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Author |
Mearns, G. |
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Title |
Developing autonomous ownership: A grounded theory study of how registered nurses working in aged care are advancing their nursing practice |
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Year |
2005 |
Publication |
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Abbreviated Journal |
Auckland University of Technology Library |
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Volume |
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Issue |
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Pages |
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Keywords |
Nurse practitioners; Geriatric nursing; Older people; Registered nurses |
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Abstract |
The introduction of nurse practitioner registration into New Zealand in 2001 was heralded as a move that would open up a wealth of opportunities for registered nurses to extend their practice into more independent roles and to provide a client-centred health service. It was also seen as a way to retain experienced registered nurses in the clinical practice area by providing a credible clinical career pathway. If nurse practitioner's are to meet these expectations, then, the author suggests, it is important to understand the processes that encourage or discourage nurses from advancing their practice. One of the early scopes of practice to be introduced was nurse practitioner with an endorsement in aged care scope of practice. Grounded theory was the method used to generate an explanation of how registered nurses working in aged care were preparing for the introduction of nurse practitioner roles. An analysis of early data highlighted codes around registered nurses in aged care extending and advancing their practice rather than preparing specifically for the nurse practitioner role. The research question for this study was: 'How are registered nurses in aged care advancing their nursing practice?' Semi-structured interviews were used to collect data from ten experienced registered nurses working in aged care clinical practice settings ranging from secondary hospital facilities, to community settings and residential care villages. Dimensional analysis of the data eventually generated three major conceptual categories: 'ownership of nursing', 'extending practice', and 'moving out of a comfort zone'. Of these, 'ownership of nursing' was identified as the core construct that linked the other categories together. The substantive theory that explains how registered nurses in aged care advance their clinical practice is 'developing autonomous ownership'. Nurses who develop autonomous ownership of nursing are more likely than other nurses to move out of a current comfort zone and advance their practice into more independent roles that suit their autonomous ownership of nursing. This study identified important contextual factors and conditions that support the development of an autonomous ownership of nursing and that subsequently facilitate advancing nursing practice. These include creating supportive environments, organisational commitment to advanced nursing practice roles, visible nursing leadership, congruence between organisational and nursing philosophies, interdisciplinary collaboration and participating in postgraduate education. The author suggests that the significance of this study is that it generated a theory about the processes that encourage or discourage nurses from preparing for, and progressing into, advanced nursing practice roles such as nurse practitioner. |
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Call Number |
NRSNZNO @ research @ |
Serial |
585 |
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Author |
Davis, Rosalie |
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Title |
Nursing Narratives of assisted dying implementation in New Zealand |
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Book Whole |
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Year |
2022 |
Publication |
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Abbreviated Journal |
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Volume |
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Issue |
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Pages |
135 p. |
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Keywords |
Assisted dying; Euthanasia; End-of-life care; Surveys |
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Abstract |
Explains how assisted dying legislation and subsequent implementation impacts upon practice and policy for nurses in NZ. Enrols 10 participants working in a range of end-of-life care settings to participate in qualitative research though narrative inquiry and grounded within a social constructivist paradigm. Conducts interviews two to three months prior to the enactment of the End-of-Life Choice Act. |
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Call Number |
NZNO @ research @ |
Serial |
1834 |
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Author |
Poffley, Cara |
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Title |
Everything matters: Exposing the complexity of stakeholder collaboration in clinical education for undergraduate nursing students |
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Book Whole |
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Year |
2022 |
Publication |
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Abbreviated Journal |
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Volume |
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Issue |
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Pages |
221 p. |
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Keywords |
Nursing education; Acute care; Clinical competence; Clinical supervision; Surveys |
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Abstract |
Explores the complexity of values and beliefs along with contextual factors that enable and constrain stakeholder collaboration between student nurses, registered nurses in clinical practice, and academic clinical educators. Gathers data through focus groups and individual interviews to identify how and when collaboration among the stakeholders occurs. |
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Call Number |
NZNO @ research @ |
Serial |
1840 |
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Author |
Bowen-Withington, Julie |
