| |
Records |
Links  |
|
Author |
Dickinson, A.R.; Dignam, D. |
|
| |
Title |
Managing it: A mother's perspective of managing a pre-school child's acute asthma episode |
Type |
Journal Article |
| |
Year |
2002 |
Publication |
Journal of Child Health Care |
Abbreviated Journal |
|
|
| |
Volume |
6 |
Issue |
1 |
Pages |
7-18 |
|
| |
Keywords |
Asthma; Parents and caregivers; Children; Nurse-patient relations |
|
| |
Abstract |
This exploratory descriptive study informed by grounded theory examines the experience of mothers in managing their pre-school child's acute asthma attack at home. The study reveals that mothers perceive that they are responsible for the management of their pre-school child during an acute asthma episode, a process they described as 'managing it'. This process involves mother in 'working on treatment', 'making the call', 'watching' and 'calming', while the husband/partner, family, friends and health professionals are 'supporting treatment'. This study suggests that nurses and doctors need to move away from the current paternalistic view of health care delivery in acute settings and embrace the concepts of support and partnership in the care of the pre-school child with asthma and their family. |
|
| |
Call Number |
NRSNZNO @ research @ 728 |
Serial |
714 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
O'Reilly, A.F. |
|
| |
Title |
Relinquishing personhood in dementia: Discordant discourses: A nurse's inquiry |
Type |
|
| |
Year |
2002 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Dementia; Nursing; Nurse-patient relations; Relationships |
|
| |
Abstract |
This thesis traces the journey of the author's inquiry into family members' experience of the relinquishment of the personhood of a loved one with a dementia; a journey in which she reports that her own prior understandings were significantly challenged. The study was prompted by her experience of working in the area of dementia care and hearing, in the course of the working day, comments such as 'there's nobody there' made in relation to someone suffering from severe dementia. Such comments appear to imply that the person of the dementia sufferer in some way is no longer present. They are comments which relate to the very nature of personhood. The study takes impetus from the fact that the ways in which nurses view the personhood of dementia sufferers has significant consequences for the ways in which they respond to dementia sufferers and their families. This thesis, which retells the stories of four family members who each have a loved one with a dementia illness, reveals that rather than there being a unified concept of personhood in dementia, and in spite of the fact that particular understandings of dementia and personhood dominate our cultural conversations, in their day to day lives these four family members managed and made sense of their experience through particular and different ways of looking at the impact dementia has on the personhood of dementia sufferers. Not all did, in fact, relinquish the personhood of their family member. In their lived lives, the four research participants had recourse, each in different ways, to multiple discourses of personhood. For some, in addition to loss, there was also unexpected gain. This finding necessitated and shaped further inquiry into discourse and the role of discourse in shaping, constraining and opening up possibilities for meaning, and into the two substantive areas of dementia and personhood. Nurses work closely alongside the family of dementia sufferers who are daily faced with the challenge of managing and making meaning of that situation. It is critically important that they are able to recognise, validate and support the variety of needs that family members have. Nurses, whose education is traditionally based on a biomedical framework, are nevertheless often required to mediate between different understandings. Not only do they need currency of knowledge in the rapidly changing biomedical field of dementia, but they need also an understanding of the role and the power of discursive constructions of both dementia and personhood. Such understanding will provide insight into alternate ways of understanding these concepts. However, although such understanding is critical for nurses working in this area, the author suggests that nursing literature has not brought these discussions to the fore. |
|
| |
Call Number |
NRSNZNO @ research @ 792 |
Serial |
776 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Phillips, B.N. |
|
| |
Title |
Nursing care and understanding the experiences of others: A Gadamerian perspective |
Type |
Journal Article |
| |
Year |
2007 |
Publication |
