| Records |
| Author |
Hall, J. |
| Title |
Building trust to work with a grounded theory study of paediatric acute care nurses work |
Type |
|
| Year |
2004 |
Publication  |
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Abbreviated Journal |
Auckland University of Technology Library |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Nurse-family relations; Nurse-patient relations; Children; Paediatric nursing; Intensive care nursing |
| Abstract |
Grounded theory methodology has guided the grounded theory methods used to explore the acute care paediatric nurses' perspective of what they do when a child has had a severe accident. The research was initiated from the experience of nursing children in the context of a rehabilitation centre and wondering how acute care nurses promoted a child's recovery after a severe unintentional injury. Many avenues were used to search international and New Zealand literature but the scarcity of literature related to what acute care paediatric nurses do was evident. Nursing children in the acute care ward after a severe accident is complex. It encompasses nursing the family when they are experiencing a crisis. It is critical that the acute care nurse monitors and ensures the child's physiological needs are met, and the nurse “works with” the child to maintain and advance medical stability. Nursing interactions are an important part of “working with”, communication is the essence of nursing. This research has focussed on the nurses' social processes whilst caring for the physical needs of the child and interacting with the family and multidisciplinary team when appropriate. An effective working-relationship with a nurse and family is founded on trust. Grounded theory methods supported the process of exploring the social processes of “building trust” whilst “working with” families in a vulnerable position. Nurses rely on rapport to be invited into a family's space to “work with” and support the re-establishment of the parenting role. The “stepping in and out” of an effective working-relationship with a family is reliant on trust. Nurses build trust by spending time to “be with”, using chat to get to know each other, involving and supporting the family to parent a “different” child and reassuring and giving realistic hope to help the child and parents cope with their changed future. A substantive theory of the concept of “building trust to work with” has been developed using grounded theory methods. The theory has been conceptualised using the perspective of seven registered nurses working in paediatric acute care wards that admit children who have had a severe traumatic accident. |
| Call Number |
NRSNZNO @ research @ |
Serial |
597 |
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| Author |
Best, G.A. |
| Title |
Being pruned: Student nurses experience of being shaped in clinical practice by lecturers |
Type |
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| Year |
2004 |
Publication |
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Abbreviated Journal |
Auckland University of Technology Library |
| Volume |
|
Issue |
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Pages |
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| Keywords |
Students; Nursing; Education |
| Abstract |
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| Call Number |
NRSNZNO @ research @ |
Serial |
599 |
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| Author |
Murray, D.J. |
| Title |
The roles of nurses working with adolescents in Auckland secondary schools |
Type |
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| Year |
2004 |
Publication |
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Abbreviated Journal |
University of Auckland Library |
| Volume |
|
Issue |
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Pages |
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| Keywords |
Adolescents; Nurse-patient relations |
| Abstract |
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| Call Number |
NRSNZNO @ research @ |
Serial |
605 |
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| Author |
Shelah, G.E. |
| Title |
Enabling pedagogy: An enquiry into New Zealand students' experience of bioscience in pre-registration nursing education |
Type |
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| Year |
2003 |
Publication |
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Abbreviated Journal |
University of Auckland Library |
| Volume |
|
Issue |
|
Pages |
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| Keywords |
Teaching methods; Nursing; Education |
| Abstract |
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| Call Number |
NRSNZNO @ research @ |
Serial |
856 |
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| Author |
Stokes, G. |
| Title |
Who cares? Accountability for public safety in nurse education |
Type |
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| Year |
2005 |
Publication |
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Abbreviated Journal |
Online at Research Space @ Auckland University |
| Volume |
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Issue |
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Pages |
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| 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 |
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| Author |
Seton, K.M. |
| Title |
Diversity in action: Overseas nurses' perspectives on transition to nursing practice in New Zealand |
Type |
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| Year |
2004 |
Publication |
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Abbreviated Journal |
University of Auckland Library |
| Volume |
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Issue |
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Pages |
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| Keywords |
Nursing; Cross-cultural comparison; Education |
| Abstract |
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| Call Number |
NRSNZNO @ research @ |
Serial |
1110 |
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| Author |
Doughty, L. |
| Title |
Evaluation of the 2002 Auckland District Health Board: First year of clinical practice programme |
Type |
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| Year |
2004 |
Publication |
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Abbreviated Journal |
University of Auckland Library |
| Volume |
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Issue |
