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Author |
Payne, D.; Goedeke, S. |
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Title |
Holding together: Caring for clients undergoing assisted reproductive technologies |
Type |
Journal Article |
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Year |
2007 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
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Volume |
60 |
Issue |
6 |
Pages |
645-653 |
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Keywords |
Nursing specialties; Sexual and reproductive health; Communication; Multidisciplinary care teams |
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Abstract |
This paper reports a study to investigate the roles and experiences of nurses caring for clients undergoing assisted reproductive technologies (ART). Nurses are in a potentially unique position in the assisted reproductive technology environment as they maintain a more constant contact with the client. A qualitative approach was taken and a convenience sample of 15 nurses from New Zealand was interviewed in 2005. Data were analysed using interpretive description. The overarching theme identified was that of the potential role of the nurse to 'hold together' multiple components of the assisted reproductive technology process: holding together clients' emotional and physical experiences of assisted reproductive technologies; holding together the roles of different specialist team members; and holding together personal own emotions. It encompasses practices such as information-giving, interpreting, supporting and advocating. The researchers note that recognition of and support for the complexity of the role of ART nurses may positively contribute to clients' experiences. |
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Call Number |
NRSNZNO @ research @ 985 |
Serial |
969 |
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Author |
Hughes, F.; Farrow, T. |
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Title |
Caring for obese patients in a culturally safe way |
Type |
Journal Article |
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Year |
2007 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
13 |
Issue |
4 |
Pages |
14-16 |
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Keywords |
Nursing models; Obesity; Cultural safety |
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Abstract |
The authors review the contemporary notion of obesity and suggest that the nursing approach, with an emphasis on treatment, are shaped by a culture located within “western” views of ideal body shape. The biomedical framework regards obesity as disease and obese people as the cause of their own health problems. The authors note varying cultural interpretations of obesity, and suggest that by viewing obesity as a disease, the cultural, social or economic determinants of obesity are not acknowledged. Nursing needs to broaden the concept of the categories of difference to respond in a culturally safe way to obesity. Cultural safety asks that nurses care for people “regardful” of difference. This means nurses must reflect on the care given, so that the biomedical model is not just replicated. Nurse-led clinics offer an opportunity for practices based on nursing values of care and cultural safety. Such clinics are based on nursing's social model of health, rather than a biomedical, disease-focused model. |
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Call Number |
NRSNZNO @ research @ 994 |
Serial |
978 |
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Author |
Dellagiacoma, T. |
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Title |
Contracting as a career option for nurses |
Type |
Journal Article |
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Year |
2007 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
13 |
Issue |
1 |
Pages |
20-22 |
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Keywords |
Professional development; Nursing; Work |
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Abstract |
A nurse presents research and her own experiences of contracting. Contracting, as defined in this article, refers to a nurse not employed permanently on a wage. It covers agency nursing, short and long fixed-term contracts and secondments. The author identifies the need to continue to develop professionally, which is now a mandatory requirement under the Health Practitioners Competence Assurance (HPCA) Act. Contractors have little, if any financial support to develop professionally, and time taken to do courses is not paid. Taking study leave within a contract may also not be an option. Options for managing professional development in these conditions are offered, including goal setting, investing in education or training, and considering some longer contracts. Practical financial advice and examples are given, including managing accounts and consideration of employment law. The author recommends that skilled nurses looking for interesting ways to develop their careers and to branch out in an entrepreneurial way should seriously consider taking up contract work. |
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Call Number |
NRSNZNO @ research @ 996 |
Serial |
980 |
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Author |
Evans-Murray, A. |
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Title |
Meeting the needs of grieving relatives |
Type |
Journal Article |
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Year |
2004 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
10 |
Issue |
9 |
Pages |
18-20 |
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Keywords |
Intensive care nursing; Grief; Communication |
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Abstract |
This article examines the role of nurses working in intensive care units who may need to work with families as they face the death of a loved one. How the nurse communicates with relatives during these crucial hours prior to the death can have profound implications on their grief recovery. Universal needs for families in this situation have been identified in the literature, and include: hope; knowing that staff care about their loved one; and having honest information about their loved one's condition. A case study is used to illustrate key skills and techniques nurses can employ to help meet these universal needs. In the first stage of grief the bereaved is in shock and may feel a sense of numbness and denial. The bereaved may feel confused and will have difficulty concentrating and remembering instructions, and they may express strong emotions. Studies on families' needs show that honest answers to questions and information about their loved one are extremely important. It is often very difficult for the nurse to give honest information when the prognosis is poor. Good communication skills and techniques are discussed, in which hope is not offered at the expense of truthfulness, and the nurse facilitates the process of saying goodbye and expressing emotions. Practical techniques, such as including the family in basic care such as foot massaging and simple hygiene routines, may also be used to move the family from being bystanders to the impending death, to comforters. |
