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| Author | Isaac, D. | ||||
| Title | Passionate dedication: A qualitative descriptive study of nurses' and hospital play specialists' experiences on a children's burn ward | Type | |||
| Year | 2006 | Publication | Abbreviated Journal | Auckland University of Technology Library | |
| Volume | Issue | Pages | |||
| Keywords | Children; Nursing specialties; Mentoring; Job satisfaction | ||||
Abstract  |
A qualitative descriptive approach was undertaken to explore the experience of eight registered nurses and two hospital play specialists who care for children hospitalised with burn injuries. The research participants were recruited from a paediatric ward that offers centralised specialty care to children with burns. Emerging out of the data was the over-arching theme of 'passionate dedication' that shows the nurses and hospital play specialists genuine compassion and commitment to meet the needs of the children with burns. The findings of the study reveal that the participant's dedication is shaped and determined by a dynamic process that involves having professional integrity and in-depth knowledge of caring for children and burn management. The nurses and the hospital play specialists have a common understanding of what their role entails and the skills required to provide quality care and support to the children and the children's family. On a personal and professional level the participants encounter several challenges in this care context that are physically and emotionally overwhelming. Despite becoming overwhelmed the participants are revealed as being resourceful and resilient in their aptitude to find ways that enable them to cope and get through. The author suggests that this study supports international literature that suggests that caring for children with burns is equally rewarding, as much as it is physically and emotionally demanding. The author identifies that the implication in this study for the organisation is to seriously consider issues regarding productivity and efficiency of the workforce with acknowledgement that nurses and hospital play specialists cannot do this emotional work without effective systems of support in place. | ||||
| Call Number | NRSNZNO @ research @ 577 | Serial | 563 | ||
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| Author | Armstrong, S.E. | ||||
| Title | Exploring the nursing reality of the sole on-call primary health care rural nurse (PHCRN) interface with secondary care doctors | Type | |||
| Year | 2006 | Publication | Abbreviated Journal | University of Otago Library | |
| Volume | Issue | Pages | |||
| Keywords | Rural nursing; Rural health services; Relationships | ||||
| Abstract |
A qualitative framework was used to explore the nature and the quality of interactions between sole on-call primary health care rural nurses and secondary care doctors as a component of rural nursing practice and representative of the primary-secondary care interface. Crucial to patient centred care, the premise was that the quality of this interface would be variable due to multiple influences such as: the historical nurse/doctor relationship that has perpetuated medical dominance and nursing subordination; current policy direction encouraging greater inter-professional collaboration; and changing role boundaries threatening traditional professional positioning. A total of 11 nurses representing 10 separate rural areas participated in semi-structured interviews. Rural nurses typically interact with secondary care doctors for acute clinical presentations with two tiers of interaction identified. The first tier was presented as a default to secondary care doctors for assistance with managing primary care level clinical presentations in the absence of access to a general practitioner or an appropriate Standing Order enabling appropriate management. The second tier presented itself as situations where, in the professional judgement of the nurse, the client status indicated a need for secondary level expertise and/or referral to secondary care. The needs of the rural nurse in these interactions were identified as access to expertise in diagnosis, therapy and management, authorisation to act when intervention would exceed the nurse's scope of practice; the need to refer clients to secondary care; and the need for reassurance, encompassing emotional and professional issues. The quality of the interactions was found to be variable but predominantly positive. Professional outcomes of positive interactions included professional acknowledgement, support and continuing professional development. For the patient, the outcomes included appropriate, timely, safe intervention and patient centred care. The infrequent but less than ideal interactions between the participants and secondary care doctors led to professional outcomes of intraprofessional discord, a sense of invisibility for the nurse, increased professional risk and professional dissatisfaction; and for the client an increased potential for deleterious outcome and suffering. Instead of the proposition of variability arising from interprofessional discord and the current policy direction, the data suggested that variability arose from three interlinking factors; appropriate or inappropriate utilisation of secondary care doctors; familiarity among individuals with professional roles and issues of rurality; and acceptance by the primary care doctor of the sole on-call primary health care rural nurse role and the responsibility to assist with the provision of primary health care. Recommendations for improving interactions at the interface include national, regional and individual professional actions. | ||||
