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Author (up) 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
Call Number NZNO @ research @ Serial 1342
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Author (up) Gibbons, V.; Rice, S.; Lawrenson, R
Title Routine and rigidity: Barriers to insulin initiation in patients with Type 2 Diabetes Type Journal Article
Year 2010 Publication Kai Tiaki Nursing Research Abbreviated Journal NZNO Library
Volume 1 Issue 1 Pages 19-22
Keywords Medication compliance; Diabetes Mellitus, Non-Insulin-Dependent; Primary health care
Abstract It has been shown that intensive management of diabetes with type 2 diabetes is effective and has led to wider use of insulin. The conversion of patients from oral medication to insulin is usually managed in primary care. The study discussed here aimed to explore how patients with type 2 diabetes mellitus (T2DM) perceived insulin. The study was conducted in 2009 in an urban general practice in a large town in New Zealand with more than 300 patients with type 2 diabetes. A qualitative study was conducted with face-to-face interviews with 13 participants. The question focused on insulin initiation, lifestyle and routine. The transcribed responses were subject to thematic anaylsis. Interviews showed participants felt restricted by the prospect and eventuality of the routine and restrictions of being on insulin. Results show there needs to be a greater emphasis on the disease being progressive. This study provides the ground work for developing resources that will benefit patients with T2DM.
Call Number NZNO @ research @ Serial 1339
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Author (up) Gibson, C.
Title Hearing the adolescents' voice: A study evaluating the use of conjoint analysis for use with adolescents to determine preferences for inpatient hospital facilities Type
Year 2005 Publication Abbreviated Journal ResearchArchive@Victoria
Volume Issue Pages
Keywords Adolescents; Hospitals; Patient satisfaction; Cancer
Abstract This research used the economic technique of conjoint analysis and an informal discussion to canvas opinions regarding ideal combination of inpatient facilities and the use of cell phones in hospital. The content of the conjoint analysis was, with the exception of the inclusion of the question regarding the use of cell phones, derived from the literature. Because conjoint analysis does not appear to have been used with adolescents one of the questions to be answered was whether this was a method of research that could be used with adolescents. The research was undertaken with 29 young people, most of who were from CanTeen (the adolescent cancer support group) in Wellington. The conjoint analysis, and discussion with the adolescents supported the general findings from the literature that adolescents do not want to be nursed in either overtly paediatric or, in their words, 'dull adult wards', as they enjoy bright lively surrounds. Ideally they would like to be nursed with their peer group and so have the opportunity to interact with young people of their age. The research demonstrated that adolescents are able to understand the concept of conjoint analysis and also supported findings from overseas that these healthcare consumers value having their opinions canvassed and are well able to give constructive and well thought out opinions. A report on the findings of this research will be presented to Capital and Coast District Health Board with the expectation that it will be considered when the final decisions are made regarding the upgrading of Wellington Hospital's present facilities as it is anticipated that these facilities will contain dedicated adolescent beds within the paediatric unit.
Call Number NRSNZNO @ research @ Serial 1225
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Author (up) Giddings, D.L.S.
Title Mixed-methods research: Positivism dressed in drag Type Journal Article
Year 2006 Publication Journal of Research in Nursing Abbreviated Journal
Volume 11 Issue 3 Pages 195-203
Keywords Methodology; Nursing research
Abstract The author critiques the claim that mixed method research is a third methodology, and the implied belief that the mixing of qualitative and quantitative methods will produce the 'best of both worlds'. The author suggests that this assumption, combined with inherent promises of inclusiveness, takes on a reality and certainty in research findings that serves well the powerful nexus of economic restraint and evidence-based practice. The author argues that the use of the terms 'qualitative' and 'quantitative' as normative descriptors reinforces their binary positioning, effectively marginalising the methodological diversity within them. Ideologically, mixed methods covers for the continuing hegemony of positivism, albeit in its more moderate, postpositivist form. If naively interpreted, mixed methods could become the preferred approach in the teaching and doing of research. The author concludes that rather than the promotion of more co-operative and complex designs for increasingly complex social and health issues, economic and administrative pressures may lead to demands for the 'quick fix' that mixed methods appears to offer.
