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Author Bolitho, S.; Huntington, A.D.
Title Experiences of Maori families accessing health care for their unwell children: A pilot study Type Journal Article
Year 2006 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 22 Issue 1 Pages 23-32
Keywords Maori; Qualiltative research; Access; Children; Parents and caregivers
Abstract The aim of this study was to explore with a small number of Maori families their experiences of accessing health care when their children were unwell with a respiratory condition. A qualitative research methodology was used in the study. Participating families were among those experiencing an admission to a children's ward between July and December 2003. Four families were interviewed. They discussed in depth their experience of accessing health care for their unwell children. Data were analysed using thematic analysis, and three common themes were evident: family resources, choice of health service provider and parents' feelings of vulnerability. The findings highlight that while socio-economic status plays a large part in determining the ease with which families can access the needed health care, there are other barriers within the health system which also pose difficulties for Maori.
Call Number (down) NRSNZNO @ research @ 535 Serial 521
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Author Marcinkowski, K.; McDonald, B.
Title Changing blood transfusion practice in elective joint arthroplasty: A nursing initiative Type Journal Article
Year 2006 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 22 Issue 3 Pages 15-21
Keywords Surgery; Hospitals; Economics
Abstract This study analysed the use of re-infusion drains on 99 consecutive patients undergoing total knee arthroplasty surgery at a large hospital. The primary aim was to ascertain the cost effectiveness of the drains. Secondary aims were to assess safety of the drains, whether or not they reduced the need for allogeneic blood transfusion and whether they decreased the length of stay in hospital. As a control group the records of 99 patients treated without re-infusion were analysed retrospectively. The direct cost of consumables increased for the evaluation period. There was a smaller proportion of allogeneic blood transfusion (27% vs 38%) and a smaller mean number of units transfused (0.92 vs 0.54) in the re-infusion group compared to the control group. Patients benefited directly in that the mean length of stay was also significantly shorter in the re-infusion group. The researchers anticipate more direct cost saving with experience and best practice and conclude that the use of re-infusion drains is a cost effective blood saving method in total knee joint arthroplasty.
Call Number (down) NRSNZNO @ research @ 533 Serial 519
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Author Rodgers, V.; Neville, S.J.
Title Personal autonomy for older people living in residential care: An overview Type Journal Article
Year 2007 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 23 Issue 1 Pages 29-36
Keywords Geriatric nursing; Older people; Rest homes
Abstract This article looks at the concept of autonomy particularly in relation to the population of older persons living in residential care settings. It examines the values underpinning the exercise of personal autonomy and notes how individual autonomy may be enhanced or restricted. The implications for gerontological nursing practice are outlined and suggestions offered as to how personal autonomy for older persons living in residential care may be preserved and promoted.
Call Number (down) NRSNZNO @ research @ 529 Serial 515
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Author Carryer, J.B.; Russell, L.
Title Nurses' understandings of the Professional Development Recognition Programme Type Journal Article
Year 2007 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 23 Issue 2 Pages 5-13
Keywords Professional development; Professional competence
Abstract Professional Development and Recognition Programmes (PDRP) for nurses have developed out of the Clinical Career Pathways (CCP) of the 1990s. The Health Practitioners Competence Assurance Act (2003) has now required all health professionals to provide evidence that their practice meets criteria set by the individual regulatory body, which, for nursing, is the Nursing Council of New Zealand. In 2002 a tool was developed to measure knowledge and attitudes of the then CCP which was tested with 239 nurses. This paper is a report on the second application of the tool in the same hospital in New Zealand. Results show that knowledge and attitudes of the PDRP are similar to those found in the previous study. It also suggests that greater understanding of the PDRP and the implementation process increases the likelihood of a positive response to the programme.
Call Number (down) NRSNZNO @ research @ 476 Serial 463
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Author Spence, D.; Smythe, E.
