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West, S. R., Harris, B. J., Warren, A., Wood, H., Montgomery, B., & Belsham, V. L. (1986). A retrospective study of patients with cancer in their terminal year. New Zealand Medical Journal, 99(798), 197–200.
Abstract: This was a retrospective study of 100 Auckland people suffering from cancer in their terminal year. It aimed firstly to report the development of limitations in daily living activities and of dependence on help, and secondly to develop a method of assessing the functions of both patients and those who cared for them in such a way that support services could be matched to needs. The observations showed problems of progressive disability and dependence, which varied with the age of the patient and the type of malignancy. They showed clearly the long lasting emotional problems of the careers after the patients' death
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Nelson, K., & Cook, N. (1986). Nursing research questionnaire: Diploma of Nursing research component. Ph.D. thesis, , .
Abstract: In October, 1986 the fifteen technical institutes that run Nursing programs in New Zealand were sent questionnaire that were designed to find out about the Nursing Research Component in the Diploma of Nursing, The Advanced Diploma of Nursing and other Nursing Courses. The same questions were asked of each of these courses. Twelve replies were received and eleven were analysed in this report. Two general observations emerged from the Diploma of Nursing: 1. The questionnaires varied greatly in the detail provided in answers. 2. Where there were small numbers enrolled in the Diploma of Nursing, the questionnaire answers suggest there is less emphasis placed on Nursing research as a separate component in the course. This small project provides us with some information about the Nursing Research Component in the Diploma of Nursing courses offered in New Zealand
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Dodd, J. E. L. (1986). Nursing evaluation of the efficacy of analgesic delivery in post operative pain (Vol. 6). Ph.D. thesis, , .
Abstract: The progress of 22 adult patients was recorded for three days post operatively. Pain was assessed at rest and on activity three times a day using visual analogues. Nausea levels were assessed similarly. All analgesics and anti emetics administered were recorded. There was a wide range of variation in the administration of medications and consequently a wide range of effectiveness. A significant proportion of patients showed unacceptably high levels of pain indicating under treatment. Patients and nurses had conflicting expectations of who should initiate the request for pain medication
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Churcher, R. L., & Jones, M. (1986). Theatre nursing – some perceptions of practice. The peri-operative continuum: do we work within it? Ph.D. thesis, , .
Abstract: This research project looked at the extent to which affective nursing is practised in operating theatres from an organisational climate point of view. Theatre nurses self image was also studied. The results suggest that even in moderately restrictive organisation; climates affective nursing care can and is being practised. The move towards the perioperative nursing role is practical in these circumstances
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Sakulneya, A. (1986). Breast-feeding: personal and social influences. Ph.D. thesis, , .
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McSherry, M. A. (1986). Childbirth in the Manawatu: women's perspectives. Ph.D. thesis, , .
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Glasspoole, L. A. (1986). Psychotropic drug use with the elderly: nurse attitudes and knowledge levels. Ph.D. thesis, , .
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Litchfield, M. (1986). Thinking through diagnosis: Process in nursing practice. Nursing Praxis in New Zealand, 1(4), 9–12.
Abstract: A paper following on from the paper “Between the idea and reality” (Nursing Praxis in New Zealand 1(2), 17-29) proposing the focus for the discipline of nursing – practice and research – is diagnosis. For nursing practice, diagnosis is a practice that collapses “The Nursing Process”; for research to develop nursing practice, diagnosis is one continuous relational process that merges and makes the separate tasks od assessment, intervention and evaluation redundant.
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Litchfield, M. (1986). Between the idea and reality. Nursing Praxis in New Zealand, 1(2), 17–29.
Abstract: A paper presented as one of the four “Winter Lecture Series” hosted by the Nursing Studies unit of the Department of Education, Victoria University of Wellington. It is a critique of “ The Nursing Process” referred to commonly in nursing education programmes. It challenges the usefulness for nursing of the linear sequence of steps of assessment, diagnosis, planning, intervention and evaluation.
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Tuffnell, C. (1987). Giving patient lifting a lift. New Zealand Nursing Journal, 80(4), 10–12.
Abstract: This is an action study where 298 patient lifts were observed and analysed according to environmental patient and nurse activity factors, frequency of different types of lifts were also recorded and Nursing lifting loads estimated. Findings showed lack of planning in preparation for lifts, a tendency for Nurses to perform lifts without help and lifting loads and lift types which put Nurses at increased risk of injury. Suggestions are made for giving patient lifting a lift. These require action at individual nurse and organisational levels
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Horsburgh, M. (1987). Graduate nurses' adjustment to initial employment (Vol. 14). Ph.D. thesis, , .