Call Number NRSNZNO @ research @ Serial 717
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Author (up) Giddings, D.L.S.
Title A theoretical model of social consciousness Type Journal Article
Year 2005 Publication Advances in Nursing Science Abbreviated Journal
Volume 28 Issue 3 Pages 224-239
Keywords Attitude of health personnel; Feminist critique; Nursing models
Abstract The article presents a theoretical model of social consciousness developed from nurses' life histories. A 3-position dialectical framework (acquired, awakened, and expanded social consciousness) makes visible the way people respond to social injustice in their lives and in the lives of others. The positions coexist, are not hierarchical, and are contextually situated. A person's location influences her or his availability for social action. Nurses who could most contribute to challenging social injustices that underpin health disparities are relegated to the margins of mainstream nursing by internal processes of discrimination. The author suggests that more inclusive definitions of “a nurse” would open up possibilities for social change.
Call Number NRSNZNO @ research @ Serial 944
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Author (up) Giddings, D.L.S.
Title Health disparities, social injustice, and the culture of nursing Type Journal Article
Year 2005 Publication Nursing Research Abbreviated Journal
Volume 54 Issue 5 Pages 304-312
Keywords Cross-cultural comparison; Racism; Attitude of health personnel; Feminist critique
Abstract The aim of this cross-cultural study was to collect stories of difference and fairness within nursing. The study used a life history methodology informed by feminist theory and critical social theory. Life story interviews were conducted with 26 women nurses of varying racial, cultural, sexual identity, and specialty backgrounds in the United States (n = 13) and Aotearoa New Zealand (n = 13). Participants reported having some understanding of social justice issues. They were asked to reflect on their experience of difference and fairness in their lives and specifically within nursing. Their stories were analysed using a life history immersion method. Nursing remains attached to the ideological construction of the “White good nurse.” Taken-for-granted ideals privilege those who fit in and marginalise those who do not. The nurses who experienced discrimination and unfairness, survived by living in two worlds, learned to live in contradiction, and worked surreptitiously for social justice. For nurses to contribute to changing the systems and structures that maintain health disparities, the privilege of not seeing difference and the processes of mainstream violence that support the construction of the “White good nurse” must be challenged. Nurses need skills to deconstruct the marginalising social processes that sustain inequalities in nursing and healthcare. These hidden realities-racism, sexism, heterosexism, and other forms of discrimination-will then be made visible and open to challenge.
Call Number NRSNZNO @ research @ Serial 943
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Author (up) Giddings, D.L.S.
Title In/visibility in nursing: stories from the margins (United States, New Zealand, Diversity) Type
Year 1997 Publication Abbreviated Journal University of Colorado University Library
Volume Issue Pages
Keywords
Abstract Using the life history approach this study investigates the consequences of difference within the context of nursing. Life story interviews were conducted with 26 women nurses of varying racial, cultural and sexual identity backgrounds in the USA and New Zealand.The questions framing the interviews focused on the women's experience of difference and fairness in their lives and specifically within nursing.The creation of life story 'snippets' in the first level of analysis reflected the unique aspects of each woman's story and became the first step in the process of creating a thematic analysis or meta-story. The meta-story that emerged from the juxtaposition of the women's stories was “not fitting in to nursing”.The findings of this study suggest that in spite of the change in location of nursing education and its recent attention to the implications of client diversity, the continued imposition of traditional definitions of 'the nurse' by nursing institutions, renders difference amongst nurses invisible. This limits the ability of nurses to be authentic in their practice and also limits the extent to which they can implement the new policies recognizing difference amongst their client populations
Call Number NRSNZNO @ research @ 236 Serial 236
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Author (up) Giddings, D.L.S.; Grant, B.M.
