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| Author | Miles, M.A.P. | ||||
| Title | A critical analysis of the relationships between nursing, medicine and the government in New Zealand 1984-2001 | Type | |||
| Year | 2005 | Publication | Abbreviated Journal | NZNO Library, University of Otago Library | |
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Issue | Pages | |||
| Keywords | Primary health care; Interprofessional relations; Policy | ||||
| Abstract | This thesis concerns an investigation of the tripartite arrangements between the government, the nursing and the medical sectors in New Zealand over the period 1984 to 2001 with a particular focus on primary health care. The start point is the commencement of the health reforms instituted by the Fourth New Zealand Labour Government of 1984. The thesis falls within a framework of critical inquiry, specifically, the methodology of depth hermeneutics (Thompson, 1990), a development of critical theory. The effects of political and economic policies and the methodologies of neo-liberal market reform are examined together with the concept of collaboration as an ideological symbolic form, typical of enterprise culture. The limitations of economic models such as public choice theory, agency theory and managerialism are examined from the point of view of government strategies and their effects on the relationships between the nursing and medical professions. The influence of American health care policies and their partial introduction into primary health care in New Zealand is traversed in some detail, together with the experiences of health reform in several other countries. Post election 1999, the thesis considers the effect of change of political direction consequent upon the election of a Labour Coalition government and concludes that the removal of the neo-liberal ethic by Labour may terminate entrepreneurial opportunities in the nursing profession. The thesis considers the effects of a change to Third Way political direction on national health care policy and on the medical and nursing professions. The data is derived from various texts and transcripts of interviews with 12 health professionals and health commentators. The histories and current relationships between the nursing and medical professions are examined in relation to their claims to be scientific discourses and it is argued that the issue of lack of recognition as a scientific discourse is at the root of nursing's perceived inferiority to medicine. This is further expanded in a discussion at the end of the thesis where the structure of the two professions is compared and critiqued. A conclusion is drawn that a potential for action exists to remedy the deficient structure of nursing. The thesis argues that this is the major issue which maintains nursing in the primary sector in a perceived position of inferiority to medicine. The thesis also concludes that the role of government in this triangular relationship is one of manipulation to bring about necessary fundamental change in the delivery of health services at the lowest possible cost without materially strengthening the autonomy of the nursing or the medical professions. | ||||
| Call Number | NRSNZNO @ research @ 1146 | Serial | 1131 | ||
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| Author | Morgan, F.A. | ||||
| Title | Primary health care nurses supporting families parenting pre-term infants | Type | |||
| Year | 2006 | Publication | Abbreviated Journal | NZNO Library, University of Otago Library | |
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Issue | Pages | |||
| Keywords | Primary health care; Community health nursing; Paediatric nursing; Premature infants | ||||
| Abstract | This thesis reviews the role of primary health care nurses, who have an opportunity to play a unique role in teaching, touching and empowering families with newly discharged pre-term babies. Birth of a baby earlier than 37 weeks gestation ushers in a period of uncertainty and stress for parents. Uncertainties may centre on whether their infant will survive and what ongoing growth and developmental issues their infant will face. | ||||
| Call Number | NRSNZNO @ research @ | Serial | 1132 | ||
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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 | |||
| Year | 2001 | Publication | Abbreviated Journal | NZNO Library, Victoria University of Wellington Library | |
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Issue | Pages | |||
| 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 | ||
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| Author | Paton, B.I. | ||||
| Title | Unready-to-hand as adventure: Knowing within the practice wisdom of clinical nurse educators | Type | |||
| Year | 2003 | Publication | Abbreviated Journal | NZNO Library, Victoria University of Wellington Library | |
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Issue | Pages | |||
| Keywords | Nursing; Education | ||||
