Records |
Author |
McClunie-Trust, P. |
Title |
Body boundaries and discursive practices in life threatening illness: Narratives of the self |
Type |
|
Year |
2000 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
Volume |
|
Issue |
|
Pages |
|
Keywords |
Nurse-family relations; Nursing; Ethics |
Abstract |
This thesis tells a story from within and between the boundaries of my professional work as a nurse and my private life as the wife of a patient with life threatening illness. The events related in the thesis are told using a technique I have called writing back to myself, where my own journals and stories of the experience of living with life threatening illness provide data for analysis. The reader is invited to participate in these representations and to consider the potential for the skilful practice of nursing which may be read in the stories, and the analysis I have developed from them. I have developed the theoretical and methodological positionings for the thesis from the work of Foucault (1975,1979,1982,1988), Deleuze (1988), Ellis (1995), Richardson (1998) and other writers who utilise genealogical or narrative approaches. The analysis of my own stories in the thesis explores the philosophical and contextual positionings of the nurse as a knowledge worker through genealogies of practice and the specific intellectual work of the nurse. Local and contextual epistemologies are considered as ways of theorising nursing practice through personal knowledge, which is surfaced through the critical analysis of contextual positionings and the process of writing as inquiry. |
Call Number |
NRSNZNO @ research @ |
Serial |
791 |
Permanent link to this record |
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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 |
Permanent link to this record |
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Author |
Thompson, S.A. |
Title |
Getting it right: An exploration of compulsive caregiving and helping profession syndrome |
Type |
|
Year |
2000 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
Volume |
|
Issue |
|
Pages |
|
Keywords |
Psychology; Nursing |
Abstract |
This thesis is a theoretical exploration of the concepts of 'Compulsive caregiving' and 'helping profession syndrome' in relation to the choice of nursing as a career. These concepts are derived from Bowlby's attachment theory and psychodynamic psychotherapy. Both have evolved from psychoanalytic theory. The thesis explains Bowlby's development of compulsive caregiving in health professionals. The author notes that her life history and experience as a nurse educator and as a nurse practicing psychotherapy support this theoretical explanation. An argument is developed that the propensity towards compulsive caregiving is a strength in nurses. Nursing places high value on caring and many of the traits exhibited by compulsive caregivers are desirable in nurses. Nursing as a caring interpersonal process is explored with reference to the literature. However, nursing has been identified as a stressful occupation. Support strategies such as professional supervision and reflective practice are discussed. Thesis concludes with a suggestion for further research on compulsive caregiving and helping profession syndrome. |
Call Number |
NRSNZNO @ research @ 813 |
Serial |
797 |
Permanent link to this record |
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Author |
Kingsbury, K. |
Title |
The illlusion of separateness, a philosophical study of nursing and naturopathic practice: Healing connections between people |
Type |
|
Year |
2000 |
Publication |
|
Abbreviated Journal |
ResearchArchive@Victoria |
Volume |
|
Issue |
|
Pages |
|
Keywords |
Alternative therapies; Nurse practitioners; Nursing models |
Abstract |
This thesis describes the journey of a practicing independent nurse practitioner and naturopath through the stories of five clients. The thesis is presented as a narrative and begins with an account of the events in the practitioner's life that lead to the specific study of natural therapies and the development of a cohesive practice using holistic health practices from a nursing perspective. The text essentially describes the process of establishing a private practice combining two disciplines of nursing and naturopathy in New Zealand. The study reveals how a nurse and naturopath's practice is based on the premise that it is crucial to recognise that the personal life and professional life of the nurse inform and influence each other and are always part of the process of care in such a practice. Three healing modalities that are central to the practice are described in detail. The description is informed by theory and research from nursing, the social sciences and the natural sciences. The study reveals the practical value of postmodern nurse theorists, Jean Watson and Margaret Newman to this practice. This study also briefly discusses the concepts from quantum theory, evolutionary theory and psychoneuroirnmunology that are used in the practice. |