Title A Trojan Horse for positivism? A critique of mixed methods research Type Journal Article
Year 2007 Publication Advances in Nursing Science Abbreviated Journal
Volume 30 Issue 1 Pages 52-60
Keywords Nursing research; Methodology; Evaluation
Abstract This paper presents an analysis of mixed methods research, which the authors suggest is captured by a pragmatically inflected form of post-positivism. Although it passes for an alternative methodological movement that purports to breach the divide between qualitative and quantitative research, most mixed methods studies favour the forms of analysis and truth finding associated with positivism. The authors anticipate a move away from exploring more philosophical questions or undertaking modes of enquiry that challenge the status quo. At the same time, they recognise that mixed methods research offers particular strengths and that, although it serves as a Trojan Horse for positivism, it may productively carry other paradigmatic passengers.
Call Number NRSNZNO @ research @ Serial 650
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Author (up) Giddings, D.L.S.; Roy, D.E.; Predeger, E.
Title Women's experience of ageing with a chronic condition Type Journal Article
Year 2007 Publication Journal of Advanced Nursing Abbreviated Journal
Volume 58 Issue 6 Pages 557-565
Keywords Chronic diseases; Age factors; Gender; Nursing
Abstract This paper is a report of a study to explore the experiences of 'almost old' women as they grow older while living with a chronic condition. Little is known about the contextual effects of ageing and how it shapes and is shaped by a woman's chronic illness experience. Seven women aged between 50 and 58 years participated in this interpretive descriptive study that explored the issues of ageing with a chronic condition. Three focus groups were held between March 2003 and March 2004. Transcriptions were analysed after each focus group. Participants were given the opportunity to respond to the findings as the analysis progressed. The experience of living with a chronic illness foreshadowed what was to come with ageing and embodied the ageing process: it was just part of their lives. Alongside this, the women now felt less out of place. Their peers were catching up and beginning to experience aspects of participants' everyday reality. The women, however, experienced double jeopardy because ageing amplified the ongoing vulnerabilities of living with a chronic condition. The authors conclude that nurses who recognise the resourcefulness and expertise of women who live with a chronic condition can effectively be co-strategists in helping them to age well.
Call Number NRSNZNO @ research @ Serial 880
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Author (up) Giddings, D.L.S.; Smith, M.C.
Title Stories of lesbian in/visibility in nursing Type Journal Article
Year 2001 Publication Nursing Outlook Abbreviated Journal
Volume 49 Issue 1 Pages 14-19
Keywords Sexuality; Nursing; Identity; Work
Abstract A study of the life histories of five self-identified lesbian women in nursing is reported. A metastory of “In/Visibility” captured the essence of lesbians being the focus of intense scrutiny while at the same time feeling the pressure to keep their lifestyle and identity hidden from others. Seven story themes were elaborated: closeting of lesbianism in nursing, isolating and hiding from self and others, living a double-life, self-loathing and shame, experiencing discrimination from others, keeping safe, and threatening others who are closeted.
Call Number NRSNZNO @ research @ Serial 844
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Author (up) Giddings, D.L.S.; Wood, P.J.
Title Revealing sexuality: nurses' knowledge and attitudes. A survey of pre and post registration nursing students 1988-1991 Type Journal Article
Year 1998 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 13 Issue 2 Pages 11-25
Keywords
Abstract
Call Number NRSNZNO @ research @ 366 Serial 366
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Author (up) Gifford, H.; Walker, L.; Clendon, J.; Wilson, D.; Boulton, A.
