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Author |
Euswas, P.W. |
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Title |
Professional nurses' view of caring in nursing practice: two preliminary studies in New Zealand |
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Year |
1991 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
Massey University Library |
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Volume |
5 |
Issue |
3 |
Pages |
42 |
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Abstract  |
Two convenience samples of 90 NZ registered nurses responded to two structured questionnaires designed to explore nurses views of caring in nursing practice.The studies demonstrate that nurses see caring as a central concept in their practice. From the response the meaning of caring was found to be multi dimensional, consisting of six components: value, expressive, action, relationship, knowledge and purpose. The value dimension includes areas such as humanistic value and professional value. The expressive component consists of empathy, compassion, trust, concern, sharing and willingness. Action components are helping, comforting, being there, empowering, advocacy, nurturing, advising, touching and performing nursing procedures. The major relationship component is partnership. An important part of the knowledge component is clinical expertise and the purposive component of caring consists of meeting health needs and promoting healing and welfare. The meaning of caring begins to emerge from these studies. However, they do not provide full understanding of caring phenomena. A further in-depth study of actual nursing practice is still in progress |
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Call Number |
NRSNZNO @ research @ 9 |
Serial |
9 |
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Author |
Hickson, P. |
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Title |
Knowledge and action in nursing: a critical approach to the practice worlds of four nurses |
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Year |
1988 |
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Abbreviated Journal |
Massey University Library |
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Abstract |
This thesis provides an interpretive critique of the way in which knowledge is viewed, transmitted and crystallized in the practice worlds experienced by four registered nurses working in acute care hospital settings. The theoretical assumptions of critical social theory underpin both the methodological approach (case study) and the analysis of data. In-depth unstructured interview, a critically reflexive dialogue between the investigator and participant focussed on the practice world experiences of the nurse, was the principle research method. A brief analysis of documentation was also undertaken.It is argued that previous studies related to nursing practice, and to the social worlds of nursing, have been limited by their failure to take account of the socio-political context in which nursing takes place. There has been a tendency to treat the transmission of knowledge in nursing and nursing practice process of information exchange. No account of socially generated constraints on personal and professional agency, or of systematic distortions in communication within the practice setting are therefore given.The analysis of data in this study demonstrates the way in which constraints on personal and professional agency were experienced by each of the four participants. In particular, practice expressing the participant's professional nursing knowledge and values ws often denied in the face of shared understandings reflective of the institutional ideology. These shared understandings included a belief in the legitimacy of medical domination over other social factors and the support of doctor, rather than nurse or patient, centered practices.This study demonstrates that the way that nurses and other social actors come to “know” and interpret their social worlds is dependent on the socio-political contest in which that knowledge in produced. It also shows how this knowledge may be treated ad though it were 'an object'. This tendency to treat existing social relationships and practices as 'natural' hence unchallengeable masks possibilities for transformative action within the practice of nursing.It is argued that a particular form of knowledge is required if nurses are to overcome the types of constraint experienced by these four nurses. This knowledge, emancipatory knowledge, is that developed in the process of shared, socially critical self-reflection rather than solitary, self-critical reflection |
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Call Number |
NRSNZNO @ research @ 268 |
Serial |
268 |
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Author |
Fleming, V.E.M. |
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Title |
Towards nursing advocacy: a socio-political process |
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Year |
1991 |
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Abbreviated Journal |
Massey University Library, Palmerston North |
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This thesis provides a reflexive critique of the power structures which constrain nursing actions in the practice setting, an abortion clinic, of the registered nurses who participated in this study. The development of abortion services, like other health services for women, has been based on a medical ideology of health which has created many ethical dilemmas for nurses. One of the most complex of these is the extent to which nurses should fulfil the role of client advocate. While the literature on nursing advocacy has been prolific, published research in this area is scant.The theoretical assumptions of critical social science, provide the basis for the methodological approach of action research adapted in this study. In depth, unstructured interviews involving exchange of dialogue amongst the participants with the researcher focused on the participants' experiences of their own nursing practice, with a view to uncoveing and removing restrasints, which had prevented them fulfililng an advocacy role. Diaries were also kept and used as supplementary research tools.The analysis of the data demonstrates the ways in which nurses interpret their own practice world as a system independent of their own actions. It shows how the shared understandings of the participants were 'ideologically frozen' and power relations inherent in the health care system are deep rooted and subtle, coming to be treated as natural by the nurses, and so denying them their own ability to make changes.It is suggested that opportunities for nurses coming together and engaging in such critically reflexive dialogue may provide a basis for future emancipation from traditional power structures. In this way effective and satisfying nursing practice dependent on emancipatory knowledge and a reinterpretation of power structures may result in an advocacy role for nurses |
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Call Number |
