toggle visibility Search & Display Options

Select All    Deselect All
 |   | 
Details
   print
  Records Links
Author James, G.G. url  openurl
  Title (down) Woven threads: A case study of chemotherapy nursing practice in a rural New Zealand setting Type
  Year 2008 Publication Abbreviated Journal ResearchArchive@Victoria  
  Volume Issue Pages  
  Keywords Case studies; Rural health services; Nursing specialties; Cancer; Oncology  
  Abstract This descriptive case study was undertaken to provide an account of chemotherapy practice in a nurse-led clinic located within a rural New Zealand area. The researcher, an oncology nurse specialist, worked alongside colleagues for thirteen months to enable practice development. This clinic developed out of a need to have services closer to rural patients in order to address issues of equity, access, care integration and the fiscal and social constraints associated with the cancer burden of care. Capturing the range of data applicable to this case; the ability to conceptualise it as a service within its context was possible using case study research methods. Four nurses involved in the chemotherapy clinic were participants in this study. The findings of this study reveal that what could be perceived as barriers to outcomes and practice can in essence be turned into opportunities to develop new ways of caring for the patient and supporting nursing practice. These nurses view their practice as safe within the clinic despite resource constraints. They work in many ways to support each other and to cushion the patient from the impact of situational and contextual influences. Nursing practice was shown to evolve as a direct result of internal and external influences which were the impetus for nurses taking responsibility for their own competency. This study also explored what it meant to be an experienced nurse but novice in a speciality practice. It challenges previously held assumptions that, to deliver chemotherapy successfully, a nurse needs to be operating from a previously held body of oncology nursing knowledge. Many challenges are faced on a day to day basis in a rural practice environment to just maintain consistent care and promote good patient outcomes. The nurses are well aware of their role in contributing to patients' quality of life and the roles they take to meet the growing needs of the patient as a consumer. This study delves into the multifarious nature of this nurse-led clinic and discusses the processes and relationships that are forged to deliver care.  
  Call Number NRSNZNO @ research @ Serial 1166  
Permanent link to this record
 

 
Author Clark, P.N. openurl 
  Title (down) The potential for nurse-led clinics on oncology at Southland District Health Board Type
  Year 2006 Publication Abbreviated Journal Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz  
  Volume Issue Pages  
  Keywords Older people; Scope of practice; Nursing; Oncology; Cancer  
  Abstract The author points to a “waiting list crisis” occurring in ambulatory oncology services at Southland District Health Board (SDHB), and notes that the literature suggests this is occurring both nationally and globally. This is due to factors such as an increase in the number of people aged 65 years and over, many of whom will develop cancer. Furthermore new drug therapies and indications for treatment have led to increased numbers of patients referred for oncological assessment in the out-patient clinics. The author notes that, at SDHB, this delay for patients to be seen at a first specialist assessment appointment is causing concern for patients, managers and the medical and nursing staff involved. This dissertation analyses relevant literature in order to explore the nature and outcomes of nurse-led clinics. A range of studies indicate that effective care can be provided by nurses working in a variety of nurse-led clinics settings. These studies reveal ways in which a nurse-led clinic might be established and delivered in oncology services and, the author suggests, this will go some way to provide a solution for SDHB. These clinics would assess and monitor the follow-up of selected patients with stable disease and established care plans such as patients receiving adjuvant chemotherapy for bowel and breast cancer. This would allow medical oncologists to see more new patients at first assessment and the follow-up of complex cases, and could go some way in relieving the current waiting lists. The educational preparation and competency of nurses leading such a clinic are considered.  
  Call Number NRSNZNO @ research @ Serial 677  
Permanent link to this record
 

 
Author Kerr, Christine url  openurl
  Title (down) The key components of cancer nurse coordination: an integrative review Type Book Chapter
  Year 2016 Publication Abbreviated Journal  
  Volume Issue Pages 115 p.  
  Keywords Cancer nurses; Nurse specialists; Nurse coordination  
  Abstract Backgrounds the creation of the Cancer Nurse Coordinator (CNC) role in NZ. Identifies common key components associated with care-coordination services for cancer patients provided by nurses, and compares these with the NZ Cancer Nurse Coordinator Initiative (CNCI), which was launched in 2013. Undertakes an integrative review of international literature to examine the topic, focusing on the care given to the patient, interactions with health professionals and the system surrounding the patient, and the characteristics surrounding the role of the nurse.  
  Call Number NZNO @ research @ Serial 1557  
Permanent link to this record
 

