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Author |
Simpson, J. |
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Title  |
Hospice nurses responses to patient non-acceptance of treatment or care |
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1998 |
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Abbreviated Journal |
Massey University Library (later 1999) |
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Hospice nurses in New Zealand provide supportive care to patients of settings. In doing so, the hospice nurse and team are likely to have an ideal of a “good death” that guides their practice.A 'good death“ is one where symptons are well controlled without over medicalisation, where there is an acceptance of death by the patient and loved ones and where appropriatepreparation and completion of unfinished business has occurred. The death itself is peaceful and the loved ones are present. However, patients or their families do not always accept the treatment or care that the nurses offer to facilitate the best quality of life and a ”good death“ for the patient. This may leave the nurses involved feeling distressed and confused, as they are confronted with the conflict between the patients' path and the nurses' ideals.This study employs critical incident technique to explore how nurses respond and feel when the patients decline the treatment or care the nurse feels will improve their quality of life and eventually lead to a ”good death“. The findings illustrate a broad range of treatment or care that is declined by either patients or their families in the first instance. This study uncovers a number of action responses nurses use in these situations, which demonstrate acceptance of patient choice but also need to help the patient experience a ”good death". In addition it demonstrates that nurses experience a gamut of emotional responses to such situations, some of which are painful for the nurse and have the potential to cause stress. Recommendations are made which may assist nurses limit the distress they experience when patients of their families decline the treatment or care, and empower nurses with further strategies to use in such situations |
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NRSNZNO @ research @ 306 |
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306 |
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Author |
Wenn, J. |
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Title |
Hospital information systems: a nursing viewpoint |
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1983 |
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Massey University Library |
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NRSNZNO @ research @ 181 |
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181 |
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Author |
De Vore, C.A. |
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Title |
Independent midwifery practice: a critical social approach |
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1995 |
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Massey University Library |
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NRSNZNO @ research @ 250 |
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250 |
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Author |
Hickson, P. |
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Title |
Knowledge and action in nursing: a critical approach to the practice worlds of four nurses |
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1988 |
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Massey University Library |
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This thesis provides an interpretive critique of the way in which knowledge is viewed, transmitted and crystallized in the practice worlds experienced by four registered nurses working in acute care hospital settings. The theoretical assumptions of critical social theory underpin both the methodological approach (case study) and the analysis of data. In-depth unstructured interview, a critically reflexive dialogue between the investigator and participant focussed on the practice world experiences of the nurse, was the principle research method. A brief analysis of documentation was also undertaken.It is argued that previous studies related to nursing practice, and to the social worlds of nursing, have been limited by their failure to take account of the socio-political context in which nursing takes place. There has been a tendency to treat the transmission of knowledge in nursing and nursing practice process of information exchange. No account of socially generated constraints on personal and professional agency, or of systematic distortions in communication within the practice setting are therefore given.The analysis of data in this study demonstrates the way in which constraints on personal and professional agency were experienced by each of the four participants. In particular, practice expressing the participant's professional nursing knowledge and values ws often denied in the face of shared understandings reflective of the institutional ideology. These shared understandings included a belief in the legitimacy of medical domination over other social factors and the support of doctor, rather than nurse or patient, centered practices.This study demonstrates that the way that nurses and other social actors come to “know” and interpret their social worlds is dependent on the socio-political contest in which that knowledge in produced. It also shows how this knowledge may be treated ad though it were 'an object'. This tendency to treat existing social relationships and practices as 'natural' hence unchallengeable masks possibilities for transformative action within the practice of nursing.It is argued that a particular form of knowledge is required if nurses are to overcome the types of constraint experienced by these four nurses. This knowledge, emancipatory knowledge, is that developed in the process of shared, socially critical self-reflection rather than solitary, self-critical reflection |
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NRSNZNO @ research @ 268 |
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268 |
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Author |
Davies, M. |
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Title |
Lived experiences of nurses as they engage in practice at an advanced level within emergency departments in New Zealand |
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2005 |
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Massey University Library |
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Emergency nursing; Nurse practitioners; Advanced nursing practice |
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Call Number |
NRSNZNO @ research @ 682 |
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668 |
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Author |
Reid, E.A. |
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Title |
Living a divergent experience: the maternal perception of critical illness |
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1997 |
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Massey University Library |
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NRSNZNO @ research @ 175 |
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175 |
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Author |
Sherrard, I.M. |
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Title |
Living with a damaged body |
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Year |
1996 |
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Massey University Library, UNITEC Library, Auckla |
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Grounded theory was used to investigate the lives of quadriplegic people living in the community. The model indicates that people move between dependence and independence according to several factors |