Call Number |
NRSNZNO @ research @ |
Serial |
1181 |
Permanent link to this record |
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Author |
Thompson, L. |
Title |
Suctioning adults with an artifical airway: A systematic review |
Type |
Book Whole |
Year |
2000 |
Publication |
|
Abbreviated Journal |
Subscriber access at the Joanna Briggs Institute |
Volume |
|
Issue |
|
Pages |
|
Keywords |
Evidence-based medicine; Nursing research |
Abstract |
This systematic review was conducted by the New Zealand Centre for Evidence Based Nursing, a collaborating centre of The Joanna Briggs Institute for Evidence Based Nursing and Midwifery. The aim was to present the best available evidence on interventions, which are effective in preventing or reducing the prevalence of complications associated with suctioning, in hospitalised adult patients with an artificial airway who are breathing spontaneously or are artificially ventilated and who require suctioning. The specific questions addressed were as follows: Which methods of suctioning reduce the prevalence of mucosal trauma or mucosal dysfunction, and promote the removal of respiratory secretions? Which techniques or methods are effective in reducing the occurrence of suctioning -induced hypoxaemia, during or following the suctioning procedure? Which techniques or methods are effective in minimising the haemodynamic or pulmonary complications associated with the suctioning procedure? |
Call Number |
NRSNZNO @ research @ 1136 |
Serial |
1121 |
Permanent link to this record |
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Author |
Paterson(now Fleming), B.L. |
Title |
The types of information nurses pass on to other nurses verbally regarding their patients, which is not discussed in the legal nursing record |
Type |
|
Year |
2000 |
Publication |
|
Abbreviated Journal |
Dunedin Hospital Staff Library |
Volume |
|
Issue |
|
Pages |
|
Keywords |
|
Abstract |
This study was undertaken in a combined medical/surgical unit in an acute general hospital in New Zealand using the grounded theory research methodology. It aimed at identifying the types of information nurses pass on verbally regarding their patients, but which they do not document in the legal nursing record. |
Call Number |
NRSNZNO @ research @ |
Serial |
129 |
Permanent link to this record |
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Author |
Wenmoth, J.D.A. |
Title |
Involuntary unemployment: A grounded theory analysis of the experience of five nurses |
Type |
|
Year |
2000 |
Publication |
|
Abbreviated Journal |
|
Volume |
|
Issue |
|
Pages |
|
Keywords |
|
Abstract |
This study outlines the use of grounded theory strategy to analyse the experience of nurses who become involuntarily unemployed. It then proceeds to develop a theoretical framework that explain the common patterns in this experience. Using the Glasser and Strauss (1967) Grounded Theory approach, empirical observation was undertaken expressly for the purpose of generating insights which may lead to new understanding of the subject of this study. Using two inter-related procedures known as theoretical sampling and constant comparative analysis, data is systematically collected, coordinated and subjected to an ongoing analysis. Theory is then 'grounded ' in the real world. The study involved in depth interviewing of five mid-career nurses who were involuntarily unemployed. The data was transcribed and analysed to yield theoretical concepts and categories that were integrated into propositions to explain common patterns. It will be argued that this experience is a grieving process that is more that just grieving a job loss. It is proposed that there are three phases – 1. Personal devastation due to losses experienced.. 2. A period of healing. 3. Recovery and re-establishment of the 'new' person. |
Call Number |
NRSNZNO @ research @ |
Serial |
69 |
Permanent link to this record |
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Author |
Gallagher, P. |
Title |
An evaluation of a standards based portfolio [Corrected and republished article printed in NURSE EDUC TODAY 2001 Apr; 21(3): 197-200] |
Type |
Journal Article |
Year |
2000 |
Publication |
Nurse Education Today |
Abbreviated Journal |
|
Volume |
20 |
Issue |
3 |
Pages |
218-226 |
Keywords |
Nursing; Education; Teaching methods; Evaluation |
Abstract |
This study is an evaluation of student perceptions of a standards based portfolio, which is a is a series of student work that seeks to address pre-determined learning outcomes. Of interest to the study was the relationship between theory and practice, the availability of resources to complete the assignment and the contribution the portfolio made to the process of learning. For a particular unit of learning, 'Nursing Business', second year undergraduate students in the Bachelor of Nursing programme were required to complete a portfolio. The assessment directed the students to meet specific criteria which in turn reflected the learning outcomes. |