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Call Number |
NRSNZNO @ research @ 1004 |
Serial |
988 |
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Author |
Hunt, M. |
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Title |
Nurses can enhance the pre-operative assessment process |
Type |
Journal Article |
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Year |
2006 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
12 |
Issue |
10 |
Pages |
20-22 |
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Keywords |
Nursing specialties; Clinical assessment; Hospitals; Surgery |
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Abstract |
This reports on an initiative at Whakatane Hospital, where a Nurse-Led pre-assessment (NLPA) was delivered at an outpatients clinic. NLPA involves taking a comprehensive medical history, a nursing assessment, physical examination, airway assessment, ordering appropriate investigations and carefully documenting the process and results. More valuably, it provides an opportunity for the patient to participate in planning their care. The aim of this initative was to short circuit delays and congestion in existing pre-assessment clinics, streamline the pre-assessment process and reduce the number of patient visits to hospital. Reducing cancellations of surgery (often on the day of surgery) and “did not appear” (DNA) numbers were also objectives. After a small pilot, a six-month trial was funded by the Ministry of Health. Over the six-month trial, 373 patients attended NLPA; 178 patients required anaesthetist review before surgery, and 198 could proceed directly to surgery following NLPA. An anonymous postal survey was made of patients, who indicated satisfaction with the service. Other outcomes are discussed, and the trial was deemed successful. Follow up plans have been disrupted by restructuring at the hospital and the clinic has yet to be implemented. |
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Call Number |
NRSNZNO @ research @ 1005 |
Serial |
989 |
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Author |
Sutton, D.M. |
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Title |
Nurses have an important role in managing intermittent claudication |
Type |
Journal Article |
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Year |
2008 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
14 |
Issue |
4 |
Pages |
20-22 |
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Keywords |
Diseases; Nursing; Quality of life |
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Abstract |
The author reviews the diagnosis, treatment, and management of intermittent claudation. She uses a case study to illustrate successful management of the condition. |
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Call Number |
NRSNZNO @ research @ 1006 |
Serial |
990 |
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Author |
Tritschler, E.; Yarwood, J. |
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Title |
Relating to families through their seasons of life: An indigenous practice model |
Type |
Journal Article |
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Year |
2007 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
13 |
Issue |
5 |
Pages |
18-3 |
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Keywords |
Parents and caregivers; Nursing models; Nurse-family relations; Communication |
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Abstract |
In this article the authors introduce an alternative way that nurses can be with families, using a relational process that can enhance nurses' responses when working with those transitioning to parenthood. Seasons of Life, a framework adapted from the Maori health model He Korowai Oranga, emerged from practice to offer a compassionate and encouraging stance, while at the same time respecting each family's realities and wishes. The model allows the exploration of the transition to parenthood within a wellness model, and takes a strengths-based approach to emotional distress. This approach provides a sense of “normality”, rather than of pathology, for the emotions experienced by new parents. The specific issues men may face are discussed, where despite recent culture change that allows men a more nurturing parental role, there is still no clear understanding of how men articulate their sense of pleasure or distress at this time. Practitioners are encouraged to examine their own assumptions, values and beliefs, and utilise tools such as reflective listening, respect, insight and understanding. The most significant aspect of relationship between nurse and parents is not the outcome, but how nurses engage with families. Examples from practice will demonstrate some of the differing ways this relational process framework has been effective. |
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Call Number |
NRSNZNO @ research @ 1007 |
Serial |
991 |
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Author |
Flint, V. |
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Title |
The place of ECT in mental health care |
Type |
Journal Article |
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Year |
2005 |
Publication |
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Abbreviated Journal |
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Volume |
11 |
Issue |
9 |
Pages |
18-20 |
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Keywords |
Psychiatric Nursing; Trauma; Mental health |
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Abstract |
The author reviews the controversial treatment of electroconvulsive therapy (ECT) which has re-emerged as a safe and effective treatment for major depressive disorders. She first addresses the popular conceptions of ECT, which are based on early misuse of the treatment when it was delivered unmodified, or forcefully and without anaesthetic. She then uses a case study to illustrate the benefits of ECT for catatonia and catatonic states. Diagnostic criteria for catatonia include motoric immobility, excessive motor activity, extreme negativism or mutism, peculiarities of voluntary movement, and echolalia or echopraxia. The treatment of a patient is detailed, and the role of the ECT nurse is outlined. The ECT nurse is a co-ordinator, an educator, liaises with other services and families, and is a point of contact about ECT within the mental health service generally and in the ECT unit in particular. The case study showed successful use of ECT. A series of eight ECT treatments were administered to the catatonic patient, after which he was discharged home with minor depression and showing signs of enjoying life once again. |
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Call Number |
NRSNZNO @ research @ 1011 |
Serial |
995 |
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Author |
Gregory, R.; Kaplan, L. |
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Title |
Understanding residuals in Guillain-Barre Syndrome |
Type |
Journal Article |
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Year |
2008 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
10 |
Issue |