| Abstract | This research aims to clarify the knowing and wisdom that inform clinical nurse educators' responses through unpredictable situations. The author referred to philosophical literature on the notions of tacit knowledge, practical wisdom, smooth activity and the Unready-to-Hand experience. She created an explanatory framework and utilised this in a thought experiment by reflecting on personal experiences. To add clarity to these reflections, two layers of interviewing with nurse educators teaching in practice were carried out. The first layer was an interview with eight clinical nurse educators who in their role experienced Unready-to-Hand situations. The second layer consisted of four clinical nurse educators who volunteered to be involved in more in-depth interviews. An interpretive analysis of these clinical nurse educators stories illuminated the “Unready-to Hand as Adventure”, highlighting the uncertainty and energy associated with opening in the adventure, not knowing what will unfold, yet committed to remaining engaged and doing the best they can. Through the process of attuning to difference, accessing and deciphering knowing, nurse educators create meanings of situational complexities. By preserving the ideals of good practice and engaged caring, nurse educators salvage learning by creating opportunities for learning and teaching. | ||||
| Call Number | NRSNZNO @ research @ | Serial | 1134 | ||
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| Author | Roberts, F. | ||||
| Title | The people the programme & the place: Nurses' perceptions of the Lakeland Health Professional Development Programme | Type | |||
| Year | 1999 | Publication | Abbreviated Journal | NZNO Library, Victoria University of Wellington Library | |
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Issue | Pages | |||
| Keywords | Careers in nursing; Professional development; Registered nurses | ||||
| Abstract | This thesis concerns the Professional Development Programme at Lakeland Health. In New Zealand, such programmes were introduced as a mechanism to openly recognise the clinical expertise of nurses. Clinical Career Pathways were introduced to nursing in North America in the 1970's at a time of nursing shortage. Prior to their inception, nurses wishing to develop their careers had to move to administration, management or education. The programmes recognised and rewarded expertise in practice. A qualitative, descriptive approach (using focus groups) was used with Registered Nurses to gather their perceptions of what helps nurses enroll in the Professional Development Programme. The ideas and insights of nine Registered Nurses were clustered around three main categories: The People (fear; being struck; motivation; feedback; peer support; ways of learning); the Programme (relevance; flexibility; Bachelor's Degrees; implementation; supporting information; fairness); the Place (time; regular and accessible; support from nurse leaders; management). These perceptions are discussed in more detail in the context of nursing at Lakeland Health and of Clinical Career Pathways in New Zealand. The findings are helpful for the evaluation and future development of the Professional Development at Lakeland Health. The research contributes to our understanding of what helps nurses enroll in a Clinical Career Pathway, and emphasises the importance of the People, the Programme and the Place. | ||||
| Call Number | NRSNZNO @ research @ 1150 | Serial | 1135 | ||
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| Author | Wepa, D. | ||||
| Title | An exploration of the experiences of cultural safety educators | Type | |||
| Year | 2003 | Publication | Abbreviated Journal | Held in NZNO Library thesis collection | |
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Issue | Pages | |||
| Keywords | Cultural safety; Nursing; Education; Teaching methods | ||||
| Abstract | This thesis is a study of the experiences of four cultural safety lecturers in nursing education in Aotearoa / New Zealand. A review of literature reveals the recent and turbulent evolution of cultural safety. The media which documented this journey in a negative light in the 1990s prompted ministerial inquiries and the publication of the Nursing Council of New Zealand's guidelines for cultural safety in nursing and midwifery education (1996). Action research methods enabled the participants to implement change in their practice and gain positive personal involvement in the study. Reflective diaries provided the major tool in this process as participants were able to achieve at least one action research cycle by identifying issues, planning action, observing the action and reflecting. The findings of the research revealed that the participants not only coped with every day stressors of teaching but they were also required to formulate knowledge of cultural safety. For the Maori participants their stress was confounded with recruiting and retaining Maori students and macro issues such as commitments to iwi. Lack of support to teach cultural safety was identified to be a key theme for all participants. An analysis of this theme revealed that it was organisational in nature and out of their immediate control. Action research provided a change strategy for participants to have a sense of control of issues within their practice. Recommendations have been made which focus on supporting cultural safety educators to dialogue on a regular basis through attendance at related hui; the introduction of nurse educator programmes; paid leave provisions for cultural safety educators to conduct and publish research so that a body of knowledge can be developed; and that Maori cultural safety educators be recognised for their professional and cultural strengths so that they do not fall victim to burn out. | ||||