 
Author McKergow, C.R.W. openurl 
  Title (down) Preparing to care in the 21st century: A personal search for the meaning of ontological competency through an embodied journey of the soul Type
  Year 2002 Publication Abbreviated Journal Victoria University of Wellington Library  
  Volume Issue Pages  
  Keywords Nursing; Professional development; Breast cancer; Cancer  
  Abstract This thesis is a philosophical inquiry that reflects a personal search for the meaning of ontological competency undertaken by the author after developing breast cancer. The text weaves together in creative synthesis, a collection of academic and personal writing undertaken during an MA (Applied) in Nursing degree process. Using the work of Dowling Singe (1999), Watson (1999), and Wilber (1985, 1990, 1991 & 2000), the thesis seeks, through the use of reflective autobiographical inquiry (Johnstone 1999a), to explore the personal meaning-making activities engaged in during this time to throw light upon the nature of nurse / nursing being. Exploring developmental schemata drawn from personal experience and illuminated by theory, nurses and nursing are challenged to become more self-reflective and self-aware. To facilitate the personal and professional growth that underpins notions of ontological competency, various aids in the form of maps and models are provided to support a transformative journey into awareness. From this position of expanding consciousness, the nurse / nursing is encouraged to reach beyond current paradigms, metaparadigms, epistemologies, and restrictive philosophies and to yield to the evolutionary imperative that seeks to prepare for a 21st century clinical practice where caring / healing becomes embodied enactment from “the Ground of All Being”.  
  Call Number NRSNZNO @ research @ Serial 774  
Permanent link to this record
 

 
Author Garcia, Alicia; Whitehead, Dean; Winter, Helen S openurl 
  Title (down) Oncology nurses' perception of cancer pain: a qualitative exploratory study Type Journal Article
  Year 2015 Publication Nursing Praxis in New Zealand Abbreviated Journal  
  Volume 31 Issue 1 Pages 27-33  
  Keywords Cancer pain; Oncology nurses; Pain assessment; Pain management; Nursing education  
  Abstract Undertakes research to explore how oncology nurses perceive cancer pain in patients. Presents the findings of semi-structured interviews with a sample of 5 registered nurses working in a NZ oncology ward, who reported their responses to under-treatment of cancer pain. Highlights the need to explore cancer pain management with patients.  
  Call Number NZNO @ research @ Serial 1500  
Permanent link to this record
 

 
Author Kell, Anne-Marie; Gilmour, Jean; Wissen, Kim van url  openurl
  Title (down) Nurses' experiences caring for patients surgically treated for oral cavity cancer Type Journal Article
  Year 2018 Publication Nursing Praxis in New Zealand Abbreviated Journal  
  Volume 34 Issue 1 Pages p.7-19  
  Keywords Oral cavity cancer; Surgery; Post-operative nursing; Emotional labour; Stress  
  Abstract Explores nurses' experiences of caring for patients who have had surgery for oral cavity cancer in one NZ hospital, involving wound care, tracheostomy management, oral care, ongoing patient education and the provision of emotional support to patients and families. Interviews three registered nurses about the challenges involved in caring for this patient group; their moral conflict over the effects of surgery on the patients; their professional uncertainty, and the emotional effort involved in nursing oral cavity cancer patients. Suggests the need for informal debriefing, grief counselling, clinical supervision, stress management training, and continuing education in this specialised role.  
  Call Number NZNO @ research @ Serial 1590  
Permanent link to this record
 

 
Author MacDonald, R. url  openurl
  Title (down) 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 Carter, H.; MacLeod, R.; Brander, P.; McPherson, K. openurl 
  Title (down) Living with a terminal illness: Patients' priorities Type Journal Article
  Year 2004 Publication Journal of Advanced Nursing Abbreviated Journal  
  Volume 45 Issue 6 Pages 611-620  
  Keywords Terminal care; Quality of life; Nursing models; Cancer  
  Abstract The aim of this paper is to report on an exploratory, qualitative study exploring what people living with terminal illness considered were the areas of priority in their lives. Ten people living with terminal cancer were interviewed. Analysis of the interviews incorporated principles of narrative analysis and grounded theory. Over 30 categories were identified and collated into five inter-related themes (personal/intrinsic factors, external/extrinsic factors, future issues, perceptions of normality and taking charge) encompassing the issues of importance to all participants. Each theme focused on 'life and living' in relation to life as it was or would be without illness. Practical issues of daily living and the opportunity to address philosophical issues around the meaning of life emerged as important areas. The central theme, 'taking charge', concerned with people's levels of life engagement, was integrally connected to all other themes. The findings suggest that the way in which health professionals manage patients' involvement in matters such as symptom relief can impact on existential areas of concern. The findings challenge some aspects of traditional 'expert-defined' outcome measures. As this was an exploratory study, further work is needed to test and develop the model presented.  
  Call Number NRSNZNO @ research @ Serial 1061  
Permanent link to this record
 