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Call Number |
NRSNZNO @ research @ 185 |
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185 |
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Author |
Jackson, H. |
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Title |
Lost in the normality of birth: a study in grounded theory exploring the experiences of mothers who had unplanned abdominal surgery at the time of birth |
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1996 |
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Massey University Library |
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Call Number |
NRSNZNO @ research @ 270 |
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270 |
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Author |
Morrison-Ngatai, E. |
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Title |
Mai i muri ka haere whakahaere: Maori woman in mental health nursing |
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Year |
2004 |
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Abbreviated Journal |
Massey University Library |
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Keywords |
Mental health; Maori; Female; Psychiatric Nursing |
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Contents: Chapter 1 Kupu whakataki – introduction; Chapter 2 Raranga mohiotanga – literature review; Chapter 3 To te wahine mana tuku iho – theoretical framework; Chapter 4 Tahuri ki te rangahau – research methodology; Chapter 5 Whakaaturanga whakaoho – beginnings; Chapter 6 Kia pakari – positioning and contesting; Chapter 7 E ara ki runga wahine toa – standing and enduring; Chapter 8 Kua takoto te whariki. |
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NRSNZNO @ research @ |
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828 |
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Author |
Murphy, M. |
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Title |
Maintaining a loving vigil: parents' lived experience of having a baby in a neonatal unit |
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Year |
1997 |
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Abbreviated Journal |
Massey University Library |
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Call Number |
NRSNZNO @ research @ 282 |
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282 |
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Author |
Woods, M. |
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Title |
Maintaining the nursing ethic: a grounded theory of the moral practice of experienced nurses |
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Year |
1997 |
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Abbreviated Journal |
Massey University Library, Palmerston North |
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This thesis presents a study of the every-day moral decision making of experienced nurses. Eight experienced registered nurses participated in the completed research that is based on data gathered through interviews, document audit and literature review. A grounded theory approach was used to analyse the extensive data gathered for the study. This methodology generated a theoretical description involving the antecedents, processes and consequences of nursing moral decision making.Nursing practice has moral content, if not an entirely moral purpose, and moral decision making is the central component of this practice, yet the ethical aspects of nursing practice remain a comparatively recent field of study. It is therefore essential to nurses and their patients that this process is adequately studied and theorised. To date, very few studies have been undertaken in this area in New Zealand. This study aims to at least partially redress this situation by offering insights through conceptualisation and theoretical description of nursing moral decision making.The findings of the study reveal that antecedents such as personal moral development, upbringing and social experiences, contribute to a 'nursing ethic' in the moral decision making of experienced nurses. Furthermore, the study shows that the context and individual and shared perceptions of moral events influence the degree of nursing involvement in ethical situations. Finally, the study maintains that an intrinsic and persistent nursing ethic guides ethical decision making in nursing. This ethic is an undeniable phenomenon of considerable significance to nursing practice and education |
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Call Number |
NRSNZNO @ research @ 187 |
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187 |
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Author |
Paterson(now Fleming), B.L. |
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Title |
Making a difference: the lived world of nursing practice in an acute care setting |
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1989 |
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Massey University Library |
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This study examines the practice world of twenty two registered nurses working in medical and surgical wards of an acute general hospital in New Zealand. It is argued that nursing practice is a complex, context-specific, activity and needs to be studied using methods that do not assume an objective, context-free reality.The work of Patricia Benner (1984) guided this study which utilized a qualitative research approach to enter the lived world of nursing practice. Through descriptions of work days and a sharing of clinical exemplars, an understanding of the broader context of nursing practice was gained, areas of skilled performance in nursing emerged, and the meaning of making a difference for the nurses in the study examined. The central role of mutual advice and support in facilitating significant incidents in practice was apparent.An examination of the types of experiences which challenge current practice and change it in some way provided insight into the importance of experience in developing clinical expertise and the vital role of local knowledge in facilitating practice. Nursing practice emerged as crucial to patient welfare and safety in the acute care setting |
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Call Number |
NRSNZNO @ research @ 252 |
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252 |
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Author |
Calvert, S. |
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Title |
Making decisions: focusing on my baby's well-being: a grounded theory study exploring the way that decisions were made in the midwife-woman relationship |
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1998 |
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Massey University Library |
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NRSNZNO @ research @ 393 |
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393 |
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Author |
Dickinson, A.R. |
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Title |
Managing it: a mother's perspective of managing their pre-school child's acute asthma episode |
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1997 |
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Massey University Library |
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Call Number |
NRSNZNO @ research @ 367 |
Serial |
367 |
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Author |
Chick, D.N.P.; Pybus, M.W. |
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Title |
Massey nursing studies' student follow-up survey |
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1982 |
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Massey University Library |
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Call Number |
NRSNZNO @ research @ 244 |
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244 |
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