| Call Number | NRSNZNO @ research @ | Serial | 1137 | ||
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| Author | Williams, H. | ||||
| Title | One for the boys: An evaluative study of primary health care access by men in Tairawhiti | Type | |||
| Year | 2006 | Publication | Abbreviated Journal | NZNO Library | |
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Issue | Pages | |||
| Keywords | Gender; Primary health care; Access; Male | ||||
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| Call Number | NRSNZNO @ research @ | Serial | 1138 | ||
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| Author | Woods, M. | ||||
| Title | Parental resistance. Mobile and transitory discourses: A discursive analysis of parental resistance towards medical treatment for a seriously ill child | Type | |||
| Year | 2008 | Publication | Abbreviated Journal | NZNO Library | |
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Issue | Pages | |||
| Keywords | Nurse-family relations; Parents and caregivers; Pacific peoples; Communication; Children; Chronically ill | ||||
| Abstract | This qualitative thesis uses discourse analysis to examine parental resistance towards medical treatment of critically ill children. It is an investigation of the 'mobile and transitory' discourses at play in instances of resistance between parents, physicians and nurses within health care institutions, and an examination of the consequences of resistance through providing alternative ways of perceiving and therefore understanding these disagreements. The philosophical perspectives, methodology and methods used in this thesis are underpinned by selected ideas taken from the works of Michel Foucault and Pierre Bourdieu and supported by relevant literature in the fields of media, law, children, parenting, caring, serious childhood illness, medicine and nursing. It is argued that from an examination of interview based texts, parental resistance is an omnipresent but transitory occurrence that affects many of the interactions between the parents of seriously ill children and clinical staff. It is maintained that within these interactions, the seeds of this resistance are sown in both critical decision making situations and in everyday occurrences between doctors, nurses and parents within healthcare institutions. Contributing factors to parental resistance include the use of power games by staff, the language of medicine, forms of symbolic violence, the presence or absence of trust between parents and medical staff, the effects of medical habitus, and challenges to the parental role and identity. Overall, it is proposed in this thesis that parents who resist treatment for their seriously ill child are not exceptions to the normative patient-physician relationship. | ||||
| Call Number | NRSNZNO @ research @ | Serial | 1140 | ||
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| Author | Litchfield, M. | ||||
| Title | Achieving health in a rural community: A case study of nurse – community partnership | Type | Book Whole | ||
| Year | 2004 | Publication | Abbreviated Journal | University and Polytechnic Libraries, NZNO Library | |
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Issue | Pages | |||
| Keywords | Rural health services; Nursing models; Advanced nursing practice; Health promotion; Organisational change | ||||
| Abstract | This study describes rural, nurse-led health services provided by the Takapau Health Centre (Central Hawkes Bay) and its outreach, Norsewood & District Health Centre. The study looks at its model of service delivery through to 2002. It examines the establishment, development, funding and management of the service, along with the nursing practice and the healthcare people received. The book is a snapshot of nursing initiative and survival through a decade of change in health policy and service funding and delivery. The information was subsequently used to move the health centre service into the new paradigm of primary health care launched in the New Zealand Health Strategy. | ||||
| Call Number | NRSNZNO @ research @ 1183 | Serial | 1168 | ||
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| Author | Water, T. | ||||
| Title | The meaning of being in dilemma in paediatric practice: A phenomenological study | Type | |||
| Year | 2008 | Publication | Abbreviated Journal | NZNO Library | |
