Litchfield, M. (1993). The process of health patterning in families with young children who have been repeatedly hospitalised. Ph.D. thesis, , .
Abstract: An exploration of the nature of nursing knowledge in practice. The praxis methodology was inspired by the Newman's theory of health as expanding consciousness and evolved through the process of the research. The methodology was eventually presented as both the process of research and practice. Five families were visited in their homes five times to talk about what was going on for them. All were experiencing a time of great upheaval in family life. After three visits a summary text was constructed merging researcher statements and parent quotes and given to the families. Through the subsequent reflective discussion significant insights into family pattern were shown in statements of intended action to change how health matters were managed with greater facility in family living. The process was presented as five themes with descriptors representing a non-linear, discontinuous progression: A moment of partnership: parameters of entry and closure, a timing of upheaval in family life, and an in-forming capacity through the bringing together of family story-telling and researcher's theory. An evolving dialogue: a progressive flow of enfolding and unfolding, and its embeddedness in contexts of socio-economic status, gender and health care culture. Recognising pattern: incidental revelations and an all-encompassing insight as the potential for action. Expanding horizon: moving from being on a treadmill trapped in the present without vision to having a view to a future, the presence of past and future. Increasing connectedness: a sense of inclusion, inter-dependence and generally, transformation in family life. This was a framework for personal practice
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Rummel, L. (1993). The proving ground: a phenomenological study of pre-registration comprehensive nursing students in acute care settings. Ph.D. thesis, , .
Abstract: This research focuses upon the lived experience of Diploma of Comprehensive Nursing Students in their final clinical experience. It is generated from the narrative of the students, how they experience their practise, how they make clinical judgements and how they prepare themselves for their graduate practise. Twenty one participants were each interviewed three times throughout a 6-8 week clinical experience in an acute care setting
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Parkes, J. (1993). Patients perception of nurses practice. Ph.D. thesis, , .
Abstract: This phenomenological study described the lived experience of patients within a surgical secondary care setting, and explored patients' perceptions of nurses' practice. The participants in the study were five adult patients who experienced a period of hospitalization within the surgical secondary care setting.This study was influenced by the work of Patricia Benner (1984) who entered the lived world of nurses' practice, through description of nurses' clinical exemplars. In this study, a qualitative research approach was used to enter the lived world of the patient within the surgical secondary setting.The research approach followed Max Van Manen's phenomenological hermeneutic method of 'Researching Lived Experience". This approach includes turning to a phenomenon of concern and interest to the researcher, investigating the experience as it is lived, reflecting on essential themes that emerge from the investigation, describing the phenomenon and bringing it to speech. The data that emerged from the participants stories of their experiences with the surgical secondary care setting, revealed four essential themes. These themes included 'feeling valued', 'human to human contact', 'two way communication', and 'feeling safe'. These themes provided insights into the participants' perceptions of nurses' practice.The participants' stories revealed a range of perceptions about nurses' practice, and the extent to which nurses in their practice valued the patient, had human to human contact, kept the patient informed and ensured patient safety. The themes revealed times when nurses' practice was perceived as dependent and powerless, in the face of, traditional views of womens' work, and the hierarchical and beurocratic constraints of the institution. At times it was also hidden from view, missed or misunderstood. Despite this, nurses' practice was seen as the central and pivotal point, from which the participants were able to make their recovery
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Robertson-Green, B. (1993). Enabling choice, public health nurses' perceptions of their work with children and their families. Ph.D. thesis, , .
Abstract: This is a grounded theory study which looked at the perceptions of public health nurses regarding their work. This study focuses on their work with children within the context of their families and their communities
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Russell, L. (1993). Fostering nursing through management: a critical approach. Ph.D. thesis, , .
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Palmer, S. G. (1993). Positively positive: an experimental evaluation of the Wellness Programme, Burnett Centre. Ph.D. thesis, , .
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Messervy, L. (1993). The rise of the independent nurse practitioner: a comparative study of independent nurse practitioners and nurses in traditional work places. Ph.D. thesis, , .
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van Wissen, K. A., & Siebers, R. W. L. (1993). Nurses' attitudes and concerns pertaining to HIV and AIDS. Nursing Praxis in New Zealand, 8(1), 40–42.
Abstract: A pilot study was conducted to identify nurses' attitudes and concerns pertaining to the care of people with human immunodeficiency virus (HIV) and acquired immune deficiency syndrome (AIDS). Data was collected using an anonymous voluntary questionnaire , which was made available to all nurses at a Wellington area Health Board (New Zealand) hospital. Of 652 nursing staff, 286 (51%) responded, of which 74 (25.9%) had previously attended an HIV/AIDS workshop for Area Health Board staff. Of those staff handling blood, 132 (49.4%) always wore gloves, and only half of the respondents (n=148.51%) treated all body fluids as potentially HIV positive. The possible attrition rate from nursing positions in the canvassed hospital ws 2.8%, with a further 43 (15.0%) undecided about resigning from their post. Only 36 nurses (12.5%) believed the employer did not provide adequate safety measures. The provision of education regarding HIV/AIDS, by the employer, ws considered inadequate by 61 (21.3%) respondents. This study demonstrates that further safety and education needs should be attended to or reinforced
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Nelson, C. M. (1993). An exploration of factors affecting registered nurses participation in continuing education. Ph.D. thesis, , .
