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Author Woods, M.
Title Parental resistance. Mobile and transitory discourses: A discursive analysis of parental resistance towards medical treatment for a seriously ill child Type
Year 2008 Publication (up) Abbreviated Journal NZNO Library
Volume Issue Pages
Keywords Nurse-family relations; Parents and caregivers; Pacific peoples; Communication; Children; Chronically ill
Abstract This qualitative thesis uses discourse analysis to examine parental resistance towards medical treatment of critically ill children. It is an investigation of the 'mobile and transitory' discourses at play in instances of resistance between parents, physicians and nurses within health care institutions, and an examination of the consequences of resistance through providing alternative ways of perceiving and therefore understanding these disagreements. The philosophical perspectives, methodology and methods used in this thesis are underpinned by selected ideas taken from the works of Michel Foucault and Pierre Bourdieu and supported by relevant literature in the fields of media, law, children, parenting, caring, serious childhood illness, medicine and nursing. It is argued that from an examination of interview based texts, parental resistance is an omnipresent but transitory occurrence that affects many of the interactions between the parents of seriously ill children and clinical staff. It is maintained that within these interactions, the seeds of this resistance are sown in both critical decision making situations and in everyday occurrences between doctors, nurses and parents within healthcare institutions. Contributing factors to parental resistance include the use of power games by staff, the language of medicine, forms of symbolic violence, the presence or absence of trust between parents and medical staff, the effects of medical habitus, and challenges to the parental role and identity. Overall, it is proposed in this thesis that parents who resist treatment for their seriously ill child are not exceptions to the normative patient-physician relationship.
Call Number NRSNZNO @ research @ Serial 1140
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Author Adams-Smith, P.H.
Title An exploration of issues of primary health services for Taranaki Te Atiawa children based on the expectations and perceptions of their female caregivers Type
Year 2002 Publication (up) Abbreviated Journal http://hdl.handle.net/10063/75
Volume Issue Pages
Keywords Parents and caregivers; Primary health care; Access; Maori; Children
Abstract The intention of this research is, through collaborative discussion and selective conversations, to explore female caregivers' expectations and perceptions of primary health services for some Te Atiawa Maori children. The research process was developed in a partnership between the Maori women participants and the researcher. In addition, two local kuia actively participated in and supported the process. Emancipatory critical social theory underpinned and informed the project. Power relationships between the researcher and the participants can be overtly explored within this theoretical framework. In terms of this particular exploratory study, participatory research appeared to be applicable. The participants are female caregivers of Te Atiawa children. Data collection was done using group interactions and semi-structured interviews in the winter of the year 2000. A thematic analysis of the data was used, in which common themes were identified, compared and discussed. From the analysis of the data of the participants' conversations, key ideas were identified. The major findings have been identified within two main themes. These are: a concept of health is not the same for Pakeha as for Maori, and access issues are still problematic for the participants in this study. Many quotes from the interview participants are included in order to keep the focus of the project on the voices of the women interviewed. In terms of the significant contribution of this research, this study aims to allow voices of female caregivers of Te Atiawa Maori children to be heard. Individual and collaborative interactions offer insights into what is important to them in terms of Maori child health. Clearly, the primary health initiatives promoted by the New Zealand government are not reaching at least some of the people for whom they are intended. The research participants offered their ideas as to how these deficits could be remedied in their community.
Call Number NRSNZNO @ research @ Serial 1216
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Author Mockford, A.
Title An exploratory descriptive study of the needs of parents after their young child is discharged from hospital following an admission with an acute illness Type
Year 2008 Publication (up) Abbreviated Journal ResearchArchive@Victoria
Volume Issue Pages
Keywords Parents and caregivers; Health knowledge; Children; Maori; Pacific peoples
Abstract This study investigated issues surrounding the high numbers of preventable admissions of young children with acute illnesses, particularly amongst Maori and Pacific children. It focuses on what happens once these children are discharged. Its aims were to find out what the expressed needs of parents were, as they cared for their child, once home. Whilst there has been a small amount of international research undertaken in this area, there is little known about expressed parent need in the New Zealand context. This exploratory descriptive study involved parents of under five year old children, who had been admitted to a hospital, with one of five acute illnesses. Eighteen parents were surveyed over the telephone. This study found the parents expressed a need for reassurance and advice once home, and that they worried about their child getting sick again. It highlighted gaps in discharge planning and support. None of the parents had received a written discharge plan for their child. Only five parents had received either a contact number for advice or a referral back to their primary care provider. This study found that whilst some parents considered their discharge needs had been met, others considered that they had not. Four local discharge practice opportunities to support these families were recommended, these included, providing parents and caregivers with an individualised written discharge plan, giving a contact number for advice after discharge, offering a follow-up phone call in the first 48 hours, and ensuring that all children have a referral back to their primary health care provider. Areas for further research were highlighted, including the need for a larger study to explore and compare the needs of rural and urban parents, and Maori and Pacific parents.