| Volume |
Issue | Pages | 259 pp | ||
| Keywords | Psychology; Paediatric nursing; Paedetric practice; Problem solving | ||||
| Abstract | This study explores the phenomenon of dilemma in paediatric practice. Using a hermeneutic phenomenological method informed by the writings of Heidegger [1889-1976] and Gadamer [1900-2002] this study provides an understanding of the meaning of 'being in dilemma' from the perspective of predominantly paediatric health care professionals but also families in New Zealand. Study participants include four families who had a child requiring health care and fifteen health care practitioners from the disciplines of medicine, nursing, physiotherapy, play specialist and occupational therapy who work with families and children requiring health care. Participants' narratives of their experiences of 'being in dilemma' were captured via audio taped interviewing. These stories uncover the everyday realities facing health professionals and families and provide an ontological understanding for the notion of dilemma. The findings of this study suggest that experience of dilemma for health professionals reveals a world that is uncertain and questionable where they are thrown into having to make uncomfortable choices and must live with the painful consequences of their actions. The consequences of being in such dilemma are having to find ways of living with the angst, or risk becoming too sensitive or desensitizing. For families the experience of dilemma reveals a similar phenomenon most evident in circumstances where they feel totalized by the impact of heath care encounters. This study has uncovered that the perspectives that health professionals and families bring to the experience of dilemma reveal different concerns and commitments and may be hidden from each other. This thesis proposes that health professionals and families need support in living with their own personal encounters of enduring experiences of dilemma. | ||||
| Call Number | NRSNZNO @ research @ | Serial | 1234 | ||
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| Author | Mahoney, L. | ||||
| Title | Making the invisible visible: Public health nurses role with children who live with a parent with a mental illness | Type | |||
| Year | 2008 | Publication | Abbreviated Journal | NZNO Library | |
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Issue | Pages | |||
| Keywords | Public health; Children; Community health nursing; Scope of practice | ||||
| Abstract | This research uses focus group methodology to examine the public health nursing practice with children living with a mentally ill parent. These children are often neglected, yet are at increased risk of developing mental illnesses themselves. The research data identified the burgeoning impact on public health nurses of such care, and found their role to be primarily assessment and advocacy. | ||||
| Call Number | NRSNZNO @ research @ 1304 | Serial | 1289 | ||
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| Author | Bennison, C. | ||||
| Title | Emergency nurses' perceptions of the impact of postgraduate education on their practice in New Zealand | Type | |||
| Year | 2008 | Publication | Abbreviated Journal | NZNO Library | |
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Issue | Pages | |||
| Keywords | Emergency nursing; Nursing; Education | ||||
| Abstract | ABSTRACT BACKGROUND: Emergency nursing is a specialty concerned with the care of people of all ages, with either perceived or actual unwellness presenting to the emergency department(ED) for assessment, resuscitation, investigation, treatment and review of their illness or injury. Emergency nurses apply specialty knowledge and expertise in the provision, delivery and evaluation of emergency nursing care. Over recent decades social, political and professional changes have affected nursing care delivery and nursing education. In particular the 21st century has witnessed the development of state funded postgraduate nursing education programmes, developing nurses specialty or advanced nursing knowledge, quality patient/client care and nursing practice within the tertiary education system. AIM: The aim of this study is to investigate emergency nurses? perceptions of the impact of postgraduate education on their practice in New Zealand (NZ). METHODS: This study utilises critical social theory as the overarching framework, informed by the writing of Jürgen Habermas (b.1929- ). It is the three phases of Habermas?s practical intent of critical social theory; namely enlightenment, empowerment and emancipation, that this study is concerned with. This descriptive research study employs both quantitative and qualitative methods and is therefore known as mixed-methods research. Data collection took place over 12 weeks, from August to November 2006, using a survey questionnaire obtained with permission from Ms Dianne Pelletier, Sydney, Australia. The sample included 105 emergency nurses from District Health Board (DHB) emergency departments in NZ, 