Crogan, P. A. (2010). Nurses' perceptions of their role in quality improvement change. Master's thesis, University of Auckland, Auckland.
Abstract: Explores how nurses perceive quality improvement (QI) change, determines what is needed for nursing to further contribute to QI change and identifies the potential disconnect between the two. Undertakes a sequential, mixed-methods approach, using a questionnaire followed by a focus group representing 10 per cent of RNs at Middlemore Hospital.
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Stodart, J. (2017). Infection prevention and control clinical governance in New Zealand District Health Boards. Master's thesis, University of Otago, Dunedin.
Abstract: Explores the current climate of infection prevention control (IPC) clinical governance in NZ. Audits IPC management plans in NZ District Health Boards (DHB) to evaluate which clinical governance factors facilitate or hinder IPC best practice. Employs a mixed-method, exploratory, qualitative study design to conduct semi-structured interviews with ten IPC nurses across NZ. Seeks to understand their perceptions of the IPC Standard, how it is implemented in their DHB, how the IPC risks are managed, and which barriers hinder IPC engagement. Analyses IPC documentation from all 20 DHBs to examine IPC clinical governance in each DHB.
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Beaver, P. J. (2015). Contemporary patient safety and the challenges for New Zealand. Ph.D. thesis, University of Auckland, .
Abstract: Outlines the history, emergence, necessity, challenges, and strategies of the patient safety movement. Explores the challenges for staff working to reduce harm and implement safety improvement in NZ hospitals. Considers medical harm as a persistent and expensive threat to public health. Analyses health policy in the US, England and NZ using the theory of countervailing powers, and a shift from medical to managerial dominance. Reviews theories of accidents and risk, and the safety improvement literature. Provides staff perspectives from NZ by means of interviews with doctors, nurses and managers in two hospitals.
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Tewin, M. H. (2015). Exploring the impact of the lung cancer Clinical Nurse Specialist role on patient care in a regional hospital in New Zealand. Master's thesis, University of Otago, .
Abstract: Distributes a questionnaire to 50 members of the multidisciplinary team within a regional lung cancer service to investigate the impact of an advanced nursing role within the team. Performs an audit of five months of clinical data relating to patients cared for by the lung cancer Clinical Nurse Specialist as judged against the MOH Standards of Service Provision for Lung Cancer Patients in New Zealand .
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Seldon, L. A. (2017). Non-pharmacological Methods in Relieving Children's Pain in Hospital: a pilot study. Master's thesis, University of Canterbury, .
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.
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Moore, J. (2005). Breaking down barriers in child healthcare (0-5) years. Margaret May Blackwell Travelling Fellowship 2005. Margaret May Blackwell Travel Study Fellowship Reports. Christchurch: Nursing Education and Research Foundation (NERF).
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.
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Mockford, A. (2009). The exploration of systems and technologies to enhance the healthcare of children under five. Margaret May Blackwell Travel Study Fellowship Reports. Waikato, N.Z.: Nursing Education and Research Foundation (NERF).
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.
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Payne, S. (2007). The nurse's role in promoting health of vulnerable children (0-5 yr olds) through coordinated care: Margaret May Blackwell Study Fellowship. Margaret May Blackwell Travel Study Fellowship Reports. Wellington, N.Z.: Nursing Education and Research Foundation (NERF).
Abstract: Explores the provision of emergency paediatric care internationally. Visits children's hospitals in the US, Canada, the UK and Australia. Part of the Margaret May Blackwell Scholarship Reports series.
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Litchfield, M. (1997). The language of nursing practice in hospitals. (Vol. Proceedings of the National Nursing Informatics Co).
Abstract: A paper presenting the findings of a small research project involving a group of self-selected senior nurses of Wellington Hospital to explore the nature of nursing practice in the care and management of hospitalised patients and to formalise the language that would acknowledge its significance in the current effort of hospitals to define patient care pathways. The nature of hospital nursing practice was described in themes of a generic process of nurse-patient care that articulates a distinct specialism of hospital nursing, whatever the hospital department in which nurses hold positions.
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McDonald, S. (2000). A study to investigate the role of the registered nurse in an acute mental health inpatient setting in New Zealand: Perceptions versus reality. [Manukau City]: Manukau Institute of Technology.
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Walsh, C., Boyd, L., Baker, P., Gavriel, A., McClusky, N., Puckey, T. C., et al. (2001). It was time for me to leave: A participatory action research study into discharge planning from an acute mental health setting. Wellington: Victoria University of Wellington.
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Vermeulen, J. (2002). “And there's the likes of me”: A phenomenological study of the experience of four women inpatients at a mental health unit. Ph.D. thesis, , .
Abstract: This research draws on the experiences of four women whilst they were inpatients at the Mental Health Unit in Southland. The Husserlian path of phenomenology was followed and in-depth interviewing used to collect data. Colaizzi's method of analysis enabled accurate interpretation of transcripts. The overall goal of this research was to provide health professionals with an opportunity to inform their practice, based on what consumers were saying about their experience of hospitalisation. Themes emerged through participants relating their experience by using comparisons with either their outside world or previous episodes of hospitalisation. Through analysis, two fundamental structures became evident within the findings. These were 'the environment as containment' and 'the road to recovery'. The author concludes that this study raises significant issues surrounding the experience of hospitalisation at the Mental Health Unit that have implications for future research and for future service delivery.
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Gibson, C. (2005). Hearing the adolescents' voice: A study evaluating the use of conjoint analysis for use with adolescents to determine preferences for inpatient hospital facilities. Ph.D. thesis, , .
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.
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Mosley, B. (2005). Seclusion management in an acute in-patient unit. Ph.D. thesis, , .
Abstract: This study was developed to explore the use of seclusion in an acute in-patient unit for people with mental illnesses. Investigation into this issue was considered important due to an identified large increase in seclusion use over the previous two years. The study used a qualitative research methodology with a descriptive and interpretive approach. Data collection included a retrospective file audit of patients who had been secluded over the past seven years, and one-to-one staff interviews. It also includes the author's personal reflections of seclusion events. The principle reason for using seclusion was violence and aggression in the context of mental illness. It was also used for people who were at risk of, or who had previously absconded from the unit. A recovery approach and the use of the strengths model was fundamental to nurses' way of working with patients in the unit. Nurses believed that the strengths process should be adapted to the person's level of acuity and to their ability to engage in this approach in a tangible way. Seclusion continues to be a clinical management option in the unit that is the subject of this study. However, in many circumstances there are other options that could be explored so that the utmost consideration is given to the dignity, privacy and safety of that person.
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Rudd, J. (2005). From triage to treatment: An exploration of patient flow systems in emergency departments. Ph.D. thesis, , .
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.
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