Call Number NRSNZNO @ research @ Serial 1232
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Author Rickard, Debbie
Title Parents as experts: partnership in the care of the chronically ill children : Margaret May Blackwell Travel Study, Fellowship for Nurses of Young Children, 1999 Type Report
Year 1999 Publication (up) Abbreviated Journal
Volume Issue Pages 65p.
Keywords Chronically ill children – home care; Child health services; Paediatric nursing; Community health nursing; Reports
Abstract Visits paediatric community nursing services in the UK and Australia to report on how specialist and children's community nurses work with parents to deliver health care to children with asthma, diabetes and other endocrine disorders, cystic fibrosis, eczema, cardiac diseases, and liver transplants. Part of the Margaret May Blackwell Scholarship Reports series.
Call Number NZNO @ research @ Serial 1414
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Author Wagener, Sally
Title The nursing management of the acutely ill child in communities without readily available specialist paediatric services Type Report
Year 1994 Publication (up) Abbreviated Journal
Volume Issue Pages 22 p.
Keywords Chronically ill children; Pediatric nursing -- Australia; Child health services -- Australia; Reports
Abstract Observes how acutely ill children in remote areas of Australia are managed in the absence of specialist paediatric nursing services. Visits remote nursing stations, rural hospitals, and the Royal Flying Doctor Service. Part of the Margaret May Blackwell Scholarship Reports series.
Call Number NZNO @ research @ Serial 1415
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Author Mockford, Andrea
Title The exploration of systems and technologies to enhance the healthcare of children under five Type Report
Year 2009 Publication (up) Abbreviated Journal
Volume Issue Pages 130p
Keywords Child health services; Children's hospitals; Family nursing; Reports
Abstract The well known premise that 'healthy children grow into healthy adults' should reinforce the need for us to engage with parents and caregivers to ensure that we support them with meeting their child's health care needs. This scholarship enabled the author to see what the UK, Sweden, the US, and Canada were doing to strengthen and support children under five and their families across the continuum of care. Part of the Margaret May Blackwell Scholarship Reports series.
Call Number NZNO @ research @ Serial 1422
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Author Moore, Justin
Title Breaking down barriers in child healthcare (0-5) years. Margaret May Blackwell Travelling Fellowship 2005 Type Report
Year 2005 Publication (up) Abbreviated Journal
Volume Issue Pages 29
Keywords Child health services; Children's Hospitals; Emergency Departments; Drugs; Reports
Abstract Travels to Australia, Canada, the US and the UK to investigate various methods of procedural sedation for 0-5-year-olds in paediatric Emergency Departments. Describes the types of sedation used and the recovery periods. Transcribes the interviews he conducted with Emergency Department staff in each country. Part of the Margaret May Blackwell Scholarship Reports series.
Call Number NZNO @ research @ Serial 1427
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Author Seldon, Lucy A
Title Non-pharmacological Methods in Relieving Children's Pain in Hospital: a pilot study Type Book Whole
Year 2017 Publication (up) Abbreviated Journal
Volume Issue Pages 72 p.
Keywords Non-pharmacological; Pain relief; Pain; Hospitals; Paediatric nurses; Children
Abstract Adapts the questionnaire used in three international studies of the utilisation of non-pharmacological methods of post-operative pain management for paediatric surgical patients, and distributes it to registered nurses working in a paediatric surgical ward in one district health board (DHB) hospital. Discusses the non-pharmacological methods used and how they correlate with international literature.
Call Number NZNO @ research @ Serial 1559
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Author Jones, Bernadette Doris
Title Achieving equitable asthma services for Maori Type Book Whole
Year 2017 Publication (up) Abbreviated Journal
Volume Issue Pages 1v
Keywords Asthma; Maori children; Primary healthcare; Kaupapa Maori; Maori health; Pou Ora; Maori-centred research
Abstract Undertakes a qualitative, phenomenological study to explore the experiences of practitioners delivering asthma services to tamariki Maori and their whanau in primary healthcare. Employs a kaupapa Maori methodology in order to provide a Maori perspective to the research. Uses an equity framework in the analysis and interpretation of the results, to ensure alignment with Maori values and aspirations. Interviews 15 doctors and nurses from Maori, mainstream and Very-Low-Cost-Access providers of asthma services. Presents the results using the Pou Ora framework with four main themes: Hauora, Toi Ora, Whanau Ora, and Mauri Ora.
Call Number NZNO @ research @ Serial 1585
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Author Deo, Lalesh
Title Parental needs and nursing response following SUFE Surgery; An interpretive descriptive study Type Book Whole
Year 2021 Publication (up) Abbreviated Journal
Volume Issue Pages 141 p.