7 |
Pages |
16-18 |
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Keywords |
Diseases; Nursing; Management |
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Abstract |
The authors review the literature on the residual effects of Guillain-Barre Syndrome (GBS), which can include fatigue, foot drop or numbness, reduced mobility and nerve tingling. In GBS the peripheral nerves are attacked by the body's defence system, an auto-immune attack, and as a result, the myelin sheath and axons of nerves are impaired. The pathophysiology of the illness and long term effects are presented, and implications for nursing care and rehabilitation are discussed. Two case studies are included which illustrate coping with the long-term effects of GBS, the effect of GBS residuals on extreme fatigue and depression. |
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Call Number |
NRSNZNO @ research @ 1013 |
Serial |
997 |
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Author |
McCallum, C. |
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Title |
Balancing technology with the art of caring |
Type |
Journal Article |
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Year |
2002 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
8 |
Issue |
7 |
Pages |
21-23 |
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Keywords |
Technology; Nursing; Nurse-patient relations; Ethics |
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Abstract |
The author examines the role of technology in high dependency units, which can alienate nurses from patients. The ethical issues raised by technology are reviewed, particularly the allocation of expensive interventions, and the implications of life-sustaining technology on the application of informed consent. The author highlights the challenge facing nurses to bridge the gap between medical technology and humane caring. |
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Call Number |
NRSNZNO @ research @ 1017 |
Serial |
1001 |
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Author |
Sadlier, C. |
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Title |
Gaining insight into the experience of diabetes |
Type |
Journal Article |
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Year |
2002 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
8 |
Issue |
1 |
Pages |
14-16 |
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Keywords |
Diabetes Type 2; Maori; Nursing |
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Abstract |
This article reports a research project that investigated the experience and expectations of Maori who were newly-diagnosed with non-insulin-dependent diabetes mellitus (NIDDM). Four people diagnosed with NIDDM were interviewed over 12 months. Participant recommendations are incorporated into suggested improvements for managing the condition. |
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Call Number |
NRSNZNO @ research @ 1020 |
Serial |
1004 |
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Author |
Lowe, L. |
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Title |
Linking housing and health status |
Type |
Journal Article |
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Year |
2002 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
8 |
Issue |
9 |
Pages |
26-27 |
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Keywords |
Health status; Public health; Nursing |
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Abstract |
The author examines the impact of poor housing on health, and looks at how the situation can be improved. Ways that nurses can work towards improving housing standards and thus health are discussed. |
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Call Number |
NRSNZNO @ research @ 1021 |
Serial |
1005 |
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Author |
Crowe, M.; O'Malley, J.; Bigwood, S. |
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Title |
Nursing mental health consumers in the community |
Type |
Journal Article |
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Year |
2002 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
8 |
Issue |
8 |
Pages |
14-15 |
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Keywords |
Community health nursing; Psychiatric Nursing |
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Abstract |
The purpose of this research was to describe the characteristics of community mental health nursing care in the community. Twenty six nurses were enrolled in a study consisting of semi-structured interviews about the nature of their care. Responses were analysed to identify categories of skills. These were characterised as: establishing connectedness; promoting individual and family resilience, promoting citizenship; and addressing structural issues. Responses from the nurses are used to illustrate these categories. |
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Call Number |
NRSNZNO @ research @ 1024 |
Serial |
1008 |
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Author |
Brinkman, A. |
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Title |
Occupational stress in hospitals: A nursing perspective |
Type |
Journal Article |
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Year |
2002 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
8 |
Issue |
6 |
Pages |
21-23 |
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Keywords |
Occupational health and safety; Stress; Nursing |
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Abstract |
This article examines the environmental stressors that cause occupational stress for many nurses, particularly the health reforms and the Employment Contracts Act (ECA). The concept of stress is reviewed and theories of occupational stress are described, including the demand-control theory and the transactional model. Nurses are advised to become aware of occupational stress in their workplaces, citing a study by the author showing high levels of stress among hospital nurses. |
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Call Number |
NRSNZNO @ research @ 1025 |
Serial |
1009 |
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Author |
French, P. |
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Title |
Nursing registration: A time to celebrate? |
Type |
Journal Article |
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Year |
2001 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
7 |
Issue |
8 |
Pages |
17-19 |
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Keywords |
History of nursing; Interprofessional relations; Physicians; Nursing philosophy |
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Abstract |
This article examines the knowledge and power relationships between the medical profession and nurses during the first half of the twentieth century. It argues that the 1901 Nurses' Registration Act allowed doctors to exert control over the nursing profession and that the hierarchal structure of the profession contributes to the culture of control and surveillance. |
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Call Number |
NRSNZNO @ research @ 1029 |
Serial |
1013 |
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