NRSNZNO @ research @ 140 |
Serial |
140 |
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Author |
Woods, M. |
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Title |
Maintaining the nursing ethic: a grounded theory of the moral practice of experienced nurses |
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Year |
1997 |
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Abbreviated Journal |
Massey University Library, Palmerston North |
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This thesis presents a study of the every-day moral decision making of experienced nurses. Eight experienced registered nurses participated in the completed research that is based on data gathered through interviews, document audit and literature review. A grounded theory approach was used to analyse the extensive data gathered for the study. This methodology generated a theoretical description involving the antecedents, processes and consequences of nursing moral decision making.Nursing practice has moral content, if not an entirely moral purpose, and moral decision making is the central component of this practice, yet the ethical aspects of nursing practice remain a comparatively recent field of study. It is therefore essential to nurses and their patients that this process is adequately studied and theorised. To date, very few studies have been undertaken in this area in New Zealand. This study aims to at least partially redress this situation by offering insights through conceptualisation and theoretical description of nursing moral decision making.The findings of the study reveal that antecedents such as personal moral development, upbringing and social experiences, contribute to a 'nursing ethic' in the moral decision making of experienced nurses. Furthermore, the study shows that the context and individual and shared perceptions of moral events influence the degree of nursing involvement in ethical situations. Finally, the study maintains that an intrinsic and persistent nursing ethic guides ethical decision making in nursing. This ethic is an undeniable phenomenon of considerable significance to nursing practice and education |
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Call Number |
NRSNZNO @ research @ 187 |
Serial |
187 |
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Author |
MacDonald, S. |
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Title |
Having attitude: nurses' perceptions of the qualities and skills needed to successfully nurse the 10 -24 year old client |
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Year |
1999 |
Publication |
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Abbreviated Journal |
Massey University Library, Whitireia Community Po |
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Pages |
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Abstract |
This thesis presents a grounded theory study following Glaser's methodological stance. It explores nursing of the 10-24 year old client through interviews with thirteen registered nurses. The participants worked in a variety of clinical settings including community, hospital and specific adolescent services. From the analysis of the data emerged the complexity of the nurses work with the chosen age group. The study identifies that the quality of the nurse/client encounter may enable the young person to feel accepted and to be empowered to make their own health choices.This thesis identifies how Having Attitude is seen by the nurse participants as critical in the care of the young person. Having Attitude is about the nurse balancing the dependence/independence needs of the young person with their family and peers, and about being acceptable to the client. This results from the work of the nurse which is characterised by the nurse being competent' and 'being supportive whilst taking into account all of the socio-political factors that effect the nurses working situation. The socio-political context impacts upon the young persons life in terms of the types of health issues they have, and the availability and affordability of appropriate health services. It also impacts on the environment in which the nurse works, in terms of the complexity of the concerns with which young people present, current health reforms and funding issues. The nurse needs to have a broad knowledge base and ability to work within a complex situation. Nurses believe they can make a difference to the young persons health experience when they are supportive, competent and have attitude |
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Call Number |
NRSNZNO @ research @ 368 |
Serial |
368 |
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Author |
Jacobs, S. |
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Title |
Advanced nursing practice and the nurse practitioner: New Zealand nursing's professional project in the late 20th century |
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Year |
2005 |
Publication |
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Abbreviated Journal |
Massey University Library |
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Keywords |
Nurse practitioners; History; Policy; Leadership; Advanced nursing practice |
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Abstract |
This thesis examines the forces influencing the development of contemporary advanced nursing practice in New Zealand. It begins with an historical approach to explore the various meanings of advanced nursing practice from the late 1800s through the first years of the 21st century. Seven historical understandings of the meaning of 'advanced' nursing practice emerge. The author's analysis of the broad scope of New Zealand nursing history, including a case study of the development and implementation of the nurse practitioner, draws on theoretical perspectives from sociology, political science, and nursing. She develops a “framework of critical factors for nursing to take into account when considering how to ensure the profession is able to deliver on its great potential to improve the health of New Zealand communities”. Examining the work of a range of nursing leaders, past and present, and drawing on the work of political scientist, John Kingdon, the author describes the work of several nurses as “policy entrepreneurship.” |
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Call Number |
NRSNZNO @ research @ |
Serial |
671 |
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Author |
Butterfield, S.L. |
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Title |
Helplessness or self care: a study of nursing practice with depressed patients in an In care setting |
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Year |
1982 |
Publication |
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Abbreviated Journal |
Massey University Library Palmerston North |
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Abstract |