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Pages |
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| Keywords |
Clinical supervision; Nursing; Education |
| Abstract |
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| Call Number |
NRSNZNO @ research @ |
Serial |
1113 |
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| Author |
Williams, J.L. |
| Title |
The Cummins model: An adaption to assist foreign nursing students in New Zealand |
Type |
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| Year |
2003 |
Publication |
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Abbreviated Journal |
University of Auckland Library |
| Volume |
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Issue |
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Pages |
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| Keywords |
Nursing; Education; Students |
| Abstract |
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| Call Number |
NRSNZNO @ research @ |
Serial |
1114 |
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| Author |
Whitehead, N. |
| Title |
Quality and staffing: Is there a relationship in aged residential care |
Type |
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| Year |
2007 |
Publication |
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Abbreviated Journal |
University of Auckland Library |
| Volume |
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Issue |
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Pages |
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| Keywords |
Rest homes; Patient safety; Older people; Nursing specialties |
| Abstract |
This thesis reports a mixed methods study, longitudinal in nature, of consenting Age Related Residential Care (ARRC) hospitals in the upper half of the North Island, which was conducted to examine several factors, including AARC hospital efficiency at producing adverse event free days for residents. An interpretativist approach examined what best practice strategies were implemented by the ARRC hospitals that were identified to be most successful at producing adverse event free days for the residents. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1159 |
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| Author |
Dodd, J.E.L. |
| Title |
Nursing evaluation of the efficacy of analgesic delivery in post operative pain |
Type |
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| Year |
1986 |
Publication |
Australian Clinical Review |
Abbreviated Journal |
Auckland Hospital Library |
| Volume |
6 |
Issue |
23 |
Pages |
206-212 |
| Keywords |
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| Abstract |
The progress of 22 adult patients was recorded for three days post operatively. Pain was assessed at rest and on activity three times a day using visual analogues. Nausea levels were assessed similarly. All analgesics and anti emetics administered were recorded. There was a wide range of variation in the administration of medications and consequently a wide range of effectiveness. A significant proportion of patients showed unacceptably high levels of pain indicating under treatment. Patients and nurses had conflicting expectations of who should initiate the request for pain medication |
| Call Number |
NRSNZNO @ research @ 85 |
Serial |
85 |
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| Author |
Horsburgh, M. |
| Title |
Graduate nurses' adjustment to initial employment |
Type |
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| Year |
1987 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
University of Auckland, Auckland Institute of Te |
| Volume |
14 |
Issue |
|
Pages |
610-617 |
| Keywords |
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| Abstract |
An ethnographic study which attempts to understand what initial employment means to graduates from a comprehensive nursing course. The researcher participated in the first 3-4 months of the nurses' employment in general hospital settings. Five major themes emerge from the study indicating that the rhetoric practice of the school of nursing is different from the rhetoric and practice within general hospital settings. The reality of initial employment for the new graduated conflicts with the values and ideals of nursing promulgated by the comprehensive nursing course. The educational program stressed patient centred nursing, where nurses accepted responsibility for the continuing care of individuals. In contrast the hospital settings stress nursing as management of tasks across different patients. This conflict was a major source of frustration for the 'beginning' nurses. Ultimately they accept the reality of nursing as the management of tasks, but not without some personal cost. Orientation programs and the early employment period focus on 'fitting in to the system'. A significant determinant of the practice of new graduates are context effects such the time of their shift and the availability of experienced nurses. A number of management practices foster and maintain a beginning level of practice and new graduates have no opportunity to practice as autonomous nurses within a multi disciplinary health care team. Beginning practice is identified in new graduates through their difficulties in coping with unplanned or unexpected events. The initial employment period is dominated by shift work, resulting tiredness and adjustment to social activities.It is argued that management practices which support the ideals of comprehensive nursing courses and totally qualified nursing workforce have yet to occur. There are implications in this study for nursing education and nursing practice |
| Call Number |
NRSNZNO @ research @ 59 |
Serial |
59 |
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| Author |
Butler, A.M. |
| Title |
Towards a staffing formula: home visit rating scales for community health nurses |
Type |
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| Year |
1980 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
Auckland Hospital |
| Volume |
73 |
Issue |
9 |
Pages |
9-14 |
| Keywords |
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| Abstract |
Reports the development of a set of Rating scales which can be used to measure the Home visiting part of the workload of Community Health Nurses. The scales provide a useful tool for the equitable distribution of Home visits among existing staff and can assist in the assessment of the total workload of the Community Health Nurses |
| Call Number |
NRSNZNO @ research @ 138 |
Serial |
138 |
| Permanent link to this record |