Call Number |
NRSNZNO @ research @ |
Serial |
653 |
Permanent link to this record |
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Author |
Tracy, C. |
Title |
Comparison of catheter-securing devices |
Type |
Journal Article |
Year |
2000 |
Publication |
Urologic Nursing |
Abbreviated Journal |
|
Volume |
20 |
Issue |
1 |
Pages |
43-46 |
Keywords |
Nursing specialties; Evaluation |
Abstract |
This study evaluates methods of securing urethral urinary catheters, which are a major part of urologic nursing. Basic procedures such as these are poorly researched or reported in the literature. The question of how to secure a urinary catheter and with what device often relies on knowledge, availability of equipment, and on information supplied by manufacturers of commercial devices. This study finds that sometimes the cheaper option of adhesive tape and pin device can still be the best for patients. |
Call Number |
NRSNZNO @ research @ 704 |
Serial |
690 |
Permanent link to this record |
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Author |
Stewart, A. |
Title |
When an infant grandchild dies: Family matters |
Type |
|
Year |
2000 |
Publication |
|
Abbreviated Journal |
ResearchArchive@Victoria |
Volume |
|
Issue |
|
Pages |
|
Keywords |
Grief; Nurse-family relations; Infants; Nursing research |
Abstract |
This research undertaken by a nurse working with bereaved families, aimed to explore how grandparents, parents and health/bereavement professionals constructed grandparent bereavement when an infant grandchild died unexpectedly. The 26 participants, living in New Zealand and the United Kingdom, included 16 grandparents and 6 parents from 11 families, in addition to three health/bereavement professionals. A constructivist inquiry informed by writings on nursing, storying and postmodernism was used. Through an exploration of the methodological and ethical issues that arose and were addressed during the study, this work adds to knowledge of how constructivist inquiry can be used in nursing and bereavement research. In addition, the context of this research as a partnership with multiple family members contributes to the ongoing debate about whether participation in bereavement research may be harmful or therapeutic. Conversations in this research formed a series of interviews and letters, which led to the development of a joint construction and each individual's story. A grandchild's death was constructed as a challenge which grandparents faced, responded to and then managed the changes that arose from the challenge. The context of their bereavement was seen as underpinned by their relationship as “parents of the adult parents” of the grandchild who died. This meant that grandparents placed their own pain second to their wish to support and “be with” the parents. Outside the family was where many grandparents found friends, colleagues or their community forgot, or chose not to acknowledge, their bereavement. This work shows how some grandparents help to create a space within the family which maintains a continuing relationship with the grandchild who died. |
Call Number |
NRSNZNO @ research @ |
Serial |
1205 |
Permanent link to this record |
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Author |
Churcher, R.L.; Bowden, J.; Grogan, J.; Grofski, H.; Parker, R.; Berry, A. |
Title |
Trends in theatre nurse education |
Type |
|
Year |
2000 |
Publication |
|
Abbreviated Journal |
Theatre Nurses Section, NZNO |
Volume |
|
Issue |
|
Pages |
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Keywords |
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Abstract |
This reports the results of a national survey to ascertain what direction education of theatre nursing personnel is taking. It includes method and content preselection, orientation and in service education/ staff development phases of education. Options for the future are also addressed. |
Call Number |
NRSNZNO @ research @ |
Serial |
144 |
Permanent link to this record |
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Author |
Churcher, R.L.; Bowden, J.; Grogan, J.; Grofski, H.; Parker, J.; Berry, A. |
Title |
Recovery room nursing – conditions and practice |
Type |
|
Year |
2000 |
Publication |
|
Abbreviated Journal |
NZNA P. O. Box 2128 Wellington |
Volume |
|
Issue |
|
Pages |
|
Keywords |
|
Abstract |
This report is the results of a national survey to establish base-line information about recovery room nursing. Factors addressed are: general statistics, physical conditions, staffing, orientation and education, support networks and procedure performed |
Call Number |
NRSNZNO @ research @ |
Serial |
11 |
Permanent link to this record |
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Author |