| Call Number | NRSNZNO @ research @ | Serial | 493 | ||
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| Author | Armstrong, S.E. | ||||
| Title | Exploring the nursing reality of the sole on-call primary health care rural nurse interface with secondary care doctors | Type | Book Chapter | ||
| Year | 2008 | Publication | Jean Ross (Ed.), Rural nursing: Aspects of practice (pp. 225-46) | Abbreviated Journal | Ministry of Health publications page |
| Volume | Issue | Pages | |||
| Keywords | Interprofessional relations; Rural nursing; Primary health care | ||||
| Abstract |
A qualitative framework was used to explore the nature and the quality of interactions between sole on-call primary health care rural nurses and secondary care doctors. This study is framed as investigating a specific component of rural nursing practice and as being representative of the primary-secondary care interface. The primary-secondary care interface is crucial for the delivery of patient-centered care, and there is an increased focus on preventive primary health care. The New Zealand government sees the repositioning of professional roles and increasing emphasis on collaboration as an opportunity to re-define and address the current constraints to nursing practice. This has resulted in tensions between the medical and nursing professions. These tensions are not new, with the relationship sometimes marred by conflict which has been attributed to historical medical dominance and nursing deference. This study explores some specific areas which affect collaboration and makes recommendations at the national, regional and individual level to address them. | ||||
| Call Number | NRSNZNO @ research @ 780 | Serial | 764 | ||
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| Author | Nelson, C.M. | ||||
| Title | An exploration of factors affecting registered nurses participation in continuing education | Type | |||
| Year | 1993 | Publication | Abbreviated Journal | Wellington Polytechnic Library | |
| Volume | Issue | Pages | |||
| Keywords | |||||
| Abstract |
A qualitative study of factors affecting four registered nurses participating in continuing education.Data was collected through unstructured interviews and then analysed using themetic analysis The data revealed that the nurses had ambient feelings towards the benefits of post registration nursing education and that these were many work related, supervisal, and financial and logistial barriers affecting their ability to participate in further study. The nurses were also disturbed and frustrated by a lack of clinically based programmes for them to attend. Implications from this study are discussed and recommendations are presented | ||||
| Call Number | NRSNZNO @ research @ 359 | Serial | 359 | ||
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| Author | Litchfield, M. | ||||
| Title | The successful design and delivery of rural health services: The meaning of success | Type | Report | ||
| Year | 2002 | Publication | Abbreviated Journal | Accessible from www.moh.govt.nz | |
| Volume | Issue | Pages | |||
| Keywords | Rural health services; Management; Primary health care | ||||
| Abstract |
A report on the analysis of data from an in-depth survey designed by Sue Dawson, previously Rural Health Researcher in the Centre for Rural Health, and follow-up interviews. The study purpose was to construct a definition of ?successful design and delivery of rural health services? as a step towards a measurement tool. Participants were grouped as general practitioners (GPs), nurses and community representatives. A format for a participatory approach to evaluation of rural health services is derived from the criteria of success identified, with its relevance for the implementation of the new Government primary health care strategy explicit. This format provided the basis for a subsequent evaluation case study undertaken in a small rural forestry township by the Centre for Rural Health. | ||||
| Call Number | NZNO @ research @ | Serial | 1328 | ||
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| Author | Whitehead, S. | ||||
| Title | Nursing care for the elderly: a survey of training needs | Type | |||
| Year | 1980 | Publication | Abbreviated Journal | MacMillan Brown Library – University of Canterbury | |
| Volume | Issue | Pages | |||
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| Abstract |
A report prepared in association with the Nursing Subcommittee of the North Canterbury Geriatrics Advisory Committee | ||||
| Call Number | NRSNZNO @ research @ 290 | Serial | 290 | ||
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| Author | Hooker, M. | ||||
| Title | Implementing the rheumatic fever guidelines: Identifying the challenges and crossing the theory practice divide | Type | |||
