good understandings of organisational culture in relation to medication safety and recognised the importance of effective multi-disciplinary teams in maintaining a safe environment for patients. Despite this, they acknowledged that not all systems work well, and offered a variety of ways to improve current medication practices. These findings highlight the meaningful contribution nurses can make to patient safety and emphasise the importance of including the nursing voice in any quality improvement initiatives. |
| Call Number |
NRSNZNO @ research @ |
Serial |
648 |
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| Author |
Mortensen, A.; Young, N. |
| Title |
Caring for refugees in emergency departments in New Zealand |
Type |
Journal Article |
| Year |
2004 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
| Volume |
20 |
Issue |
2 |
Pages |
24-35 |
| Keywords |
Emergency nursing; Culture; Mental health; Health status |
| Abstract |
This paper outlines some of the special health needs of people from refugee backgrounds who present in the emergency department, and the role of emergency department nurses in improving care for refugee and migrant peoples. Refugees and asylum seekers represent a significant proportion of attendees in emergency departments in Auckland Hospitals. Culture and ethnicity are a major factor to be considered in addressing the health care needs of this population. Other factors such as the physical and psychological sequelae of the refugee experience, health care experience prior to arrival in New Zealand, poverty, language, and the trauma of resettlement also have a major impact on health care seeking behaviours. |
| Call Number |
NRSNZNO @ research @ 557 |
Serial |
543 |
| Permanent link to this record |