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Title |
Emerging discourses shaping high-fidelity simulation as an education platform in Aotearoa New Zealand pre-registration nursing education: A Foucauldian discourse analysis |
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Book Whole |
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Year |
2022 |
Publication |
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Abbreviated Journal |
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Volume |
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Issue |
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Pages |
311 p. |
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Keywords |
High-fidelity simulation (HFS); Nursing education; Discourse analysis; Michel Foucault |
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Abstract |
Asserts that nursing needs to think critically about High-fidelity simulation (HFS) use, and its dominance, in the educational preparation of nurses. Draws on the tenets of postmodernism and Foucauldian discourse analysis methodology to question the discourses and discursive practices that influence the use of HFS as an approach to intentional and unintentional teaching and learning in pre-registration nursing education in NZ. Explores how this shapes nursing students' subjectivity and, ultimately, nursing practice. |
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Call Number |
NZNO @ research @ |
Serial |
1839 |
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Author |
Eappen, Seena |
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Title |
Developing a clinical referral pathway for the management of difficult venous access for ward nurses at North Shore Hospital |
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Book Whole |
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Year |
2022 |
Publication |
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Abbreviated Journal |
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Volume |
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Issue |
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Pages |
83 p. |
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Keywords |
Cannulation; Difficult Venous Access (DVA); Clinical Referral Pathway; Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) Model |
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Abstract |
Aims to streamline a clinical referral pathway (flow chart) for difficult venous access (DVA). Conducts a review of current literature to provide a theoretical basis to support the project. Uses the Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) Model to develop the project, collecting a six-month sample of referral data to identify trends. Identifies four key themes during daa analysis: patient clinical condition; difficult access; staff education and training; and urgency for treatment |
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Call Number |
NZNO @ research @ |
Serial |
1751 |
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Author |
Sahil, Zahraa |
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Title |
Are we able to retain nurses in New Zealand in the public health sector? |
Type |
Book Whole |
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Year |
2021 |
Publication |
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Abbreviated Journal |
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Volume |
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Issue |
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Pages |
66 p. |
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Keywords |
Nurse retention; Public health; Remuneration; Pandemics |
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Abstract |
Performs an integrative literature review to identify the causes of low retention rates among nurses, pinpointing both intrinsic and extrinsic factors, chief among them, low pay. Highlights the exacerbating effect of the pandemic on nursing retention. |
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Call Number |
NZNO @ research @ |
Serial |
1747 |
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Author |
Pool, Leanne Gay |
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Title |
The Nurse Educator in Aotearoa New Zealand |
Type |
Book Whole |
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Year |
2021 |
Publication |
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Abbreviated Journal |
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Volume |
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Issue |
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Pages |
202 p. |
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Keywords |
Nurse educators; Nursing education; Nursing workforce; Kaiako Tapuhi |
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Abstract |
Aims to contribute to an understanding of the work of nurse educators by illustrating the effect that changing health care and nursing workforce demands have had on the nurse educator role. Employs both academic and narrative writing in order to traverse the complexity of being a nurse educator. Argues that the educator needs to position the role between education and nursing practice, fulfilling the role of Kaiako Tapuhi. |
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Call Number |
NZNO @ research @ |
Serial |
1743 |
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Author |
Mathew, Biby Rose |
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Title |
Systematic literature review of the major themes in New Zealand health informatics research |
Type |
Book Whole |
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Year |
2021 |
Publication |
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Abbreviated Journal |
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Volume |
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Issue |
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Pages |
66 p. |
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Keywords |
Health informatics; Nursing informatics; Nursing education; Decision-making; Health research |
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Abstract |
Uses a systematic literature review to identify the following themes in health informatics research: conceptualisation of health informatics; big data analytics (BDA) in health informatics; types of health information systems; history of health informatics; and teaching nursing informatics. Concentrates on devices, methods, and interventions needed to promote the attainment of big-data analytics in health informatics and its use in medical and health decision-making. |