This study was conducted to investigate the practise of Nurses when working with depressed patients in an In Care setting. A survey of the literature shows that the role commonly prescribed for nurses who work in psychiatric settings is one that emphasises a one- on -one relationship based on models of psychotherapy and focuses on individual illness, pathology, systems and psycho dynamics. It is suggested that this is not a role which most Nurses working in New Zealand psychiatric settings would be able to implement in practise. Three perspective's of Nursing practise were explored in the study. What Nurses were seen to do in practice. What they thought they should do as evidenced in results of an exercise to rank different possible interventions, and what patients said were helpful Nursing interventions. A framework was developed for the study which depicts the process of helplessness(depression) as the negative 'mirror -image' of the process of self care. Results were analysed within this framework to determine whether or not Nurses tended to support behaviours which were indicative of movement towards helplessness or encourage those which indicated progress towards self care by their interventions. There was little evidence of positive reinforcement for independent or coping behaviours with patients in the study sample. Further, the nursing practise showed little relationship to the role prescribed in the literature. The Nurses did demonstrate a warm caring friendly approach that seemed to stem from a more traditional 'succouring, mothering' view of Nurses' role |
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Call Number |
NRSNZNO @ research @ 61 |
Serial |
61 |
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Author |
Perry, J.(see also C.) |
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Title |
Theory and practice in the induction of five graduate nurses: a reflexive critique |
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Year |
1985 |
Publication |
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Abbreviated Journal |
Massey University Library |
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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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Call Number |
NRSNZNO @ research @ 134 |
Serial |
134 |
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Author |
McCallin, A. |
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Title |
Being-in-becoming: a grounded theory of teachers' experiences in nursing education |
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Year |
1993 |
Publication |
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Abbreviated Journal |
Massey University Library |
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Abstract |
This study identifies, describes and generates a theoretical explanation of what it means to be a Nurse educator in New Zealand in the 1990's. It explores individual experiences within the broader social context. Sixteen participants from three Schools of Nursing in New Zealand were interviewed over a four month period. Constant comparative analysis of data eventuated in the identification of four conceptual categories named as : being a teacher, settling down, finding a place and coping with change. They were then drawn into the core category – Being – in- Becoming. Being – in- Becoming, means in this study, that a person is the Nurse teacher simply because that person has taken on the work of a teacher. In being a teacher, the person is adapting, changing and learning how to become a teacher. Being – in- Becoming, is a process which is on going, never ending, and constantly changing. The essence of this study is that the teacher's experience of Being – in- Becoming. is influenced by personal development and the way the person comes to 'know' about the world of Nursing education who is also intimately connected to the way Nursing curriculum is defined and experienced by individual teachers. These findings have implications for Nursing education , in recognition of teacher's concerns, background meanings and problems which influence a person's experience of being a Nurse educator. Expectations that feelings should be 'managed' therefore ignored is consistent in a group which claims caring as the essence of Nursing practice. Excessive workloads are constantly cited as a major problem for worker. The organisation has the responsibility to acknowledge the human experience of those who work within this area and to undertake to respond in ways which can improve the situation for all |
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Call Number |
NRSNZNO @ research @ 35 |
Serial |
35 |
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Author |
Christensen, D.J.C. |
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Title |
The nursed passage: a theoretical framework for the nurse-patient partnership |
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Year |
1988 |
Publication |
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Abbreviated Journal |
Massey University Library |
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Pages |
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Abstract |
This study focussed on nursing practice in action. The research goal was to identify nursing-relevant dimensions within a person's experience of being a hospital patient undergoing elective surgery. In order to discover and conceptualize the underlying processes which are present as patients are nursed through this experience, an open question was posed – What is happening here? A qualitative research method ws the most appropriate means of discovering an answer to this question.The particular method chosen was the grounded theory approach developed by Glaser and Strauss. Data were collected in five surgical wards of a large city hospital over a period of five months. The research participants were twenty-one patients and the nurses involved in their care. Primary sources of data were interviews and the nursing records. These were augmented by field notes and accounts of observed incidents relating to the care of each patient.Using the inductive strategies of the grounded theory method, numerous descriptive concepts were generated during the data analysis. These were ordered within an integrating social process derived from anthropology. By this means a founded theory in the form of a theoretical framework – the Nursed Passage – was developed. Within this passage the patient is the passage and nursing is translated into action through the agency of the nurse.The Nursed Passage is a patterned partnership with three key elements. Firstly, the temporal element, characterised by ongoing movement and constant change, is conveyed in the sequence of phases or stages. Secondly the participative element is portrayed as a patterned relationship in which both nurses and patient are actively involved in progressing the patient through the passage. Finally, the contextual element recognises complex factors within the nursing environment which have an impact on the shape of the relationship between patient and nurse.This theoretical framework, generated from the reality of nursing as it occurs in one setting, assigns a specific shape to the encounter between nurses and patient. It identifies the contribution nursing alone can make to optimise each patient's hospital experience. In this way it both complements and facilitates the work of medical and other colleagues with whom nurses work. Thus it serves to revalue nursing in terms that can maximally utilise the registered nurse's knowledge and skill for the benefit of all concerned. Consequently, it has the potential value for nursing practice, education and research |
