| |
Records |
Links |
|
Author |
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 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Murphy, R. |
|
| |
Title |
A day in the life of an acute hospital psychiatric nurse |
Type |
Journal Article |
| |
Year |
2005 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
11 |
Issue |
9 |
Pages |
24-25 |
|
| |
Keywords |
Nursing; Psychiatric Nursing; Interprofessional relations; Mental health; Multidisciplinary care teams |
|
| |
Abstract |
A nurse presents a personal account of a typical day at Middlemore Hospital's 50-bed acute inpatient mental health unit Tiaho Mai. The article covers aspects of shift handover, working with multidisciplinary teams, developing care plans, working with families, and responding to emergencies. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
957 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Richardson, S. |
|
| |
Title |
Coping with outbreaks of the norovirus |
Type |
Journal Article |
| |
Year |
2005 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
11 |
Issue |
7 |
Pages |
|
|
| |
Keywords |
Infection control; Risk management; Occupational health and safety; Hospitals |
|
| |
Abstract |
The author presents an overview of the impact and management of novovirus infections in New Zealand. The impact of this highly contagious virus on hospital settings is serious. With staff shortages already a problem, any outbreak of contagious disease has the potential to result in unsafe staffing, either through low numbers or poor skill mix. A report from New Zealand Environmental Science and Research (ESR) showed 35 reported norovirus outbreaks in New Zealand in the first quarter of 2004, resulting in 890 cases of the disease. Norovirus outbreaks are characterised by a rapid spread of infection, high uptake rate, and a high proportion of cases presenting with projectile vomiting. The author provides a definition of the novovirus, and looks at transmission, the management of hospital outbreaks, and the impact on emergency departments and hospital wards. Procedures include in-patient isolation. She notes there are no simple answers or “quick fixes” to the problem of norovirus outbreaks. While ongoing surveillance, recognition and isolation are key elements, there are wider structural and political implications that need to be acknowledged. These issues include overcrowding and staff shortages. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
981 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
McCloskey, B.A.; Diers, D. |
|
| |
Title |
Effects of New Zealand's health reengineering on nursing and patient outcomes |
Type |
Journal Article |
| |
Year |
2005 |
Publication |
Medical Care |
Abbreviated Journal |
|
|
| |
Volume |
43 |
Issue |
11 |
Pages |
1140-1146 |
|
| |
Keywords |
Patient safety; Organisational change; Nursing; Hospitals |
|
| |
Abstract |
This study sought to examine the effects that hospital re-engineering may have on adverse patient outcomes and the nursing workforce. In 1993, New Zealand implemented policies aimed at controlling costs in the country's public health care system through market competition, generic management, and managerialism. The study was a retrospective, longitudinal analysis of administrative data. Relationships between adverse outcome rates and nursing workforce characteristics were examined using autoregression analysis. All medical and surgical discharges from New Zealand's public hospitals (n=3.3 million inpatient discharges) from 1989 through 2000 and survey data from the corresponding nursing workforce (n=65,221 nurse responses) from 1993 through 2000 were examined. Measures included the frequency of 11 nurse sensitive patient outcomes, average length of stay, and mortality along with the number of nursing full time equivalents (FTEs), hours worked, and skill mix. After 1993, nursing FTEs and hours decreased 36% and skill mix increased 18%. Average length of stay decreased approximately 20%. Adverse clinical outcome rates increased substantially. Mortality decreased among medical patients and remained stable among surgical patients. The relationship between changes in nursing and adverse outcomes rates over time were consistently statistically significant. The authors conclude that in the chaotic environment created by re-engineering policy, patient care quality declined as nursing FTEs and hours decreased. The study provides insight into the role organisational change plays in patient outcomes, the unintended consequences of health care re-engineering and market approaches in health care, and nursing's unique contribution to quality of care. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1052 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Gasquoine, S.E. |
|
| |
Title |
Mothering a hospitalized child: It's the 'little things' that matter |
Type |
Journal Article |
| |
Year |
2005 |
Publication |
Journal of Child Health Care |
Abbreviated Journal |
coda, An Institutional Repository for the New Zealand ITP Sector |
|
| |
Volume |
9 |
Issue |
3 |
Pages |
186-195 |
|
| |
Keywords |
Nurse-family relations; Parents and caregivers; Paediatric nursing; Children |
|
| |
Abstract |
This article reports one aspect of a phenomenological study that described the lived experience of mothering a child hospitalised with acute illness or injury. The significance for mothers that nurses do the 'little things' emerged in considering the implications of this study's findings for nurses in practice. Seven mothers whose child had been hospitalised in the 12 months prior to the first interview agreed to share their stories. The resulting data were analysed and interpreted using van Manen's interpretation of phenomenology. This description of mothering in a context of crisis is useful in the potential contribution it makes to nurses' understanding of mothers' experience of the hospitalisation of their children. It supports the philosophy of family-centred care and highlights the ability of individual nurses to make a positive difference to a very stressful experience by acknowledging and doing 'little things', because it is the little things that matter to the mothers of children in hospital. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1053 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Gallagher, P. |
|
| |
Title |
Rethinking the gap: Investigating the theory-practice relationship in nursing |
Type |
|
| |
Year |
2005 |
Publication |
|
Abbreviated Journal |
Coda |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Nursing; Education; Nursing models; Nursing philosophy |
|
| |
Abstract |
