| Records |
| Author |
Haitana, J. |
| Title |
Building relationships: A qualitative descriptive study reflective of the day-to-day experiences of one group of preceptors in a provincial hospital in New Zealand |
Type  |
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| Year |
2007 |
Publication |
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Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
| Volume |
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Issue |
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Pages |
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| Keywords |
Hospitals; Preceptorship; Education; Professional development; Mentoring; Training; Nursing |
| Abstract |
Research suggests that the experience of being a preceptor can be rewarding, but there are challenges which may impact on their ability to fulfil the preceptorship role. In an effort to understand the experiences of being a preceptor and the factors that impact on that role, a qualitative descriptive study was undertaken in a small provincial hospital in New Zealand. A purposeful sample of five registered nurse preceptors completed semi-structured audio-taped interviews. Seven common categories were developed from the data – willingness to engage, building a relationship, letting go, support, workload, students in the clinical setting and making judgements. The author notes that this research has highlighted that preceptors need prior notice that they are going to be having student nurses so that they can be better prepared; preceptors and student nurses also need to be rostered together for the whole placement to allow a one-on-one relationship to develop. Preceptors would benefit from having a lighter workload during the first few days of preceptoring as then they can spend more time teaching the student. Schools of nursing and hospitals also need to have an ongoing collaborative relationship in planning and supporting the preceptorship program; this would further support preceptors in their role. The lecturer from the school of nursing needs to be contactable and available to both the preceptor and the student to clarify any misunderstandings and as a resource should any problems arise. |
| Call Number |
NRSNZNO @ research @ |
Serial |
476 |
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| Author |
Becker, F. |
| Title |
Recruitment & retention: Magnet hospitals |
Type |
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| Year |
2005 |
Publication |
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Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
| Volume |
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Issue |
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Pages |
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| Keywords |
Personnel; Hospitals; Recruitment and retention; Nursing |
| Abstract |
International nursing literature indicates nursing shortages are widely recognised; however efforts to remedy poor recruitment and retention of nurses have been largely unsuccessful. This paper presents the predominant factors influencing poor recruitment and retention of nurses, such as: the image of nursing as a career, pay and conditions of employment, educational opportunities, management and decision making, and low morale and then explores how Magnet hospitals address these factors. During the 1980s, several hospitals in the United States were identified as being able to attract nursing staff when others could not, they became known as 'Magnet' hospitals. The American Nurse Credentialing Centre developed the Magnet Recognition programme to accredit hospitals that meet comprehensive criteria to support and develop excellence in nursing services. Magnet hospitals not only attract and retain satisfied nursing staff, but also have improved patient outcomes compared to non-Magnet hospitals, such as decreased patient morbidity and mortality and increased patient satisfaction. The successes of the Magnet Recognition programme in recruitment and retention of nurses is discussed in relation to its transferability outside of the United States, particularly to New Zealand as a way of improving recruitment and retention of nurses here. |
| Call Number |
NRSNZNO @ research @ |
Serial |
567 |
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| Author |
Cook, D. |
| Title |
Open visiting: Does this benefit adult patients in intensive care units? |
Type |
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| Year |
2006 |
Publication |
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Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
| Volume |
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Issue |
|
Pages |
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| Keywords |
Hospitals; Intensive care nursing |
| Abstract |
As the healthcare system moves toward a consumer-driven paradigm, visiting hours for family and significant others of the intensive care unit patient have become a topic of interest and discussion. Research since the 1970s has generated controversy and speculation over the ideal visiting practices in the adult intensive care unit. The aim of this dissertation was to examine the benefits for the patient, family members and nurses of appropriate visiting practices within intensive care areas in order to establish if open visiting is the best regime for patients in the adult intensive care unit (ICU). This dissertation explores visiting practices in adult critical care unit settings. Specifically, the benefits of visiting for patients, and the factors that may impede or facilitate visiting practices within the ICU were critically discussed. These factors included the benefits and disadvantages of open visiting, and the nurse as an influential factor in visiting. These areas linked together to form the basis for consideration of visiting in the ICU. Review of existing literature pertaining to visiting in the ICU indicated that patients wanted open visiting hours yet also indicated that they would like some visiting restrictions. Nurses appeared to value family input into care and were aware of patient and family needs, even though they may restrict visiting to suit their own work practices. Family members can provide the patient with psychological support, provide important historical data, assist the nurse with selected aspects of physical care, and actively encourage the patient's efforts to recover. The outcome of this exploration is the recommendation of an open visiting policy tailored to individual patients, as, the author suggests, this would foster nursing practice and ultimately benefit patients and their families. |