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Call Number |
NRSNZNO @ research @ 245 |
Serial |
245 |
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Author |
Paterson(now Fleming), B.L. |
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Title |
Making a difference: the lived world of nursing practice in an acute care setting |
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Year |
1989 |
Publication |
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Abbreviated Journal |
Massey University Library |
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Issue |
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Pages |
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Abstract |
This study examines the practice world of twenty two registered nurses working in medical and surgical wards of an acute general hospital in New Zealand. It is argued that nursing practice is a complex, context-specific, activity and needs to be studied using methods that do not assume an objective, context-free reality.The work of Patricia Benner (1984) guided this study which utilized a qualitative research approach to enter the lived world of nursing practice. Through descriptions of work days and a sharing of clinical exemplars, an understanding of the broader context of nursing practice was gained, areas of skilled performance in nursing emerged, and the meaning of making a difference for the nurses in the study examined. The central role of mutual advice and support in facilitating significant incidents in practice was apparent.An examination of the types of experiences which challenge current practice and change it in some way provided insight into the importance of experience in developing clinical expertise and the vital role of local knowledge in facilitating practice. Nursing practice emerged as crucial to patient welfare and safety in the acute care setting |
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Call Number |
NRSNZNO @ research @ 252 |
Serial |
252 |
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Author |
Woods, M. |
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Title |
The ethical preparation and practice of nurses: a pilot research project |
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Year |
1992 |
Publication |
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Abbreviated Journal |
Massey University Library; Manawatu Polytechnic Li |
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Abstract |
This research project studied the ways in which nurses are educationally prepared for, and responded to, ethical problems in practice. The study involved both descriptive and analytical-interpretive methods that provided information and insights on the given aims of the research. The research findings indicated that nurses were educationally ill prepared in the area of nursing ethics. It also maintained that nurses that nurses were quite able to correctly identify ethical issues in their practice, but felt restrained about their freedom to act autonomously in response to these issues |
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Call Number |
NRSNZNO @ research @ 184 |
Serial |
184 |
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Author |
Rummel, L. |
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Title |
The proving ground: a phenomenological study of pre-registration comprehensive nursing students in acute care settings |
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Year |
1993 |
Publication |
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Abbreviated Journal |
Massey University Library, Carrington, Manukau & O |
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Abstract |
This research focuses upon the lived experience of Diploma of Comprehensive Nursing Students in their final clinical experience. It is generated from the narrative of the students, how they experience their practise, how they make clinical judgements and how they prepare themselves for their graduate practise. Twenty one participants were each interviewed three times throughout a 6-8 week clinical experience in an acute care setting |
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Call Number |
NRSNZNO @ research @ 122 |
Serial |
122 |
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Author |
Scott, S.; Johnson, Y.; Caughley, B. |
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Title |
An evaluation of the new graduate orientation programme: Introduced at Capital Coast District Health Board's Wellington Hospital in March 1998 |
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Report |
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Year |
2003 |
Publication |
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Abbreviated Journal |
Massey University Library |
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Volume |
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Pages |
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Keywords |
New graduate nurses; Hospitals |
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Abstract |
This report presents a longitudinal research study which evaluated the effectiveness of the twelve months New Graduate Orientation Programme introduced at Capital Coast District Health Board's Wellington Hospital in March 1998. The programme was implemented to assist new nursing graduate's transition into the role of registered nurse. The evaluation project took place over a three-year period. Three annual intakes of new graduates enrolled in the New Graduate Orientation Programme were surveyed by questionnaire on their completion of the programme. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1156 |
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Author |
Bland, M.F. |
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Title |
Challenging the myths: the lived experience of chronic leg ulcers |
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Year |
1994 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
Massey University Library |
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Volume |
2 |
Issue |
3 |
Pages |
13-14 |
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Abstract |
This phenomenological study explored the experiences of five men and four women whose lives have been shaped by chronic leg ulcers. It reveals the suffering that accompanies these wounds, and challenges health professionals to move from a focus on wound management to understanding the realities of chronic illness experience |
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Call Number |
NRSNZNO @ research @ 160 |
Serial |
160 |
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