| |
Records |
Links |
|
Author |
James, G.G. |
|
| |
Title |
Woven threads: A case study of chemotherapy nursing practice in a rural New Zealand setting |
Type |
|
| |
Year |
2008 |
Publication |
|
Abbreviated Journal |
ResearchArchive@Victoria |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Case studies; Rural health services; Nursing specialties; Cancer; Oncology |
|
| |
Abstract |
This descriptive case study was undertaken to provide an account of chemotherapy practice in a nurse-led clinic located within a rural New Zealand area. The researcher, an oncology nurse specialist, worked alongside colleagues for thirteen months to enable practice development. This clinic developed out of a need to have services closer to rural patients in order to address issues of equity, access, care integration and the fiscal and social constraints associated with the cancer burden of care. Capturing the range of data applicable to this case; the ability to conceptualise it as a service within its context was possible using case study research methods. Four nurses involved in the chemotherapy clinic were participants in this study. The findings of this study reveal that what could be perceived as barriers to outcomes and practice can in essence be turned into opportunities to develop new ways of caring for the patient and supporting nursing practice. These nurses view their practice as safe within the clinic despite resource constraints. They work in many ways to support each other and to cushion the patient from the impact of situational and contextual influences. Nursing practice was shown to evolve as a direct result of internal and external influences which were the impetus for nurses taking responsibility for their own competency. This study also explored what it meant to be an experienced nurse but novice in a speciality practice. It challenges previously held assumptions that, to deliver chemotherapy successfully, a nurse needs to be operating from a previously held body of oncology nursing knowledge. Many challenges are faced on a day to day basis in a rural practice environment to just maintain consistent care and promote good patient outcomes. The nurses are well aware of their role in contributing to patients' quality of life and the roles they take to meet the growing needs of the patient as a consumer. This study delves into the multifarious nature of this nurse-led clinic and discusses the processes and relationships that are forged to deliver care. |
|
| |
Call Number  |
NRSNZNO @ research @ |
Serial |
1166 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Booher, J. |
|
| |
Title |
Care of the patient following coronary artery grafts |
Type |
Journal Article |
| |
Year |
2003 |
Publication |
Vision: A Journal of Nursing |
Abbreviated Journal |
Available online from the Eastern Institute of Technology website |
|
| |
Volume |
10 |
Issue |
16 |
Pages |
15-18 |
|
| |
Keywords |
Surgery; Nursing; Case studies; Oncology; Cancer |
|
| |
Abstract |
This case study outlines the care of Mr. M, a sixty-six year old ventilated patient admitted to an Intensive Care Unit for management following coronary artery grafts. Mr. M's health history and risk factors are explored, in particular how they contributed to his presentation. Mr. M's post operative problems are identified and the rationale for his management is discussed with emphasis on the nursing care provided. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1298 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Ellis, T. |
|
| |
Title |
A multidimensional approach to caring for a patient with breast cancer: A case study |
Type |
Journal Article |
| |
Year |
2003 |
Publication |
Vision: A Journal of Nursing |
Abbreviated Journal |
Available online from Eastern Institute of Technology |
|
| |
Volume |
11 |
Issue |
17 |
Pages |
15-19 |
|
| |
Keywords |
Case studies; Breast cancer; Nursing; Cancer; Oncology |
|
| |
Abstract |
This story follows the nursing care of a woman in her mid forties, diagnosed with breast cancer. The case study follows her from the diagnosis and decision to undergo a mastectomy, and the requirements of nursing care through that process. It discusses the emotional and physical preparation necessary for surgery, perioperative care, multidisciplinary care, and issues around body image post-mastectomy. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1301 |
|
| Permanent link to this record |