Abstract: A qualitative study of factors affecting four registered nurses participating in continuing education.Data was collected through unstructured interviews and then analysed using themetic analysis The data revealed that the nurses had ambient feelings towards the benefits of post registration nursing education and that these were many work related, supervisal, and financial and logistial barriers affecting their ability to participate in further study. The nurses were also disturbed and frustrated by a lack of clinically based programmes for them to attend. Implications from this study are discussed and recommendations are presented
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Pearson, J. R., Joyce, M., Khull, J., MacDonald, S., Norrish, S., Southwick, M., et al. (1993). Beginning the journey to self reflective practice. A study of teaching and learning in the first year of the Diploma in Nursing programme at Whitireia Community Polytechnic. Ph.D. thesis, , .
Abstract: This research project was undertaken with the aim of making teaching and learning processes in the first year of the programme explicit to ensure successful strategies could be replicated and limitations addressed. Action research methodology was utilized to explore which tutors and students the philosophy of teaching, the student/tutor relationship, preferred learning styles and teaching methods, and influences on student learning. Findings elucidated that the philosophy and teaching methods used in the programme were congruent with the goals of the Polytechnic,, the curriculum aims, and current nursing ideologies. Students preferred small group, interactive teaching, did not always rate their ability accurately, and tended to downgrade their ability and did progressively less preparatory work for classes as the year progressed. Factors that impacted on the learning of this mainly mature group were external to the programme and included paid employment, family responsibilities, unexpected life events, lack of time and/or space to study, and financial problems. The research was used to determine the structure of the first year of the 1994 Bachelor of Nursing programme which articulated more clearly the process and pathway for students to become self directed learners. The research process was challenging and provided many useful insights for tutors and students
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Brownie, S. M. (1993). Management perspectives of the second evel nurse. Ph.D. thesis, , .
Abstract: This study presents information, obtained from health service managers, on the present use and possible future use of second level nurses within the region encompassing the Wanganui, Rangitikei, Manawatu, Tararua, Palmerston North City and Horowhenua districts. “ Second level nurses” are currently known as enrolled nurses and, in accordance with Section 53A of the 1983 Amendment to the Nurses Act, are required to work under the direction and supervision of registered nurses or medical practitioners. Enrolled nurses are usually allocated less responsibility for nursing assessment and judgement than registered nurses.Management perspectives, from seventy seven health workforce managers, were sought in relation to the future workforce need, the scope and boundaries of practice, and the alternatives for the future educational preparation of second level nurses. Seventy two percent of managers said that they thought enrolled nurses were essential to New Zealand's future nursing workforce. They predicted increased opportunities for enrolled nurses in care of the elderly and community care settings. Patterns in the current workforce utilization of enrolled nurses, however, did not support these views.In relation to the education of enrolled nurses, managers indicated that hospital-based training was the most preferred option. However, managers asserted that, in view of the current lack of employment opportunities no more enrolled nurses should be prepared at the present time.Although questions about education were focussed on the educational preparation of enrolled nurses, many of the respondent managers also expressed opinions about the educational preparation of comprehensive nurses. As a result, an evaluation of comprehensive nursing programmes is suggested.While the numbers of second level nurses being prepared and used is decreasing, there is a concomitant increase in the preparation and use of caregivers. This rapidly increasing group isfast becoming a “cheaper” second level workforce. The increase in the use of caregivers is seen to result from the pressure on healthcare employers to reduce spending within the current highly competitive, de-regulated economy. Managers asserted that enrolled nurses are not cost effective in comparison with either caregivers or registered nurses.The study concludes with thirteen recommendations which are made under the following four groups;1. Manawatu Polytechnic – provider of nursing education.2. Healthcare employers – users of nursing education.3. Enrolled nurses – participants in nursing education.4. Professional nursing bodies – guardians of nursing education
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Wood, P. J., & Schwass, M. (1993). Cultural safety: a framework for changing attitudes. Nursing Praxis in New Zealand, 8(1), 4–14.
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Litchfield, M. (1993). Priorities for research. kai Tiaki: Nursing New Zealand, 1(8), 28–30.
Abstract: An article adapted from the author's contribution as an invited member of the International Panel of Nurse Researchers leading the Special Research Seminar of the 1993 International Council of Nurses Quadrennial Congress, Madrid, Spain. The priorities of nursing research in New Zealand were derived from the findings of a semi-structured survey of the opinions of nurses in academic settings.
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Diack, A. (1993). Innovations in home care for infants and young children with long-term illness (observations of care provision in United States of America and England). Margaret May Blackwell Travel Study Fellowship Reports. Invercargill, N.Z.: Nursing Education and Research Foundation (NERF).
Abstract: Visits the US and the UK to observe paediatric nursing services for chronically-ill children at home. Discusses the concepts that enable children with long-term illness to be cared for in the home, how staff are chosen and trained and the degree to which the family is involved in setting objectives and directing the focus of care. Part of the Margaret May Blackwell Scholarship Reports series.
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Stevenson, A. F. (1994). In search of New Zealand nursing history: a literature review. Ph.D. thesis, , .
Abstract: This paper examines some of the contributions to nursing history up to 1993, and also surveys published social and women's history in New Zealand for references to nursing work
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