Nursing Inquiry |
Abbreviated Journal |
|
|
| |
Volume |
14 |
Issue |
1 |
Pages |
89-94 |
|
| |
Keywords |
Nursing philosophy; Nurse-patient relations |
|
| |
Abstract |
This article investigates the process where nurses attempt to understand the experience of patients. The author argues that this transcends particular models of ill-health. Gadamerian hermeneutics, which has been used in nursing research to articulate the process of understanding, is elaborated on. Gadamer's exposition of understanding shows that practitioners need to be aware that understanding of other people is developed through a fusion of one's own history, language and culture with that of the other person. This occurs through a hermeneutic question-answer dialogue in which practitioners put their ideas at risk of being modified or rejected in the process. Understanding then, is a perceptual and conceptual process. In this way, the experience of nurses seeking to understanding those they nurse increases self-awareness, as well as enhancing their ability to further understand others. |
|
| |
Call Number |
NRSNZNO @ research @ 797 |
Serial |
781 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Wilson, D.; Neville, S.J. |
|
| |
Title |
Nursing their way not our way: Working with vulnerable and marginalised populations |
Type |
Journal Article |
| |
Year |
2008 |
Publication |
Contemporary Nurse |
Abbreviated Journal |
|
|
| |
Volume |
27 |
Issue |
2 |
Pages |
165-176 |
|
| |
Keywords |
Maori; Geriatric nursing; Nurse-patient relations |
|
| |
Abstract |
This paper uses the findings of two studies to explore the nature of nurses' practice when working with vulnerable and marginalised populations, particularly with regard to the attributes of holism and individualised care. The first study was with the elderly with delirium and used a critical gerontological methodology informed by postmodernism and Foucault's understanding of discourse. The other study with indigenous Maori women utilised Glaserian grounded theory informed by a Maori-centred methodology. The findings show that a problem focussed approach to health care is offered to patients that does not incorporate individual health experiences. In addition, the social context integral to people's lives outside of the health care environment is ignored. Consequently, the foundations of nursing practice, that of holism, is found to be merely a rhetorical construct. |
|
| |
Call Number |
NRSNZNO @ research @ 799 |
Serial |
783 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Casey, G. |
|
| |
Title |
Conditional expertise in chronic illness |
Type |
|
| |
Year |
2000 |
Publication |
|
Abbreviated Journal |
Massey University Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Chronically ill; Nurse-patient relations |
|
| |
Abstract |
|
|
| |
Call Number |
NRSNZNO @ research @ 808 |
Serial |
792 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Mortensen, A. |
|
| |
Title |
Destigmatisation: A grounded theory of the work of sexual health nurses |
Type |
|
| |
Year |
2000 |
Publication |
|
Abbreviated Journal |
Massey University Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Sexual and reproductive health; Prejudice; Nurse-patient relations; Attitude to health |
|
| |
Abstract |
|
|
| |
Call Number |
NRSNZNO @ research @ 809 |
Serial |
793 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Radka, I.M. |
|
| |
Title |
Handover and the consumer voice: The importance of knowing the whole, full story |
Type |
|
| |
Year |
2003 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Communication; Patient satisfaction; Nurse-patient relations |
|
| |
Abstract |
In the acute hospital setting, nurses provide care twenty-four hours a day, seven days a week. Due to the ever-changing nature of the patient's situation, nurses need quality information at the beginning of each eight-hour shift to plan and implement patient care effectively. It is claimed that handover is central for maintaining the continuity and the quality of patient care. This qualitative descriptive study was undertaken to identify what core information needs to be exchanged at nursing handover to ensure quality and continuity of patient care. Five consumers who had experience of recurrent hospital admissions shared their perceptions of handover practice through individual interviews. Three focus group meetings of seven nurses from a secondary care setting discussed handover practice from their professional perspectives. Both nursing and consumer voices are integral to the overall understanding of this study but the consumer voice is the privileged and dominant voice. Through the process of thematic content analysis the central themes