| |
Records |
Links |
|
Author  |
Clark, P.N. |
|
| |
Title |
The potential for nurse-led clinics on oncology at Southland District Health Board |
Type |
|
| |
Year |
2006 |
Publication |
|
Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Older people; Scope of practice; Nursing; Oncology; Cancer |
|
| |
Abstract |
The author points to a “waiting list crisis” occurring in ambulatory oncology services at Southland District Health Board (SDHB), and notes that the literature suggests this is occurring both nationally and globally. This is due to factors such as an increase in the number of people aged 65 years and over, many of whom will develop cancer. Furthermore new drug therapies and indications for treatment have led to increased numbers of patients referred for oncological assessment in the out-patient clinics. The author notes that, at SDHB, this delay for patients to be seen at a first specialist assessment appointment is causing concern for patients, managers and the medical and nursing staff involved. This dissertation analyses relevant literature in order to explore the nature and outcomes of nurse-led clinics. A range of studies indicate that effective care can be provided by nurses working in a variety of nurse-led clinics settings. These studies reveal ways in which a nurse-led clinic might be established and delivered in oncology services and, the author suggests, this will go some way to provide a solution for SDHB. These clinics would assess and monitor the follow-up of selected patients with stable disease and established care plans such as patients receiving adjuvant chemotherapy for bowel and breast cancer. This would allow medical oncologists to see more new patients at first assessment and the follow-up of complex cases, and could go some way in relieving the current waiting lists. The educational preparation and competency of nurses leading such a clinic are considered. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
677 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Challis-Morrison, S. |
|
| |
Title |
Caring for a community wanderer |
Type |
Journal Article |
| |
Year |
2006 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
12 |
Issue |
11 |
Pages |
20-22 |
|
| |
Keywords |
Case studies; Older people; Community health nursing; Dementia |
|
| |
Abstract |
A community based registered nurse from Waikato District Health Board's Older Persons Assessment Team (OPAT) presents her experiences of working with older people with dementia. She uses a case study approach to highlight the issue of wandering, behaviour which can be difficult to modify and can cause carer distress. She outlines a team approach to the condition which requires good communication and co-ordination. Key aspects of management included a risk assessment plan, support for caregivers, and encouraging activity. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
977 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Brown, J.A. |
|
| |
Title |
“Let my spirit always sing”: A descriptive study of how four elderly rest home residents view spirituality and spiritual care at the end of life |
Type |
|
| |
Year |
2004 |
Publication |
|
Abbreviated Journal |
ResearchArchive@Victoria |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Older people; Rest homes; Spirituality; Nursing |
|
| |
Abstract |
This descriptive, qualitative study, believed to be the first of its kind conducted in a New Zealand setting, focuses on spirituality issues of a spiritually vulnerable group of people, older people in residential care. Four rest home residents were recruited, to talk about their spirituality, spiritual needs and how their spirits were nurtured, the role of care staff in providing spiritual care, and their satisfaction with the spiritual care they were being offered. They were also asked to predict their spiritual needs as they were dying, their wishes for spiritual care in the perideath period, whether they had communicated these wishes to anyone, their views on advance planning to ensure these wishes would be met, and their comfort with the research process. The research data was collected from semi-structured, audiotaped interviews that were later transcribed. The spirituality of all participants had a strongly Christian focus that was revealed in the ten themes to emerge from a modified application of Colaizzi's analysis technique. The first themes to emerge were God as the focus of spirituality, God in control, the importance of relationship, and the purpose in life: serving God. Changes in spirituality with age, spirituality and residential care, and spiritual care: whose responsibility? were also identified as themes, as were end of life spirituality, planning for spiritual care, and the participants' satisfaction with the research process. All were able to articulate their spirituality, were generally satisfied with the spiritual care they were receiving, and had views on the spiritual care they wished to receive in the perideath period. Moreover, the participants trusted their families and the care staff to ensure that these wishes would be honoured. Recommendations are made for improving the spiritual dimension of care, and for further research. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1228 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Bland, M.F. |
|
| |
Title |
The challenge of feeling 'at home' in residential aged care in New Zealand |
Type |
Journal Article |
| |
Year |
2005 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
21 |
Issue |
3 |
Pages |
4-12 |
|
| |
Keywords |
Rest homes; Older people; Patient satisfaction; Nursing; Identity |
|
| |
Abstract |
In this research report, a resident reveals the challenges associated with firstly becoming a nursing home resident, and then trying to establish a new sense of 'home'. The story supports a conclusion that nurses' knowledge of the unique 'admission story' of each resident, and their individual understandings of home, is essential in promoting their ongoing comfort. Although approximately 30,000 older adults live in residential aged care, little research has been done on their experience. |
|
| |
Call Number |
NRSNZNO @ research @ 862 |
Serial |
846 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Bland, M.F. |
|
| |
Title |
All the comforts of home? A critical ethnography of residential aged care in New Zealand |
Type |
|
| |
Year |
2004 |
Publication |
|
Abbreviated Journal |
NZNO Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Rest homes; Older people; Patient satisfaction |
|
| |
Abstract |
|
|
| |
Call Number |
NRSNZNO @ research @ 1141 |
Serial |
1126 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Allan, J. |
|
| |
Title |
What is it like for older women to live with depression? |
Type |
|
| |
Year |
2007 |
Publication |
|
Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Mental health; Older people |
|
| |
Abstract |
The author's interest in this study came from working as a mental health nurse with mainly older women with depression and developed from her concern that depression for older people is frequently misdiagnosed, not recognised or is under-treated. To date, research has rarely paid attention to the voices of people who have actually experienced depression and even less is known from the perspective of older women. This hermeneutic phenomenological study, informed by Martin Heidegger and Max van Manen, describes what it is like for four older women to live with depression. Multiple interviews were conducted with the participants. Heidegger's philosophical concepts of Being-in-the-world and Being-with-others structured the analysis. Depression was found to have a significant effect on the participants' Being-in-the-world. The themes that emerged were: something is wrong; the search for reasons; self-loathing; being overwhelmed by the feelings; hiding from the world; loss of self; loss of meaning; the struggle of everyday life; and living circumspectly. Being-with-others was difficult for the participants and the themes that emerged were: maintaining relationships when well; Being-alone; misinterpreting self and other people; the stigma of mental illness – society and self; and seeking understanding from other people. The author suggests that the findings have implications for nurses and other health professionals. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
917 |
|
| Permanent link to this record |