A Grounded Theory approach was taken to explore the concept of the gap between theory and practice, whereby they are seen to be discrete entitites. For this study, the first phase of data collection was a series of computer mediated group discussions, and the second a number of individual interviews. In both sets of interviews participants were asked to describe how they experienced and managed differences they perceived between theory and practice in nursing. The participants referred to different types of theory relevant and central to effective nursing practice. The first was private theory; the second was formal theory and third was situational theory. For the students it was a conflict that produced uncomfortable emotions, distrust of others and personal self doubt. In an effort to reduce this discomfort the students sought an explanation for the differences between theory and practice, some of which challenged their key personal values. However, the most emotionally neutral explanation that also preserved the integrity of their key values was that there was a gap between the theory and the practice of nursing. The theory Negotiating Different Experiences has implications for the education of nurses in that personal knowledge and experiences must be incorporated in a programme of study and the feelings evoked by learning must be acknowledged as a catalyst to enhance learning. Further, the different forms of theory to which students will be exposed must be made explicit and nursing educators who must involve the individual student as an active partner in the mapping of a personalised programme, which includes the creation of individual assessment methods. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1104 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Stokes, G. |
|
| |
Title |
Who cares? Accountability for public safety in nurse education |
Type |
|
| |
Year |
2005 |
Publication |
|
Abbreviated Journal |
Online at Research Space @ Auckland University |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Nursing; Education; Accountability; Patient safety |
|
| |
Abstract |
The focus of this study is the management of unsafe nursing students within the tertiary education context. The moral dilemmas experienced by nurse educators, specifically linked to the issue of accountability for public safety, are explored. The theoretical framework for the thesis is informed by the two moral voices of justice and care identified by Gilligan and further developed using the work of Hekman and Lyotard. Case study methodology was used and data were collected from three schools of nursing and their respective educational organisations. Interviews were conducted with nurse educators and education administrators who had managed unsafe nursing students. Interviews were also conducted with representatives from the Nursing Council of New Zealand and the New Zealand Nurses Organisation to gain professional perspectives regarding public safety, nurse education and unsafe students. Transcripts were analysed using the strategies of categorical aggregation and direct interpretation. Issues identified in each of the three case studies were examined using philosophical and theoretical analyses. This thesis explores how students come to be identified as unsafe and the challenges this posed within three educational contexts. The justice and care moral voices of nurse educators and administrators and the ways in which these produced different ways of caring are made visible. Different competing and conflicting discourses of nursing and education are revealed, including the discourse of safety – one of the language games of nursing. The way in which participants positioned themselves and positioned others within these discourses are identified. Overall, education administrators considered accountability for public safety to be a specific professional, nursing responsibility and not a concern of education per se. This thesis provides an account of how nurse educators attempted to make the educational world safe for patients, students, and themselves. Participants experienced different tensions and moral dilemmas in the management of unsafe students, depending upon the moral language games they employed and the dominant discourse of the educational organisation. Nurse educators were expected to use the discourses of education to make their case and manage unsafe students. However, the discourses of nursing and education were found to be incommensurable and so the moral dilemmas experienced by nurse educators were detected as differends. This study bears witness to these differends. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1106 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Cobham, J. |
|
| |
Title |
Why do nurses stay in nursing? A test of social identity, equity sensitivity and expectancy theory |
Type |
|
| |
Year |
2005 |
Publication |
|
Abbreviated Journal |
|
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Nursing; Recruitment and retention; Identity |
|
| |
Abstract |
|
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1107 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Holloway, K. T.; Pearson, J.R. |
|
| |
Title |
Trailblazers: Primary health care programme evaluation |
Type |
Conference Article |
| |
Year |
2005 |
Publication |
|
Abbreviated Journal |
coda, An Institutional Repository for the New Zealand ITP Sector |
|
| |
Volume |
Paper presented June 2004 at Royal New Zealand Plu |
Issue |
|
Pages |
|
|
| |
Keywords |
New graduate nurses; Primary health care; Evaluation research; Professional development |
|
| |
Abstract |
This report is an evaluation of the academic journey undertaken by a group of newly graduated nurses who were sponsored by a New Zealand district health board to work in a variety of primary health care nursing settings. The impetus for this pilot employment option was the Ministry of Health's focus on primary health care nursing and workforce development for this sector and the Expert Advisory Committee for primary health care nursing's recommendations to district health boards regarding employment of graduate nurses and support for them to engage in post graduate study. Evaluation participants were primarily the graduate nurses who were interviewed at the end of their first year of practice which was following programme completion then again nine to ten months later. Findings include the nurses reflections on what supported them and what acted to impede as barriers to their learning success and practice development. The report concludes with five recommendations that can be used to ensure that the travels of future newly graduated nurses taking this pathway are supported, safe and successful. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1200 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Rudd, J. |