Title Maori nurses and smoking; Conflicted identities and motivations for smoking cessation Type Journal Article
Year 2013 Publication Kai Tiaki Nursing Research Abbreviated Journal Available through NZNO library
Volume 4 Issue 1 Pages 33-38
Keywords Maori nurses; Smoking cessation; smoking; Qualitative research
Abstract This research aims to design and test the feasibility of an intervention promoting smoking cessation, and reducing smoking relapse, among Māori nurses who smoke. It is being conducted in two phases. Phase one, a national web-based survey, conducted in December 2012, explored the views of Māori nurses (smokers, ex-smokers and non-smokers) regarding smoking. This paper reports on the analysis of qualitative responses from 410 nurses and nursing students identifying as Māori who completed an online survey. Five themes were identified: beliefs about smoking; ?for our tamariki?; personal stories of quitting; dissatisfaction with current approaches; and plans for future strategies. The findings confirm that nurses who smoke may experience feelings of conflict, and regard their behaviour as inconsistent with their role as nurses and health promoters. Nurses who smoke must be supported to become, and to stay, smokefree. Tailored Māori-specific cessation initiatives are needed.
Call Number NZNO @ research @ Serial 1392
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Author (up) Gifford, Health; Wilson, Denise; Boulton, Amohia
Title Maori perspectives : a deep understanding of nursing and smoking Type Journal Article
Year 2014 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 30 Issue 3 Pages 35-44
Keywords Maori nurses; Maori health; Indigenous health; Smoking; Smoking cessation
Abstract Conducts in-depth qualitative interviews with 43 Maori nurses to explore their perceptions and experiences of smoking and quitting, and their views on the impact of smoking on their roles as nurses. Elicits five themes: social context of smoking, identity conflict, impact on practice, experience of smoking, and experience of quitting.
Call Number NZNO @ research @ Serial 1497
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Author (up) Gilder, Eileen
Title To suction or not to suction; that is the question: Studies of endotracheal suction in post-operative cardiac patients Type Book Whole
Year 2020 Publication Abbreviated Journal
Volume Issue Pages 261 p.
Keywords Endotracheal suction; Post-operative cardiac patients; Post-operative nursing; Patient safety
Abstract Assesses the safety of actively avoiding endotracheal suction in post-operative cardiac surgical patients ventilated for less than 12 hours. Describes local endotracheal suction practice, and elucidates patient experience of the endotracheal tube and endotracheal suction. Conducts an observational audit describing endotracheal sucion practice within the cardiothoracic and vascular intensive care unit in Auckland City Hospital. Undertakes a prospective, non-inferiority, randomised controlled trial investigating the safety of avoiding endotracheal suction.
Call Number NZNO @ research @ Serial 1769
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Author (up) Giles, A.L.
Title This voice is forever: one woman's experience following total laryngectomy Type
Year 1997 Publication Nursing Praxis in New Zealand Abbreviated Journal Author, Massey University Library
Volume 14 Issue 1 Pages 50-51
Keywords
Abstract This phenomenological research project focused on one womans experience following total removal of her larynx and aimed to faithfully capture the essential structure of the phenomenon of voice as it emerged for her. For women in particular gaining a new artifical voice following surgery that is considerably lower sounding, plus the large visible opening in the lower neck is psychologically challenging and can be socially isolating. Most literature relating to laryngectomy and rehabilitation comprises quantitative research with limited attention to womens issues. This could be attributed to the small number of women undergoing this surgery. A review of nursing literature revealed minimal research, with none referring specifically to women. Nor were any studies using entirely qualitative methods identified.This research project used a phenomenological approach informed by the work of Michael Crotty, described as within the parameters of mainstream phenomenology. Based on a traditional common core foundation which is critical, holistic and individualistic, mainstream phenomenology requires achieving co-researchership between researcher and participant while exploring phenomena as objects of authentic human experience.The study began with discussing Crottys stepwise method emphasising the activity of bracketing. The co-researcher was then left to ponder or meditate on her experience following bracketing all her prior understandings and ideas, as if this was the first time she had encountered the phenomenon. Three conversations followed which allowed exploration of the co-researchers written statements. The seven interwoven dimensions that emerged represented the essential structure, meaning and essence of 'what voice is for this woman following total laryngectomy
Call Number NRSNZNO @ research @ 371 Serial 371
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