| Call Number |
NRSNZNO @ research @ |
Serial |
680 |
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| Author |
Gray, H.J. |
| Title |
Clinician or manager: An exploration of duty management in New Zealand hospitals |
Type |
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| Year |
2006 |
Publication |
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Abbreviated Journal |
University of Otago Library |
| Volume |
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Issue |
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Pages |
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| Keywords |
Nurse managers; Administration; Scope of practice; Hospitals |
| Abstract |
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| Call Number |
NRSNZNO @ research @ 741 |
Serial |
727 |
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| Author |
Farr, A.M. |
| Title |
Satisfaction in nursing: Reality in a secondary hospital in New Zealand |
Type |
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| Year |
2006 |
Publication |
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Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
| Volume |
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Issue |
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Pages |
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| Keywords |
Job satisfaction; Nursing; Hospitals |
| Abstract |
The focus for this research was nursing culture satisfaction and intent to remain working within a secondary hospital in the New Zealand public healthcare system. A specific group of 117 registered and enrolled nurses were surveyed to identify what issues would encourage them to remain working within the organisation. Descriptive data derived from the Nursing Culture Satisfaction Questionnaire found higher levels of job satisfaction and intention to stay from the staff in operating theatre, compared to other surveyed areas. Factors reported as contributing to job satisfaction included supportive, friendly staff, teamwork, and organisation size. Important issues regarding recruitment and retention include pay parity, personal satisfaction, conditions of employment, the valuing of staff and poor nurse patient ratios. Findings suggest that hospital management should foster positive work environments and respect, to promote job satisfaction and discourage nurses leaving the organisation. While pay parity was a large issue at the time of the questionnaire, the inclusion of the district health board in the nurse Multi Employer Collective Agreement may have reduced this as a contributing factor. |
| Call Number |
NRSNZNO @ research @ |
Serial |
743 |
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| Author |
Blockley, C.E. |
| Title |
The experience of hospitalization first time for an acute medical illness |
Type |
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| Year |
2000 |
Publication |
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Abbreviated Journal |
Massey University Library |
| Volume |
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Issue |
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Pages |
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| Keywords |
Hospitals; Patient satisfaction |
| Abstract |
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| Call Number |
NRSNZNO @ research @ 811 |
Serial |
795 |
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| Author |
Crawford, R. |
| Title |
An exploration of nurses' understanding of parenting in hospital |
Type |
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| Year |
2000 |
Publication |
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Abbreviated Journal |
Massey University Library |
| Volume |
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Issue |
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Pages |
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| Keywords |
Nurse-family relations; Children; Hospitals; Parents and caregivers |
| Abstract |
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| Call Number |
NRSNZNO @ research @ 812 |
Serial |
796 |
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| Author |
Manning, J. |
| Title |
Skin-to-skin care of the very low birth weight infant: Taking a risk and making it happen |
Type |
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| Year |
2007 |
Publication |
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Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
| Volume |
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Issue |
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Pages |
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| Keywords |
Paediatric nursing; Premature infants; Nursing; Hospitals |
| Abstract |