Abstract: An ethnographic study which attempts to understand what initial employment means to graduates from a comprehensive nursing course. The researcher participated in the first 3-4 months of the nurses' employment in general hospital settings. Five major themes emerge from the study indicating that the rhetoric practice of the school of nursing is different from the rhetoric and practice within general hospital settings. The reality of initial employment for the new graduated conflicts with the values and ideals of nursing promulgated by the comprehensive nursing course. The educational program stressed patient centred nursing, where nurses accepted responsibility for the continuing care of individuals. In contrast the hospital settings stress nursing as management of tasks across different patients. This conflict was a major source of frustration for the 'beginning' nurses. Ultimately they accept the reality of nursing as the management of tasks, but not without some personal cost. Orientation programs and the early employment period focus on 'fitting in to the system'. A significant determinant of the practice of new graduates are context effects such the time of their shift and the availability of experienced nurses. A number of management practices foster and maintain a beginning level of practice and new graduates have no opportunity to practice as autonomous nurses within a multi disciplinary health care team. Beginning practice is identified in new graduates through their difficulties in coping with unplanned or unexpected events. The initial employment period is dominated by shift work, resulting tiredness and adjustment to social activities.It is argued that management practices which support the ideals of comprehensive nursing courses and totally qualified nursing workforce have yet to occur. There are implications in this study for nursing education and nursing practice
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Taylor, K. (1987). Report of a survey undertaken to determine factors that may affect the registered nurses' desire to participate in continuing education. Ph.D. thesis, , .
Abstract: Nurses at a New Zealand Metropolitan Hospital were surveyed to determine whether the following factors affected their desire to participate in continuing education. Age, Family responsibilities, reading of Journals/Health literature related to Nursing, attendance of in service/staff development programs, careers aims and intended number of years to remain in Nursing. 30 Nurses were requested to participate in the research project. They were either registered General and Obstetric Nurses or Registered Comprehensive Nurses and 15 worked full time while 15 worked part time. Null hypotheses were formulated and tested because it is recognised that Nurses have a professional responsibility to maintain their knowledge and expertise and to do this in a Health Care system and society that is continually changing there must be a commitment to life long continuing education. Therefore , I thought it would be of interest to determine whether certain factors influenced Nurses' desire to participate in continuing education. With the factors of Age, Family responsibilities, hours of work, number of years registered reading of Journals/Health literature related to Nursing, and intended number of years to remain in Nursing there was no significant difference (p> 0.10) in the desire to participate in continuing education, as was Nurses basic qualification (p< 0.05) With the factor of attendance of in service/ Staff development programs there doesn't appear to be any significant difference and with career plans the sample expected frequencies were too small for statistical analysis
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Page, A. E. (1987). Paradoxes in women's health protection practices. Ph.D. thesis, , .
Abstract: The study explored the basis of the relatively low uptake of cervical screening and practice of breast self-examination among New Zealand women. Consistent with an interpretive approach to social phenomena it was anticipated that part of the explanation would lie in the meanings which women attach in general and to these specific health-protection practices.Theoretical sampling was effected by semi-structured interviews with 45 women. Transcripts of these interviews provided the substance data which were then analysed by the process of constant comparative analysis and other grounded theory strategies for analysis.The concept of a health-protective paradox centered around the core-variable 'vigilance-harmonizing which was generated to reconcile the seeming inconsistencies within, and between, individual women and their health practices. This conceptualisation was developed from the substantive date in order to provide a model designed to increase the effectiveness of nursing interventions for this area. The model, by illuminating processes from the client's perspective then can indicate those processes most suitable for incorporation in effective health education measures designed to promote the uptake of cervical screening and breast self-examination by women.As an adjunct to the study, a breast cancer case history is presented which shows the theory-in-use. The use of this case-history lies in the fact that it shares the substantive area of inquiry which serves to accentuate the viability, relevance and applicability of the grounded theory
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Russell, G. R. (1987). Evaluation of a service delivery programme. Ph.D. thesis, , .
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Kinross, D. N. J., Nevatt, E. A., Boddy, J. M., & North, N. (1987). A nurse in an urban community: a process study. Ph.D. thesis, , .
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