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Call Number |
NZNO @ research @ |
Serial |
1755 |
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Author |
Cavit, Larisa |
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Title |
Exploring factors that influence vaccination uptake for children with refugee backgrounds: An interpretive descriptive study of primary healthcare providers' perspectives |
Type |
Book Whole |
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Year |
2021 |
Publication |
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Abbreviated Journal |
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Volume |
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Issue |
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Pages |
160 p. |
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Keywords |
Immunisation; Refugee children; Primary health care; Practice nurses |
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Abstract |
Examines those factors associated with access to, and uptake of immunisation services. Conducts semi-structured interviews with primary healthcare nurses and GPs across seven resettlement locations. Proposes strategies to improve age-appropriate vaccination among refugee children after resettlement in NZ, based on five themes from the data: resettlement priorities; knowledge about refugees; learning to use the health system; communication between caregivers and health providers; culturally and linguistically appropriate services. |
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Call Number |
NZNO @ research @ |
Serial |
1757 |
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Author |
Hall, J. |
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Title |
Building trust to work with a grounded theory study of paediatric acute care nurses work |
Type |
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Year |
2004 |
Publication |
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Abbreviated Journal |
Auckland University of Technology Library |
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Volume |
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Issue |
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Pages |
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Keywords |
Nurse-family relations; Nurse-patient relations; Children; Paediatric nursing; Intensive care nursing |
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Abstract |
Grounded theory methodology has guided the grounded theory methods used to explore the acute care paediatric nurses' perspective of what they do when a child has had a severe accident. The research was initiated from the experience of nursing children in the context of a rehabilitation centre and wondering how acute care nurses promoted a child's recovery after a severe unintentional injury. Many avenues were used to search international and New Zealand literature but the scarcity of literature related to what acute care paediatric nurses do was evident. Nursing children in the acute care ward after a severe accident is complex. It encompasses nursing the family when they are experiencing a crisis. It is critical that the acute care nurse monitors and ensures the child's physiological needs are met, and the nurse “works with” the child to maintain and advance medical stability. Nursing interactions are an important part of “working with”, communication is the essence of nursing. This research has focussed on the nurses' social processes whilst caring for the physical needs of the child and interacting with the family and multidisciplinary team when appropriate. An effective working-relationship with a nurse and family is founded on trust. Grounded theory methods supported the process of exploring the social processes of “building trust” whilst “working with” families in a vulnerable position. Nurses rely on rapport to be invited into a family's space to “work with” and support the re-establishment of the parenting role. The “stepping in and out” of an effective working-relationship with a family is reliant on trust. Nurses build trust by spending time to “be with”, using chat to get to know each other, involving and supporting the family to parent a “different” child and reassuring and giving realistic hope to help the child and parents cope with their changed future. A substantive theory of the concept of “building trust to work with” has been developed using grounded theory methods. The theory has been conceptualised using the perspective of seven registered nurses working in paediatric acute care wards that admit children who have had a severe traumatic accident. |
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Call Number |
NRSNZNO @ research @ |
Serial |
597 |
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Author |
Grinlinton, Anne |
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Title |
Management of pressure injury prevention in two New Zealand residential aged care facilities: A case study |
Type |
Book Whole |
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Year |
2021 |
Publication |
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Abbreviated Journal |
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Volume |
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Issue |
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Pages |
120 p. |
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Keywords |
Pressure injuries; Aged residential care; Injury prevention; High Dependency |
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Abstract |
Examines how pressure injury prevention is managed in aged residential care (ARC). Using exploratory case study methodology, collects data from Clinical Managers, Regisered Nurses and Health Care Assistants working in two ARC facilities by means of semi-structured interviews. Identifies barriers and facilitators in the prevention of pressure injuries in the context of organisational culture and structure. |
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Call Number |
NZNO @ research @ |
Serial |
1753 |
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Author |
Weatherly, Kate |
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Title |
OPIVA refined – a human-centred approach to outpatient intravenous antibiotic treatment |