| Year | 2010 | Publication | Abbreviated Journal | NZNO Library | |
| Volume | Issue | Pages | 122 pp | ||
| Keywords | Rheumatism; rheumatic fever | ||||
| Abstract |
A research portfolio submitted in partial fulfilment of the requirements for the degree of Master of Health Sciences, The University of Auckland, 2010. Background: The 2006 New Zealand (NZ) Guidelines for Rheumatic Fever (RHF) (National Heart Foundation of New Zealand and Cardiac Society of Australia and New Zealand, 2006) have an over-arching objective to support appropriate management of RHF to prevent recurrent attacks and reduce mortality and morbidity from RHF and Rheumatic Heart Disease (RHD) (Craig, Anderson, & Jackson, 2008; National Heart Foundation of New Zealand and Cardiac Society of Australia and New Zealand, 2006). Aims: The aims of this study were to audit current practice and service provision associated with RHF programmes and initiatives in NZ District Health Boards (DHBs) against the 2006 NZ Guidelines for RHF and to identify the barriers and facilitators to clinicians meeting the guidelines. |
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| Call Number | NZNO @ research @ | Serial | 1349 | ||
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| Author | Shih, Li-Chin | ||||
| Title | Impact of Dialysis on Rurally Based Mäori Clients and Their Whänau | Type | |||
| Year | 2009 | Publication | Abbreviated Journal | NZNO Library | |
| Volume | Issue | Pages | 105 pp | ||
| Keywords | renal disease; hemodialysis; maori | ||||
| Abstract |
A research portfolio submitted in partial fulfilment of the requirements for the degree of Master of Nursing, The University of Auckland, 2009 This paper is a report of a study seeking to understand the experience of New Zealand rural dwelling Mäori clients with end-stage renal disease who receive haemodialysis. End stage renal disease (ESRD) is related to lifestyle, genetic factors and environment, and Mäori are at higher risk of renal disease which results of need for renal replacement therapy to sustain their lives. Dialysis clients are a group of ?silent? clients under the care of the dominant health professionals. Adherence with therapeutic regimes has been a main issue for health care professionals and service delivery, as it directly contributes to the efficacy of the treatment and cost effectiveness. Mäori clients? experience of living with haemodialysis has not been explored. Although there are a number of studies describing the experience of patients living on dialysis so far, no studies have yet focused specifically on the experience of Mäori clients towards their renal replacement therapy. The continual demands of dialysis treatment are significant and given the high proportion of Mäori having dialysis. It is timely to explore the experience of Mäori clients and their family/whänau in order to understand the need for quality of care and to promote Mäori health outcomes in chronic kidney disease management |
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| Call Number | NZNO @ research @ | Serial | 1348 | ||
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| Author | Gibbison, B. | ||||
| Title | Are we there yet?: Factors associated with, and experiences of, weight maintenance in the Adult Weight Management Programme in the Waikato | Type | |||
| Year | 2010 | Publication | Abbreviated Journal | NZNO Library | |
| Volume | Issue | Pages | 132 pp | ||
| Keywords | Weight loss; Obesity | ||||
| Abstract |
A research portfolio submitted in partial fulfilment of the requirements for the degree of Master of Nursing, the University of Auckland, 2010. Sustained weight loss maintenance is a constant challenge, especially for morbidly obese individuals who have tried and failed repeatedly. Why is it then, that some individuals are successful whilst others are not so successful? This two-phase sequential, mixed methods study sought to identify and gain insight into the factors associated with successful weight loss maintenance for participants in an adult weight management programme in the Waikato. Success appeared to be independent of age, gender, ethnicity, domicile, employment status and the presence of co-morbities. Four major themes emerged: - “Actions speak louder than words – just do it” (Following a lower energy diet, having higher levels of physical activity, regular self weighing, and vigilance in adjusting their behaviours based on the results) - Routines were also important in supporting the changed behaviours - What's it worth to me - Valuing the achievements associated with lesser weight was seen as another important factor of success |
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| Call Number | NZNO @ research @ | Serial | 1342 | ||
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| Author | Turnwald, A.B. | ||||
| Title | Acute Hypercarbia in Chronic Obstructive Pulmonary Disease (COPD): Presentations to a New Zealand emergency department | Type | |||
| Year | 2006 | Publication | Abbreviated Journal | ResearchArchive@Victoria | |
| Volume | Issue | Pages | |||
| Keywords | Chronically ill; Clinical assessment; Emergency nursing | ||||
| Abstract |