|
| |
Title |
From triage to treatment: An exploration of patient flow systems in emergency departments |
Type |
|
| |
Year |
2005 |
Publication |
|
Abbreviated Journal |
ResearchArchive@Victoria |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Emergency nursing; Hospitals; Risk management; Patient safety |
|
| |
Abstract |
To find an effective approach to managing or reducing waiting times for lower triage category patients processed through one particular metropolitan emergency department, an extensive search of the literature revealed several different patient flow processes. These approaches are discussed, in relation to suitability for the particular emergency department. The history of triage, including how and why it evolved, plus the realities of triage today are explored. Included are case examples of two patients on a journey through the department the way it is presently, and how it could be if particular approaches are introduced. Extending nursing practice by introducing nurse-initiated x-rays at triage and the introduction of a separate stream for minor category patients in a dedicated ambulatory care area is one approach that could improve waiting times for these patients. There would be the added advantage of improving triage compliance figures for category three patients. The additional costs involved in such a process could be offset by improved efficiency in terms of waiting times, improved triage compliance figures, happier patients and clinical staff, and an emptier waiting room. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1209 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
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 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Lewis, T. |
|
| |
Title |
Euthanasia: A Foucauldian analysis |
Type |
|
| |
Year |
2005 |
Publication |
|
Abbreviated Journal |
ScholarlyCommons@AUT |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Law and legislation; Euthanasia; Ethics; Pain management; Terminal care; Nursing; Palliative care |
|
| |
Abstract |
This study drew upon the theoretical insights of Michel Foucault to provide a discursive analysis of the term euthanasia, and the issues surrounding the “right-to-die”. It involved an analysis of primary texts from; nursing, general, and legal literature as well as the media between the years 2002-2004. Drawing upon data researched, the study analyses the main discourses regarding the practice of euthanasia for terminally ill individuals. The two competing discourses that emerged were what the author termed the sanctity-of life-discourse and the right-to-die discourse. The aim of the study was to uncover the discourses understanding of “truth” regarding the right-to-die. The analysis revealed that a small percentage of cancer sufferers (5%) die with their pain insufficiently treated and the right-to-die discourse claims that no individual should have to suffer needlessly, asserting the individuals right to autonomy. Directly opposing this is the sanctity-of life-discourse which states all life is sacred and nothing can justify euthanasia as an acceptable practice in society. These findings indicate the need for effective palliative care and pain management when caring for the terminally ill individual. The legal, ethical and moral implications of euthanasia are many and this study discusses the effects these may have on health professionals involved with the care of terminally ill patients. The study revealed an increasing deployment of the right-to-die discourse in the media and revealed concerns regarding the nursing profession's lack of preparation to deal with euthanasia if it becomes a legal option in end of life care. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1226 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
MacDonald, R. |
|
| |
Title |
Mammography screening for breast cancer: Does it reduce the mortality rate? |
Type |
Journal Article |
| |
Year |
2005 |
Publication |
Vision: A Journal of Nursing |
Abbreviated Journal |
Available online from Eastern Institute of Technology |
|
| |
Volume |
|
Issue |
|
Pages |
8-12 |
|
| |
Keywords |
Breast cancer; Screening; Risk management; Health education; Cancer |
|
| |
Abstract |
This paper critically examines the literature on mammography as a breast cancer screening modality. It looks at what the New Zealand consumer is being told about the scientific uncertainties about the effectiveness of mammography and the substantial risks involved with it. This literature review raises concerns about the lack of information available for healthy women to make a fully informed decision about mammography screening. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1304 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Scrymgeour, G. |
|
| |
Title |
Using diagnostic reasoning in nursing practice: Ectopic pregnancy: A case study approach |
Type |
Journal Article |
| |
Year |
2005 |
Publication |
Vision: A Journal of Nursing |
Abbreviated Journal |
Available online at Eastern Institute of Technology |
|
| |
Volume |
13 |
Issue |
1 |
Pages |
13-17 |
|
| |
Keywords |
Nursing; Pregnancy; Clinical assessment |
|
| |
Abstract |
This paper explores, through the use of a case study, an evidence-based diagnostic reasoning process utilising the framework followed by Dains, Baumann and Scheibel (1998). This framework, as described by these authors, involves an inductive process of reasoning, which leads to formulation of a hypothesis that is then analysed using an evidence-based approach. From this analysis, a likely diagnosis can be made and appropriate therapeutic intervention initiated. This research demonstrates that although an evidence-based approach is the ideal, sometimes clinical intuition is equally important to the clinical outcome. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1305 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Richardson, M.; Vernon, R.A.; Jacobs, S. |
|
| |
Title |
Implementing health assessment into the undergraduate nursing curriculum |
Type |
Journal Article |
| |
Year |
2005 |
Publication |
Vision: A Journal of Nursing |
Abbreviated Journal |
Available online from Eastern Institute of Technology |
|
| |
Volume |
13 |
Issue |
1 |
Pages |
18-21 |
|
| |
Keywords |
Nursing; Education; Curriculum |
|
| |
Abstract |
This article explores historical, philosophical and theoretical perspectives of health assessment, and discusses one institution's experiences developing and implementing undergraduate health assessment courses. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1306 |
|
| Permanent link to this record |