Title Courage as integral to advancing nursing practice Type Journal Article
Year 2007 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 23 Issue 2 Pages 43-55
Keywords Ethics; Advanced nursing practice
Abstract This paper focuses on the illumination of courage in nursing. The authors suggest it is a fundamental component of nursing, yet it is seldom mentioned or recognised in the literature, or supported in practice. Data from a hermeneutic analysis of nurses' practice stories is integrated with literature to assist deeper understanding of the meaning of courage in contemporary nursing practice. The purpose is to make visible a phenomenon that needs to be actively fostered if nursing is to effectively contribute to an improved health service.
Call Number (down) NRSNZNO @ research @ 470 Serial 456
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Author Wood, P.J.; Schwass, M.
Title Cultural safety: a framework for changing attitudes Type Journal Article
Year 1993 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 8 Issue 1 Pages 4-14
Keywords
Abstract
Call Number (down) NRSNZNO @ research @ 441 Serial 441
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Author Ramsden, I.
Title Kawa Whakaruruhau: cultural safety in nursing education in Aotearoa (New Zealand) Type
Year 1991 Publication Nursing Praxis in New Zealand Abbreviated Journal Libraries A2 -
Volume 8 Issue 3 Pages 4-10
Keywords
Abstract
Call Number (down) NRSNZNO @ research @ 440 Serial 440
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Author Holloway, K. T.
Title Developing evidence based in clinical teaching (contexually modified replication study) Type
Year 1998 Publication Nursing Praxis in New Zealand Abbreviated Journal Whitireia Community Polytechnic, Porirua
Volume 14 Issue 1 Pages 22-32
Keywords
Abstract There is concern over the standards of nursing practice skill acquisition in undergraduate programs. One of the issues relevant to this is which of the multitude of nursing practice skills to include in an undergraduate program. Previous research by Alavi, Loh and Reilly (1991) has been modified and used in clinical settings in the New Zealand context in order to address this concern. Competency level of the most important skills identified by clinicians was also sought in order to aid development of a skill curriculum for Whitireia Community Polytechnic. There is a strong theoretical support for the preparation of student nurses in skills laboratories prior to clinical learning experience in order to maximise learning. Further directions for study are covered with discussion of the implications for teaching from the research findings
Call Number (down) NRSNZNO @ research @ 377 Serial 377
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Author Turia, D.
Title Women's knowledge sources and management decisions Type
Year 1999 Publication Nursing Praxis in New Zealand Abbreviated Journal Massey University Library, Whitirea Community Poly
Volume 14 Issue 1 Pages 53
Keywords
Abstract It is evident from the prevalence of items in the popular press and incased research by health professional that, over the last two decades, menopause as been discussed more openly. However, medical information is still largely oriented toward menopause as a disease with emphasis on the pharmacological interventions needed to correct the disease. Literature in medical and nursing journals is also predominantly oriented towards menopause as a state of oestrogen, nurse researchers and feminists writers are challenging this viewsThe aim of the research was to discover how women gain knowledge about menopause, and how they make decisions about “managing” their menopause. In the study knowledge was defined as being more than information. It is seen as being more than information. It is seen as understanding derived from synthesis of data about menopause collected from various sources. Eleven women aged 46-55 recruited through a letter in the researcher's local newspaper, were interviewed. The resulting data was analysed by the constant comparison method as used in grounded theory.A descriptive model was developed including the basic social process of “integrating menopause into midlife”. A tertiary level of education and good social support were found to be associated with the women being seekers of knowledge about their menopause. These women, the majority of the participants, revealed themselves as being self-controlling with respect to their menopause. Among the few who had allowed their menopause to be managed by others, if they experienced adverse effects of the treatment, then there was a move toward greater self management.,Generally, nurses were not seen by the participants as possible sources of information. That finding highlights menopause as an area of health education in which nurses have the potential to play a more active role
Call Number (down) NRSNZNO @ research @ 376 Serial 376
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Author 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 (down) NRSNZNO @ research @ 371 Serial 371
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Author 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 (down) NRSNZNO @ research @ 366 Serial 366
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Author Hollows, K.