A retrospective descriptive design was used to examine the records of all presentations to the emergency department of patients with COPD over a 3-month period to determine whether there is a subset group of people who present with hypercarbia. There were 114 presentations, amongst those there were 71 individuals, a number presenting more than once within the three months. 80% of the 71 individuals had a smoking history of which 53% were female. Of the 114 presentations, 76 had arterial blood gases taken during their emergency department presentation. Of these 76 presentations 30 had hypercarbia and 46 were non-hypercarbia. These 76 presentations involved 58 individuals, with some individuals presenting five times over the three-month period. Three groups emerged, some who were only hypercarbia (n= 18), some in the non-hypercarbia group (n=35) and 5 individuals who had presentations in both the hypercarbia and non-hypercarbia groups. Data showed that there was no definable subset group of hypercarbia patients within acute exacerbations of COPD presenting to the emergency department according to the variables. However the sample of presentations (with a blood gas) found within the study suffering hypercarbia was much higher (31.1%) than anticipated. Further analysis showed that the hypercarbia group had a significant lower forced expiratory volume in one second (FEV1) and a combination diagnosis of emphysema or asthma and congestive heart failure. An implication to the clinician is that identification of hypercarbia within COPD exacerbation is problematically difficult until the late signs are shown with the individual. By that time effective treatment patterns may have changed from the initial presenting problem. The author concludes that future areas of research within this field needs to lie within the community, and look at when these people start the exacerbation, what leads them to progression presentation to the emergency department, and whether these people are chronic sufferers of hypercarbia or presenting after a period of days exacerbation within their own home. | ||||
| Call Number | NRSNZNO @ research @ | Serial | 1210 | ||
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| Author | Allen, N.R. | ||||
| Title | Vision 2000 | Type | Miscellaneous | ||
| Year | Publication | Abbreviated Journal | |||
| Volume | Issue | Pages | |||
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| Abstract |
A review of nursing education and it's potential for development | ||||
| Call Number | NRSNZNO @ research @ 382 | Serial | 382 | ||
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| Author | Allen, N.R. | ||||
| Title | Midwifery education in New Zealand | Type | |||
| Year | 1991 | Publication | Abbreviated Journal | NZ College of Midwives | |
| Volume | Issue | Pages | |||
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| Abstract |
A review of the current status of midwifery in NZ and potential for its' development | ||||
| Call Number | NRSNZNO @ research @ 381 | Serial | 381 | ||
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| Author | Webby, A. | ||||
| Title | Developing safe nursing practice for Maori | Type | Journal Article | ||
| Year | 2001 | Publication | Kai Tiaki: Nursing New Zealand | Abbreviated Journal | |
| Volume | 7 | Issue | 1 | Pages | 16-17 |
| Keywords | Maori; Psychiatric Nursing; Nursing models | ||||
| Abstract |
A safe mental health nursing practice for Maori is defined as one that includes Maori ways of knowing. The author also notes that Maori mental health nurses must be given the ability to create their own practice to best meet their clients' needs. | ||||
| Call Number | NRSNZNO @ research @ | Serial | 1028 | ||
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| Author | Ainge, N. | ||||
| Title | Registered nurses participation in a professional recognition program. Their responses to nine job related factors | Type | |||
| Year | 1993 | Publication | Abbreviated Journal | Mary Lambie Collection, Canterbury Medical Library | |
| Volume | Issue | Pages | |||
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| Abstract |
A simple descriptive longitudinal survey monitoring self- reported incidence of satisfaction/ dissatisfaction to nine job related factors. The two hundred RN's participating in the pilot implementation of the Clinical Career Pathway (Canterbury Area Health Board) were surveyed in June 1992 and February 1993. This was a time of change in New Zealand's Health service | ||||
| Call Number | NRSNZNO @ research @ 13 | Serial | 13 | ||
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| Author | Litchfield, M. | ||||
| Title | Knowledge embedded in practice | Type | Journal Article | ||
| Year | 1989 | Publication | Kai Tiaki: Nursing New Zealand | Abbreviated Journal | |
| Volume | 82 | Issue | 10 | Pages | 24-25 |
| Keywords | Nursing research; diagnosis; Education; Nursing philosophy | ||||
| Abstract |
A statement of the nature of research needed to distinguish the knowledge of nursing practice from knowledge developed by other disciplines. It orients to the interrelationship of practice and research as the foundation of the discipline of nursing. | ||||
| Call Number | NZNO @ research @ | Serial | 1315 | ||
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