of communication, continuity and competence emerged for the consumers. Consumers expect to be kept informed and involved in their healthcare. They want continuity of nurse, information and care and expect that nurses involved in the delivery of healthcare are competent to manage their situation. The 'importance of knowing' is the overarching construct generated in this research. Knowing is identified as the foundation on which quality and continuity of care is built and is discussed under the subheadings of: not knowing, knowing the patient as a person, knowing takes time, hidden knowing, knowing consumers' rights, oral knowing, knowing involves more than handing over patient care and knowing the economics. Recommendations have been developed for future research, nursing practice, education and management. These centre on ways to develop a more consumer-focused approach to contemporary healthcare. |
|
| |
Call Number |
NRSNZNO @ research @ 883 |
Serial |
867 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
O'Brien, A.J. |
|
| |
Title |
The therapeutic relationship: Perceptions of mental health nurses |
Type |
|
| |
Year |
2000 |
Publication |
|
Abbreviated Journal |
Massey University Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Psychiatric Nursing; Mental health; Nurse-patient relations |
|
| |
Abstract |
|
|
| |
Call Number |
NRSNZNO @ research @ 914 |
Serial |
898 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Connor, M. |
|
| |
Title |
Courage and complexity in chronic illness: Reflective practice in nursing |
Type |
Book Whole |
| |
Year |
2004 |
Publication |
|
Abbreviated Journal |
|
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Asthma; Nurse-patient relations; Nurse-family relations; Community health nursing; District nursing; Chronically ill |
|
| |
Abstract |
This book presents the reflective account of an actual nursing practice situation (a woman living with chronic asthma).The author provides a descriptive narrative and then delves deeper into the narrative to obtain greater understanding of what she calls “strife” in chronic illness and the best nursing practice to assist its resolution. |
|
| |
Call Number |
NRSNZNO @ research @ 926 |
Serial |
910 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Carryer, J.B. |
|
| |
Title |
Embodied largeness: A significant women's health issue |
Type |
Journal Article |
| |
Year |
2001 |
Publication |
Nursing Inquiry |
Abbreviated Journal |
|
|
| |
Volume |
8 |
Issue |
2 |
Pages |
90-97 |
|
| |
Keywords |
Nurse-patient relations; Attitude of health personnel; Feminist critique |
|
| |
Abstract |
This paper describes a three-year long research project in which nine large-bodied women have engaged in a prolonged dialogue with the researcher about the experience of being 'obese'. The study involved an extensive review of the multidisciplinary literature that informs our understandings of body size. The literature review was shared with participants in order to support their critical understanding of their experience. The experience of participants raised questions as to how nursing could best provide health-care for large women. An examination of a wide range of literature pertinent to the area of study reveals widespread acceptance of the notion that to be thin is to be healthy and virtuous, and to be fat is to be unhealthy and morally deficient. According to the literature review, nurses have perpetuated an unhelpful and reductionist approach to their care of large women, in direct contradiction to nursing's supposed allegiance to a holistic approach to health-care. This paper suggests strategies for an improved response to women who are concerned about their large body size. |
|
| |
Call Number |
NRSNZNO @ research @ 941 |
Serial |
925 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Major, G.; Holmes, J. |
|
| |
Title |
How do nurses describe health care procedures? Analysing nurse-patient interaction in a hospital ward |
Type |
Journal Article |
| |
Year |
2008 |
Publication |
Australian Journal of Advanced Nursing |
Abbreviated Journal |
|
|
| |
Volume |
25 |
Issue |
4 |
Pages |
58-70 |
|
| |
Keywords |
Communication; Nursing; Nurse-patient relations |
|
| |
Abstract |