Title The lived experience of registered nurses involved in the withdrawal of nutrition and hydration in a persistant vegetative state (PVS) patient Type Journal Article
Year 1995 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 10 Issue 1 Pages 28-37
Keywords
Abstract The purpose of this phenomenological study was to describe the experience of five Registered Nurses involved in the withdrawal of nutrition and hydration in a persistant vegetative state (PVS) patient. Three female and two male nurses who had been involved in the care of a PVS patient within the last ten years were interviewed. The phenomenological design was used because it provided richness and clarity to the issues raised. Three major findings were identified as positive significant experiences for these nurses: support through 'talking': coping through 'thinking': and, decision making being kept 'in-house' (family and central care giving team)"
Call Number (down) NRSNZNO @ research @ 364 Serial 364
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Author Novak, L.
Title Post-operative pain and coping strategies Type Journal Article
Year 1988 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 4 Issue 1 Pages 25-27
Keywords
Abstract Post-operative pain is often managed by nurses administering prescribed analgesia four hourly. In contrast to previous studies, the present study is focused on the person experiencing the pain. Five women who were undergoing abdominal hysterectomy agreed to participate in an exploratory study that looked at their pain experience and the coping strategies used
Call Number (down) NRSNZNO @ research @ 354 Serial 354
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Author Pearson, J.R.
Title An exploration of empowerment and the conditions that empower students in a nursing education context Type
Year 1996 Publication Nursing Praxis in New Zealand Abbreviated Journal Victoria University, Whitireia Community Polytechn
Volume 13 Issue 3 Pages 45-55
Keywords
Abstract At Whitireira Community Polytechnic the curriculum philosophy for the Bachelor of Nursing Degree Programme is based on the Treaty of Waitangi, which provides a framework to articulate the concepts of Partnership, Governorship, Advocacy and Empowerment. This paper will describes a research study that aimed to explore the phenomenon of empowerment from the perspective of the student nurse.Using grounded theory methodology, emancipatory and feminist philosophies. Six year Two nursing participants were interviewed and asked to define the term empowerment and give exemplers of moments when they had been empowered in a teaching/learning context. Analysis of data led to the discovery of a theory and development of a theoretical model that described the conditions and consequences that led to empowerment or disempowerment for the student.The theoretical model will be presented and explained, and the conditions that enhanced empowerment will be explored. Recommendations from the research included the need for relevant preparation for students prior to clinical placement, preparation of clinicians through preceptor pregrammes, greater awareness by registered nurses of the communication that is effective in supporting student nurses and support for assisted reflection for students following clinical placements. It was further recommended that the theoretical model be tasted in other contexts
Call Number (down) NRSNZNO @ research @ 351 Serial 351
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Author van Wissen, K.A.; Siebers, R.W.L.
Title Nurses' attitudes and concerns pertaining to HIV and AIDS Type Journal Article
Year 1993 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 8 Issue 1 Pages 40-42
Keywords
Abstract A pilot study was conducted to identify nurses' attitudes and concerns pertaining to the care of people with human immunodeficiency virus (HIV) and acquired immune deficiency syndrome (AIDS). Data was collected using an anonymous voluntary questionnaire , which was made available to all nurses at a Wellington area Health Board (New Zealand) hospital. Of 652 nursing staff, 286 (51%) responded, of which 74 (25.9%) had previously attended an HIV/AIDS workshop for Area Health Board staff. Of those staff handling blood, 132 (49.4%) always wore gloves, and only half of the respondents (n=148.51%) treated all body fluids as potentially HIV positive. The possible attrition rate from nursing positions in the canvassed hospital ws 2.8%, with a further 43 (15.0%) undecided about resigning from their post. Only 36 nurses (12.5%) believed the employer did not provide adequate safety measures. The provision of education regarding HIV/AIDS, by the employer, ws considered inadequate by 61 (21.3%) respondents. This study demonstrates that further safety and education needs should be attended to or reinforced
Call Number (down) NRSNZNO @ research @ 344 Serial 344
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