Type |
Book Whole |
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Year |
2021 |
Publication |
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Abbreviated Journal |
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Volume |
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Issue |
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Pages |
457 p. |
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Keywords |
OPIVA (Outpatient Intravenous Antibiotic) service; Outpatients; District nursing; Medical technology design |
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Abstract |
Employs human-centred design (HCD) methods to explore how the medical devices that make up the Waitemata District Health Board's (Waitemata DHB) Outpatient Intravenous Antibiotic (OPIVA) service could be redesigned to improve the experiences of patients within the service. Surveys patients and district nursing staff about improving the usability, aesthetics and ergonomics of the elastomeric infuser and redesigning the storage bag to be wearable under clothing. Proposes a new system to replace the surgical tape used to hold the IV lines in place and advocates for patient experience inclusion in the redesign of the devices. |
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Call Number |
NZNO @ research @ |
Serial |
1756 |
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Author |
Lewis, T. |
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Title |
Euthanasia: A Foucauldian analysis |
Type |
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Year |
2005 |
Publication |
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Abbreviated Journal |
ScholarlyCommons@AUT |
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Volume |
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Issue |
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Pages |
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Keywords |
Law and legislation; Euthanasia; Ethics; Pain management; Terminal care; Nursing; Palliative care |
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Abstract |
This study drew upon the theoretical insights of Michel Foucault to provide a discursive analysis of the term euthanasia, and the issues surrounding the “right-to-die”. It involved an analysis of primary texts from; nursing, general, and legal literature as well as the media between the years 2002-2004. Drawing upon data researched, the study analyses the main discourses regarding the practice of euthanasia for terminally ill individuals. The two competing discourses that emerged were what the author termed the sanctity-of life-discourse and the right-to-die discourse. The aim of the study was to uncover the discourses understanding of “truth” regarding the right-to-die. The analysis revealed that a small percentage of cancer sufferers (5%) die with their pain insufficiently treated and the right-to-die discourse claims that no individual should have to suffer needlessly, asserting the individuals right to autonomy. Directly opposing this is the sanctity-of life-discourse which states all life is sacred and nothing can justify euthanasia as an acceptable practice in society. These findings indicate the need for effective palliative care and pain management when caring for the terminally ill individual. The legal, ethical and moral implications of euthanasia are many and this study discusses the effects these may have on health professionals involved with the care of terminally ill patients. The study revealed an increasing deployment of the right-to-die discourse in the media and revealed concerns regarding the nursing profession's lack of preparation to deal with euthanasia if it becomes a legal option in end of life care. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1226 |
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Author |
Czuba, Karol Jan |
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Title |
Improving outcomes for support workers in aged care |
Type |
Book Whole |
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Year |
2021 |
Publication |
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Abbreviated Journal |
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Volume |
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Issue |
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Pages |
432 p. |
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Keywords |
Aged care; Support workers; Peer mentoring; Psychosocial outcomes; Staff turnover |
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Abstract |
Describes a rigorous and structured approach to development of an evidence-based e-mentoring intervention for NZ aged care support workers. Establishes the conceptual and theoretical bases to define the peer-mentoring intervention protocol, and investigates its feasibility and acceptability. Considers the evidence for improving psychosocial outcomes and turnover rates for support workers in the development of the WeCare Mentoring Programme. |
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Call Number |
NZNO @ research @ |
Serial |
1754 |
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Author |
Tipa, Zoe |
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Title |
Mahi Ngatahi: Culturally-responsive ways of working with whanau accessing Well Child/Tamariki Ora services |
Type |
Book Whole |
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Year |
2021 |
Publication |
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Abbreviated Journal |
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Volume |
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Issue |
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Pages |
178 p. |
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Keywords |
Mahi Ngatahi; Well Child/Tamariki Ora; Cultural safety; Cultural competence; Kaupapa Maori research methodology |
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Abstract |
Highlights the perspectives of Maori families using health services provided by Well Child/Tamariki Ora (WCTO), citing institutional racism and unconscious bias. Interviews 18 families with children under five years, about their experiences of WCTO services. Employs a Kaupapa Maori research methodology to develop Mahi Ngatahi, a theory for culturally-responsive WCTO services. |
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Call Number |
NZNO @ research @ |
Serial |
1752 |
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