This study examines the communication strategies used by nurses on the ward in one aspect of the job, namely the ways that they describe health procedures to patients. The data used in this project was collected by nurses on a busy hospital ward as part of Victoria University's Language in the Workplace Project. Three nurses carried minidisc recorders as they went about their normal working day, recording their conversations with patients, visitors, and other staff. The data was collected in a women's hospital ward. All patients, nurses, cleaners and ward clerks were female; two doctors were female and two were male. Twenty three instances where nurses described procedures to patients were identified in the data set. The analysis identified several typical components; indicated there was no fixed order of components; and demonstrated that all except the core component of describing the procedure were optional rather than obligatory elements. The researchers note this is qualitative and exploratory research. The findings demonstrate the benefit of discourse analysis within a sociolinguistic framework for the analysis of nurse-patient interaction. The results indicate that health discourse is not one-sided, nor is it as straightforward as many nursing textbooks suggest. |
|
| |
Call Number |
NRSNZNO @ research @ 975 |
Serial |
959 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
McCallum, C. |
|
| |
Title |
Balancing technology with the art of caring |
Type |
Journal Article |
| |
Year |
2002 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
8 |
Issue |
7 |
Pages |
21-23 |
|
| |
Keywords |
Technology; Nursing; Nurse-patient relations; Ethics |
|
| |
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. |
|
| |
Call Number |
NRSNZNO @ research @ 1017 |
Serial |
1001 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Crowe, M.; Luty, S. |
|
| |
Title |
Recovery from depression: A discourse analysis of interpersonal psychotherapy |
Type |
Journal Article |
| |
Year |
2005 |
Publication |
Nursing Inquiry |
Abbreviated Journal |
|
|
| |
Volume |
12 |
Issue |
1 |
Pages |
43-50 |
|
| |
Keywords |
Psychiatric Nursing; Mental health; Nurse-patient relations |
|
| |
Abstract |
This paper describes a discourse analysis of the process of interpersonal psychotherapy (IPT) in the recovery from depression. It demonstrates how IPT is an effective treatment strategy for mental health nurses to utilise in the treatment of depression. The discourse analysis highlights how the development of more meaningful subject positions enables one woman to recover from her depression. The process of recovery is underpinned by an understanding of women's depression as promoted by contemporary social and cultural expectations for detachment and reflexivity. This paper shows how IPT provides an opportunity for recovery from depression for one woman by facilitating a reconstruction of her subject positions in relation to others. The discourse analysis revealed that the therapist facilitated this through the use of a range of techniques: seeking information, exploring beliefs/values/assumptions, exploring communication patterns, exploring affective responses and exploring alternative subject positions. |
|
| |
Call Number |
NRSNZNO @ research @ 1070 |
Serial |
1055 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Spence, D. |
|
| |
Title |
Prejudice, paradox, and possibility: Nursing people from cultures other than one's own |
Type |
Journal Article |
| |
Year |
2001 |
Publication |
Journal of Transcultural Nursing |
Abbreviated Journal |
|
|
| |
Volume |
12 |
Issue |
2 |
Pages |
100-106 |
|
| |
Keywords |
Cultural safety; Transcultural nursing; Nurse-patient relations |
|
| |
Abstract |
This article provides a brief overview of the findings of a hermeneutic study that explored the experience of nursing people from cultures other than one's own. The notions prejudice, paradox, and possibility are argued to describe this phenomenon. Nurses in New Zealand are being challenged to recognise and address racism in their practice. Yet, the implementation of cultural safety in nursing education has created tension within the profession and between nursing and the wider community. As nurses negotiate the conflicts essential for ongoing development of their practice, the play of prejudice, paradox, and possibility is evident at intrapersonal and interpersonal levels as well as in relation to professional and other discourses. Nurses are challenged to continue their efforts to understand and move beyond the prejudices that otherwise preclude the exploration of new possibilities. |
|
| |
Call Number |
NRSNZNO @ research @ 1104 |
Serial |
1089 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Mossop, M.D. |
|
| |
Title |
Older patients' perspectives of being cared for by first year nursing students |
Type |
|
| |
Year |
2000 |
Publication |
|
Abbreviated Journal |
University of Otago Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Older people; Nurse-patient relations; New graduate nurses; Hospitals |
|
| |
Abstract |
|
|
| |
Call Number |
NRSNZNO @ research @ 1135 |
Serial |
1120 |
|
| Permanent link to this record |