Conroy, E. |
Title |
Nursing informatics in New Zealand: Evolving towards extinction? |
Type |
|
Year |
2000 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
Volume |
|
Issue |
|
Pages |
|
Keywords |
Informatics; Technology; Education; Nursing |
Abstract |
This project undertakes a critique and review of a decade (1990-2000) of available New Zealand literature to reveal the current state of nursing informatics utilisation in nursing practice. Since the early 1990s, nurses from diploma and baccalaureate nursing programs have been graduating with knowledge and skills in nursing informatics. Yet, when scrutinising the two main nursing publications for New Zealand, the author found scant publication of articles that pertain to this topic area of nursing. Competencies as product of the 1989 Guidelines for Teaching Nursing Informatics are a key consideration in this discussion, including ways in which the articles may reflect the content or intent of the Nursing Informatics curriculum as prescribed in these guidelines. This commentary discusses how nursing informatics has evolved in New Zealand nursing practice, situating its growth, or lack of, in the context of concurrent sociopolitical influences as well as conditions created by national and international nursing trends. Several recommendations are discussed to guide the future direction of nursing informatics for nursing education and practice in New Zealand. |
Call Number |
NRSNZNO @ research @ |
Serial |
501 |
Permanent link to this record |
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Author |
Sadler, D. |
Title |
Stigma, discrimination and a model for psychiatric mental health nursing practice |
Type |
|
Year |
2000 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
Volume |
|
Issue |
|
Pages |
|
Keywords |
Mental health; Psychiatric Nursing; Psychology |
Abstract |
This paper seeks to understand the aetiology of stigma. The word stigma comes from the Greek language and refers to a brand, a mark of shame. Society has used this phenomenon to mark those who do not fit with the stereotypical virtual identity expected by a group. Stigma has persisted throughout the ages to enforce norms and sanction rules. Stigma is a term used to broadly define an attitude to negative attributes. It is a way of treating people that indicates to the individual, they are different from the norm. Research indicates the general population has discriminatory attitudes to those who have experienced mental illness. This discrimination impacts on the lives of those people. Their stories tell of shame, sadness and anguish. Families too, feel the ongoing effects of stigma. Psychiatric mental health professionals are said to perpetuate the discrimination arising from the stigma of mental illness. This is shown in the literature to persist through labelling and disempowering practices. The attitude of nurses in particular is critical to promoting healing environments. It is thought that a humanistic altruistic approach to nursing practice will help to eliminate discriminatory practice by nurses. It is hoped that this approach will create collaborative care that gives the individual the respect, response, choice and support they need to assist in recovering from mental illness. |
Call Number |
NRSNZNO @ research @ 815 |
Serial |
799 |
Permanent link to this record |
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Author |
Chadwick, A.; Hope, A. |
Title |
In pursuit of the named nurse |
Type |
Journal Article |
Year |
2000 |
Publication |
Australasian Journal of Neuroscience |
Abbreviated Journal |
|
Volume |
13 |
Issue |
4 |
Pages |
6-9 |
Keywords |
Advanced nursing practice; Hospitals; Evaluation; Nurse-family relations; Nurse-patient relations |
Abstract |
This paper outlines the project outcomes, benefits, impact and constraints of introducing the named nurse concept to a neuro-services department. The concept of the named nurse was first introduced in the UK, in 1992, with the aim of supporting the partnership in care between the patient and the nurse. The evidence for the effectiveness of introducing the named nurse concept is largely anecdotal. In line with the hospital wide policy of implementing the named nurse concept at Auckland Hospital, a six-month pilot study was undertaken within the Neuro-services Department. The aims of the study were to foster a partnership in care with patients / whanau and the multidisciplinary team, to improve the efficiency and effectiveness of delivery of nursing care, and to contribute to continuous quality improvement. The results highlighted that, in theory, the named nurse concept would be effective in providing quality co-ordinated care, however factors were identified that hindered the effectiveness of its implementation. Therefore, further development of the concept was required. |
Call Number |
NRSNZNO @ research @ |
Serial |
924 |
Permanent link to this record |