Parent-infant skin-to-skin care has become an advocated aspect of care in neonatal intensive care units nationally within New Zealand and internationally. However the implementation of this care by nurses can be limited by a number of factors within the practice environment. This dissertation presents a critical analysis of literature alongside reflection on the author's own practice experience to explore factors that may be constraining the use of skin-to-skin care with the very low birth weight infant in the neonatal intensive care unit. These factors are examined through a lens of risk taking behaviour underpinned by the grounded theory work of Dobos (1992). The concept of risk is explored in order to develop an understanding of why, in the author's view, the practice of skin-to-skin care of very low birth weight infants may have declined in recent years. For neonatal nurses skin-to-skin care of the very low birth weight infant presents challenges related to the environment, physiological stability of the infant and changes over the past 10 years in the clinical management of very low birth weight infants. As progress is made toward the design, development and eventual move to a new unit in Dunedin recommendations pertaining to the change in physical space, the introduction of a structured model for nursing care and implications for nursing practice development in relation to skin-to-skin care are described. |
| Call Number |
NRSNZNO @ research @ |
Serial |
800 |
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| Author |
Baur, P. |
| Title |
Patients who present to the emergency department but do not wait: An exploratory study |
Type |
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| Year |
2004 |
Publication |
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Abbreviated Journal |
Massey University Library |
| Volume |
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Issue |
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Pages |
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| Keywords |
Emergency nursing; Hospitals |
| Abstract |
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| Call Number |
NRSNZNO @ research @ |
Serial |
849 |
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| Author |
Bickley, J. |
| Title |
A study of medical, nursing, and institutional not-for-resuscitation (NFR) discourses |
Type |
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| Year |
2002 |
Publication |
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Abbreviated Journal |
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| Volume |
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Issue |
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Pages |
317 pp |
| Keywords |
Clinical decision making; Attitude of health personnel; Hospitals; Terminal care |
| Abstract |
This study investigates the way that medical, nursing and institutional discourses construct knowledge in the specific context of Not-for-resuscitation (NFR)in a New Zealand general hospital where NFR guidelines are available in the wards and from the regional ethics committee. The thesis argues that there are ranges of techniques that staff use to construct NFR knowledge, enacted through various forms of speech and silence, which result in orderly and disorderly experiences for patients nearing death. The study was conducted through a critical analysis of the talk of health professionals and the Chairperson of the Regional Ethics Committee. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1117 |
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| Author |
Mossop, M.D. |
| Title |
Older patients' perspectives of being cared for by first year nursing students |
Type |
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| Year |
2000 |
Publication |
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Abbreviated Journal |
University of Otago Library |
| Volume |
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Issue |
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Pages |
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| Keywords |
Older people; Nurse-patient relations; New graduate nurses; Hospitals |
| Abstract |
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| Call Number |
NRSNZNO @ research @ 1135 |
Serial |
1120 |
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| Author |
O'Malley, J. |
| Title |
Critical social analysis of acute institutionally based mental health nursing following an action research project |
Type |
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| Year |
2001 |
Publication |
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Abbreviated Journal |
NZNO Library, Victoria University of Wellington Library |
| Volume |
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Issue |
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Pages |
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| Keywords |
Psychiatric Nursing; Hospitals; Quality of health care |
| Abstract |
This study using action research involving twelve registered nurses worked toward improving nursing care in an acute mental health in-patient service. Following focus groups with consumers, families, nurses, doctors, and allied health professionals, the action research group developed projects over eighteen months to improve continuity and consistency of nursing care. There was a subsequent restructuring of nursing service to better define leadership, accountability and to strengthen care delivery. The second half of the thesis involves a critical social analysis of the research data and produces a theory of mental health nursing which, the author suggests, has wide application in practice. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1133 |
| Permanent link to this record |
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| Author |
Barratt, Ruth |
| Title |
Behind barriers: patients' perceptions of hospital isolation for methicillin-resistant Staphylococcus aureus (MRSA) |