 
Author Carter, H.; McKinlay, E.M.; Scott, I.; Wise, D.; MacLeod, R. openurl 
  Title (down) Impact of a hospital palliative care service: Perspective of the hospital staff Type Journal Article
  Year 2002 Publication JBI Reports Abbreviated Journal  
  Volume 18 Issue 3 Pages 160-167  
  Keywords Palliative care; Hospitals; Attitude of health personnel; Cancer  
  Abstract The first New Zealand hospital palliative care support service was established in 1985. Different service models have now been adopted by various major hospitals. In 1998, a palliative care service, funded by Mary Potter Hospice, was piloted at Wellington Public Hospital. Twelve months post-implementation, the hospital staff's views of the service were evaluated. It was found that referrals to palliative care from hospital specialities outside the Cancer Centre increased. While most doctors, nurses and social workers strongly agreed or agreed that the service positively influenced patients' care and effectively addressed their symptom management needs, spiritual needs were less often met. Over 90 percent of each discipline strongly agreed or agreed that the service had assisted them in caring for patients, but, only about a half agreed that useful discharge planning advice and staff support was provided. Significant differences in responses were found between different disciplines and specialities. One fifth of the staff identified palliative care education needs. Recommendations are made concerning the development of a future hospital palliative care service.  
  Call Number NRSNZNO @ research @ Serial 1075  
Permanent link to this record
 

 
Author Gibson, C. url  openurl
  Title (down) 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 Corlett, E. openurl 
  Title (down) Finding out what works and what doesn't work: Caring for women with a fungating tumour of the breast Type
  Year 2002 Publication Abbreviated Journal Massey University, Albany, Library  
  Volume Issue Pages  
  Keywords Breast cancer; Nursing; Cancer  
  Abstract  
  Call Number NRSNZNO @ research @ Serial 1250  
Permanent link to this record
 

 
Author Tewin, Maureen Heather url  openurl
  Title (down) Exploring the impact of the lung cancer Clinical Nurse Specialist role on patient care in a regional hospital in New Zealand Type Book Whole
  Year 2015 Publication Abbreviated Journal  
  Volume Issue Pages 193 p.  
  Keywords Lung cancer; Clinical nurse specialist; Patient care; Standards of care; Hospitals  
  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 .  
  Call Number NZNO @ research @ Serial 1576  
Permanent link to this record
 

 
Author Tielemans, W. openurl 
  Title (down) Encouraging young women to have regular smear tests Type Journal Article
  Year 2008 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal  
  Volume 14 Issue 7 Pages 16-18  
  Keywords Nursing research; Sexual and reproductive health; Screening; Attitude to health; Cancer  
  Abstract The author presents the results of a study carried out as part of a research project with two nurse researchers from Maastricht University in the Netherlands. The aim of this study was to examine awareness among female students aged 18 to 25 about cervical cancer and to identify factors associated with their decision or intention to enter the cervical screening programme. Students aged 18-25 were recruited from four tertiary institutions in the Wellington region. A questionnaire was available online and distributed by student health centres and the researchers. Questions covered the following areas: intentions, attitude, knowledge, awareness, modelling, and support systems and efficacy. Data was analysed using descriptive statistics, multiple regression and independent t-tests. The findings are presented, and factors associated with intention and participation in cervical screening are discussed. The results indicate that the information concerning the national screening programme needs to be adjusted for the different age groups.  
  Call Number NRSNZNO @ research @ Serial 984  
Permanent link to this record
 

 
Author Framp, A. openurl 
  Title (down) Diffuse gastric cancer Type Journal Article
  Year 2006 Publication Gastroenterology Nursing Abbreviated Journal  
  Volume 29 Issue 3 Pages 232-238  
  Keywords Maori; Nursing; Diseases; Case studies; Cancer; Oncology  
  Abstract This article provides an overview of gastric cancer using a unique case study involving a Maori family genetically predisposed to diffuse gastric cancer. The pathophysiology of diffuse gastric cancer, including prognosis, diagnosis, and treatment, along with important patient considerations is highlighted.  
  Call Number NRSNZNO @ research @ Serial 691  
Permanent link to this record
 

 
Author Gillespie, Moira Elizabeth url  openurl
  Title (down) Compassion fatigue and cancer nurses: a national survey of cancer nurses in New Zealand Type
  Year 2013 Publication Abbreviated Journal Available through NZNO library  
  Volume Issue Pages 91 pp  
  Keywords Cancer; Nurses -- Job Stress; Empathy; Burnout, Professional -- Psychology; Surveys  
  Abstract Identifies the experiences of NZ cancer nurses whose primary role is to care for patients aged 20 or older, and their whanau/family, and describes the factors that may influence care. Examines whether nurses received training in the management of stressors associated with caring for cancer patients, either during their training or while in the cancer workplace setting. Considers whether nurses working in peripheral (satellite) cancer centres were at more risk than their colleagues in larger regional centres. Conducts a quantitative, descriptive and anonymous survey of members of the Cancer Nurses' Section of the NZNO, using the Professional Quality of Life (ProQOL) questionnaire, which scores compassion fatigue, compassion satisfaction and burnout.  
  Call Number NZNO @ research @ WY GIL Serial 1397  
Permanent link to this record
Select All    Deselect All
 |   | 
Details
   print