10 respondents from this sample self-selected to be interviewed by telephone. Ethical approval for this study was obtained from the University of Otago Ethics Committee for research involving human participants. Data was analysed using the Statistical Package for Social Sciences (SPSS). RESULTS: Two main themes arose from the thematic analysis; these being positive and negative, these themes were further divided into 10 sub-themes. The results indicate that postgraduate study (PGS) has increased nurses? perception of their knowledge; leadership and understanding on the quality of patient care delivered, increased their academic and research skills and increased their confidence/self-esteem and recognition by their colleagues and team. Therefore the majority of respondents perceive postgraduate education has been an instrument of liberation and a process of empowerment and emancipation. A smaller percentage of respondents perceived that PGS had no effect on various aspects of patient care and another significantly smaller percentage of respondents reported negative results from PGS. This research identified similarities between this study and that of Pelletier and colleagues? (2003; , 2005; , 1998a; , 1998b) Australian study. CONCLUSION: This study adds to the existing literature on postgraduate studies undertaken by nurses. No known study has previously investigated solely emergency nurses?perceptions of the effects of PGS, either nationally or internationally. The results of this study offer enlightening information regarding emergency nurses? perceptions of their PGS within NZ and offers a platform from which other studies may be undertaken. It also has the potential to inform nurses contemplating PGS and educators facilitating these programmes,as well as provide implications for policy development by the Nursing Council of NZ, NZ Universities, DHBs and the Ministry of Health. |
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| Call Number | NRSNZNO @ research @ | Serial | 1291 | ||
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| Author | Spackman, N. E. | ||||
| Title | Nurses' early experiences with patient death | Type | |||
| Year | 2008 | Publication | Abbreviated Journal | NZNO Library | |
| Volume |
Issue | Pages | 156 pp | ||
| Keywords | New graduate nurses; Terminal care | ||||
| Abstract | Chronic stress and 'burnout' have been extensively researched in nursing populations, but very little is known about the impact of specific acutely stressful or significant events. A novice nurse's first encounter with patient death may pose considerable cognitive, emotional and clinical challenges. Using a mixed methods design, this study explored the clinical circumstances, impact and challenges and rewards of nurses' early experiences with patient death. | ||||
| Call Number | NRSNZNO @ research @ | Serial | 1292 | ||
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| Author | McNamara, N. | ||||
| Title | The meaning of the experience for ICU nurses when a family member is critically ill: A hermeneutic phenomenologcial study | Type | |||
| Year | 2007 | Publication | Abbreviated Journal | NZNO Library | |
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Issue | Pages | |||
| Keywords | Intensive care nursing; Nurse-family relations | ||||
| Abstract | This study provides insight into the experience of being an ICU nurse and relative of a critically ill patient. Analysis of data from interviews of four ICU nurses who had experienced having a family member admitted to ICU brought up several themes. These included: a nurses' nightmare, knowing and not knowing, feeling torn, and gaining deeper insight and new meaning. Recommendations for organisational support for ICU nurse/relatives, and education for staff are made, based on the findings. | ||||
| Call Number | NRSNZNO @ research @ 1312 | Serial | 1296 | ||
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| Author | Litchfield, M. | ||||
| Title | The language of nursing practice in hospitals | Type | Conference Article | ||
| Year | 1997 | Publication | Abbreviated Journal | held by NZNO Library and author | |
| Volume |
Proceedings of the National Nursing Informatics Co | Issue | Pages | ||
| Keywords | Hospitals; Nurse managers; Advanced nursing practice; Nurse-patient relations; Care plans | ||||
| Abstract | A paper presenting the findings of a small research project involving a group of self-selected senior nurses of Wellington Hospital to explore the nature of nursing practice in the care and management of hospitalised patients and to formalise the language that would acknowledge its significance in the current effort of hospitals to define patient care pathways. The nature of hospital nursing practice was described in themes of a generic process of nurse-patient care that articulates a distinct specialism of hospital nursing, whatever the hospital department in which nurses hold positions. | ||||
| Call Number | NZNO @ research @ | Serial | 1322 | ||
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