Type |
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| Year |
2008 |
Publication |
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Abbreviated Journal |
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| Volume |
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Issue |
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Pages |
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| Keywords |
Infection control; Patient satisfaction; Nursing specialties; Hospitals |
| Abstract |
This study explored the experiences of hospitalised patients in methicillin resistant Staphylococcus aureus (MRSA) isolation in New Zealand and the meaning that those patients made of those experiences. The research question of this study was 'What is the lived experience of patients in MRSA isolation?' An interpretive phenomenological approach was undertaken for this research, informed by the philosophical hermeneutic tenets of Heidegger (1927/1962). Audio-taped, semi-structured interviews were used to collect data from a purposive sample of ten adults who were in MRSA isolation in various wards in a large acute care hospital in the central North Island. Three salient themes emerged from the data. The first, 'being MRSA positive', summarises the meaning of having an identity of being MRSA positive. The second theme, 'being with others', is concerned with the effect that being in isolation for MRSA has on interpersonal relations. 'Living within four walls' is the third theme and reveals the significance that the physical environment of the MRSA isolation room has on the experience of MRSA isolation. Within the discussion of these themes, excerpts from the interviews are provided to illuminate the meanings and interpretations made. Recommendations are made for nursing practice and education. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1167 |
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| Author |
Smart, S. |
| Title |
Post-operative pain management knowledge and attitude of paediatric nurses: A New Zealand regional view |
Type |
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| Year |
2005 |
Publication |
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Abbreviated Journal |
ResearchArchive@Victoria |
| Volume |
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Issue |
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Pages |
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| Keywords |
Pain management; Paediatric nursing; Hospitals; Pharmacology |
| Abstract |
This research explored the knowledge and attitudes towards paediatric post-operative pain, within the New Zealand context of small regional hospitals. It established how nurses working in these areas obtain and update their paediatric pain management knowledge, and what is it that influences their paediatric post-operative pain management practices. A questionnaire survey of registered nurses working in three small paediatric units (5 to 12 beds), in regional secondary service hospitals was undertaken. The survey had a 79% (n=33) response rate. Findings corroborate many findings in previously published literature including that nurses do well in questions related to assessment. However pharmacological knowledge continues to be lacking. Results also indicated that while nurses have a good understanding about who is the best person to rate pain, this wasn't carried through in the clinical scenarios provided. Education is clearly an important factor in improving the knowledge and attitudes needed in clinical practice. While this survey was somewhat limited, both in size and in that a clear correlation between the results and actual clinical practice could not be made, results are significant for the areas surveyed and for the development of pain education for nurses. |
| Call Number |
NRSNZNO @ research @ 1194 |
Serial |
1179 |
| Permanent link to this record |
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| Author |
Davies, B. |
| Title |
Same person different nurse: A study of the relationship between nurse and patient based on the experience of shifting from secondary care to home-based nursing |
Type |
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| Year |
2008 |
Publication |
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Abbreviated Journal |
Research Archive at Wintec |
| Volume |
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Issue |
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Pages |
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| Keywords |
Nurse-patient relations; Communication; Hospitals; Home care |
| Abstract |
This study focuses on power themes in the nurse-patient relationship. The study is a critical reflection of the author's practice using a humanistic perspective from Hartrick Doane and Varcoe's (2005) model of relational family practice. It reviews the literature relating to power relationships in communication between nurses and patients and compares the ability to provide relational care in the home with hospital care. Practice examples demonstrate the shift in power relationships that the author had noticed since changing roles from hospital based to home care nursing. This is related to cultural, socio-environmental, historical and traditional influences on power in communication. The study is based on her reflection of the paradigm shift in her practice. Her practice moved from a problem solving approach to an empowerment, strengths based approach within partnership. The ethical challenges of discussing her practice in relation to clients has been managed by scrambling patient data so that it is not related to a single person and is focused on the author's nursing practice. |
| Call Number |
NRSNZNO @ research @ 1195 |
Serial |
1180 |
| Permanent link to this record |