Keywords Slipped Upper Femoral Epiphysis (SUFE); Parents and Caregivers; Child health; Maori children; Pacific children; Paediatric nurses
Abstract Examines the experiences of parents and nurses in caring for a child following invasive Slipped Upper Femoral Epiphysis (SUFE) repair. Conducts semi-structured interviews with parents of five children, predominantly Māori or Pacific, who underwent SUFE repair, and five paediatric nurses caring for the children and their families in the hospital ward. Offers two perspectives of the journey for these parents following such an injury, from the child's hospitalisation to caring for these children once they are home. Presents and contrasts these perspectives, revealing insights into the parents' ongoing need for support, information and planning for care, and nurses' efforts to meet these needs. Presents implications for nursing practice.
Call Number NZNO @ research @ Serial 1741
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Author Cavit, Larisa
Title Exploring factors that influence vaccination uptake for children with refugee backgrounds: An interpretive descriptive study of primary healthcare providers' perspectives Type Book Whole
Year 2021 Publication (up) Abbreviated Journal
Volume Issue Pages 160 p.
Keywords Immunisation; Refugee children; Primary health care; Practice nurses
Abstract Examines those factors associated with access to, and uptake of immunisation services. Conducts semi-structured interviews with primary healthcare nurses and GPs across seven resettlement locations. Proposes strategies to improve age-appropriate vaccination among refugee children after resettlement in NZ, based on five themes from the data: resettlement priorities; knowledge about refugees; learning to use the health system; communication between caregivers and health providers; culturally and linguistically appropriate services.
Call Number NZNO @ research @ Serial 1757
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Author Tipa, Zoe Kristen
Title Family Partnership as a model for cultural responsiveness in a well child context Type Book Whole
Year 2013 Publication (up) Abbreviated Journal
Volume Issue Pages 149 p.
Keywords Family partnership model; Communication; Cultural competence; Plunket nurses; Community nursing; Maori children
Abstract Examines whether the Family Partnership model could be considered a model for cultural responsiveness while simultaneously providing a platform for more accurate assessment of the cultural competence of Plunket nurse practice. Determines the relationship between Family Partnership training for Plunket nurses and Maori child health outcomes. Distributes an online survey to Plunket nurses who had completed the training and to a group who had not. Conducts 10 observations and interviews with Plunket nurses and Maori clients. Presents the findings in three areas: Plunket nurse practice, client experience, and the impact of Family Partnership training on Plunket as an organisation.
Call Number NZNO @ research @ Serial 1782
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Author Wilson, D.; McBride-Henry, K.; Huntington, A.D.
Title Family violence: Walking the tight rope between maternal alienation and child safety Type Journal Article
Year 2005 Publication (up) Contemporary Nurse Abbreviated Journal
Volume 18 Issue 1-2 Pages 85-96
Keywords Nursing; Domestic violence; Nurse-patient relations; Children
Abstract This paper discusses the complexity of family violence for nurses negotiating the 'tight rope' between the prime concern for the safety of children and further contributing to maternal alienation, within a New Zealand context. The premise that restoration of the mother-child relationship is paramount for the long-term wellbeing of both the children and the mother provides the basis for discussing implications for nursing practice. Evidence shows that when mothers are supported and have the necessary resources there is a reduction in the violence and abuse she and her children experience; this occurs even in situations where the mother is the primary abuser of her children. The family-centred care philosophy, which is widely accepted as the best approach to nursing care for children and their families, creates tension for nurses caring for children who are the victims of abuse as this care generally occurs away from the context of the family.
Call Number NRSNZNO @ research @ Serial 698
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Author McKey, A.; Huntington, A.D.
Title Obesity in pre-school children: Issues and challenges for community based child health nurses Type Journal Article
Year 2004 Publication (up) Contemporary Nurse Abbreviated Journal
Volume 18 Issue 1-2 Pages 145-151
Keywords Obesity; Children; Community health nursing; Parents and caregivers
Abstract In this paper, literature related to childhood obesity in New Zealand and internationally is explored to identify current issues, and the implications for nurses in community based child health practice are discussed. Themes that emerged from the literature relate to the measurement of obesity, links between childhood and adult obesity and issues for families. Studies that investigated maternal perceptions of childhood obesity found that mothers identified their child as being overweight or obese only when it imposed limitations on physical activity or when the children were teased rather than by referring to individual growth graphs. The implications for nursing in the area of child health practice are discussed. Understanding of the complex and emotive issues surrounding childhood obesity is required when devising health promotion strategies.
Call Number NRSNZNO @ research @ Serial 946
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Author Strickland, A.
Title Nurse-initiated retinoblastoma service in New Zealand Type Journal Article
Year 2006 Publication (up) Insight: The Journal of the American Society of Ophthalmic Registered Nurses Abbreviated Journal
Volume 31 Issue 1 Pages 8-10
Keywords Case studies; Nursing specialties; Children; Quality of health care; Evaluation
Abstract This article describes the implementation of a nurse-led, dedicated support network and service for children with a diagnosis of retinoblastoma and their families. Nurses with an interest in retinoblastoma at an Auckland Ophthalmology Department realised that the service provided was not meeting the needs of patients and families, particularly since the numbers had increased over the past two years. This article outlines the development of a cost-effective approach that improved the service.
Call Number NRSNZNO @ research @ Serial 884
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