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Margetts, M., Cuthbertson, S., & Streat, S. J. (1995). Bereavement follow-up service after fatal critical illness. Ph.D. thesis, , .
Abstract: Fatal illness is often short. Communication between patient and family is impaired and how to best meet family needs is unclear. We began a follow-up service to determine current next-of-kins outcomes and remedy service deficiencies. A critical care nurse identified deaths from our data base and completed a structured telephone interview with the next-of-kin. There were 374 admissions from 1/1/95 – 17/5/95, 55 died. Next- of-kin of 52 patients (M29, age 19-88 median 52) were contactable 16-70 (median 33)days later. All (defacto/wives 18, husbands 9, mothers 9, daughters 8, others 8) consented to interview (5 -80, median 15 minutes). Forty-nine had resumed normal home activities and 23/25 workers had returned to work. Thirty-three still had disturbed sleep, three were taking hypnotics. Twenty-four had had contact with their general practitioner because of the death (six were prescribed sedatives or hypnotics). Nineteen had financial problems. Forty-seven described DCCM care positively, 35 specifically (nursing care and compassion 15, communication 8, flexible visitors policy8) but 13 had particular difficulties (communication 4 , waiting 2, facilities 4) and 4 serious non-DCCM issues. Forty-six considered themselves well informed and understood well the sequence of events. Forty-eight identified family and friends as primary support. Three requested information about another agency (counseling), 9 asked us to contact as further relative. A telephone bereavement service is well received by next-of-kin. Most families members resolve their early grief without external agencies but sleep and money are problems. We have improved our facilities and are addressing communication and cultural issues
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Key, R., Cuthbertson, S., & Streat, S. J. (1995). Critical care survivors follow-up service. Ph.D. thesis, , .
Abstract: The extent of early remediable morbidity after critical illness is unclear. We began a follow-up service to determine outcomes, facilitate rehabilitation and remedy service deficiencies. A critical care nurse identified hospital survivors (DCCM and hospital databases), completed a structured telephone interview with the patient and intervened according to predetermined guidelines. Of 261 admission 1/1/95 29/3/95 50 died in hospital (39in DCCM). Of 211 hospital survivors (M115, age 15-84 median40) 31 could not be contacted, one died at home and 179 contacts were made 21- 120 (median 51) days after DCCM. One refused interview, 178 interviews took 8-60, (median 15) minutes. Only 68/178 had resumed normal activities and 26/78 workers had returned to work. Seventy patients had contacted general practitioners because of critical illness sequelae. One hundred patients gad 191 problems (including unhealed wounds29, pain 28, impaired mobility26, neurological deficit 178, infection 10 weight loss 9, tiredness 6 depression 5, sleep disturbance 3, others 57). Sixty-five described DCCM staff as helpful, 37 had complaints (hallucinations 6, staff behaviour5, restraints5 sedation/analgesia inadequate5 or excessive 2, poor communication3, fear3, noise 2 other 4) and 5 raised serious non-DCCM issues. Forty-four patients were called again 6-84, median 42 days later when 69/112 health problems had resolved but 29/44 patients had not resumed normal activity. Four attended a clinic and were referred to other services. A follow-up service is well received. Morbidity is common but improves within three months after critical care. We are addressing service issues
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Bray, M. L. (1995). Nurses' knowledge of and attitudes to medicine (Vol. 8). Ph.D. thesis, , .
Abstract: Abstract information about attitudes to, and knowledge of, prescribed medication from a group of 70 students and 24 registered nurses at Otago Polytechnic. Employs a self-administered questionnaire previously used in a community survey in Southampton, UK
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Connor, M. (1995). The web of relationship: an exploration and description of the caring relationship in a nurse case management scheme of care. Ph.D. thesis, , .
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Birks, G. (1995). Becoming better but different: a grounded theory of women's recovery from hysterectomy following early discharge from hospital. Ph.D. thesis, , .
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Cornish, M. E. (1995). The creation and development of an integrated nursing service within a rural commmunity health team: an action research study. Ph.D. thesis, , .
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De Vore, C. A. (1995). Independent midwifery practice: a critical social approach. Ph.D. thesis, , .
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Beale, T. M. (1995). Psychiatric nurses: the influence of their personal life experiences on therapeutic readiness. Ph.D. thesis, , .
Abstract: This research investigates the impact of fifteen psychiatric nurses' personal experiences on their therapeutic relationships with clines. A hermeneutic phenomenological methodology informed by Heidegger is employed to gain an understanding of the human experience of these nurses in the context of the therapeutic relationship.The research illuminates the significant impact of these nurses' experiences on their relationships. Some experiences are found to enhance therapeutic readiness while the other personal experiences impede it, some impeding it to a degree that nurses are unable to work therapeutically with certain clients. The stories that describe the personal experiences that lead towards therapeutic readiness care special, as are the accounts of the professionalism and care that these nurses bring to their clients
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Wilson, K. F. (1995). Professional closure: the case of the professional development of nursing in Rotorua 1840 – 1934 (Vol. 13). Ph.D. thesis, , .
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Street, A., & Walsh, C. (1995). Not just a rubber stamp! mental health nurses as Duly Authorised Officers (Vol. 10). Ph.D. thesis, , .
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Wilson, A. W. (1995). The lived experience of adult patients commencing radiotherapy and/or cytotoxic chemotherapy. Ph.D. thesis, , .
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Peddie, B. (1995). Whooping cough in the Northern Coromandel -1995 (Vol. 4). Ph.D. thesis, , .
Abstract: Data gathered during a whooping cough outbreak in the Northern Coromandel in 1995 highlights some distinct characteristics about how the disease manifestests itself in a defined geographical area, and about the place of prophylactic Erythromycin. This was probably the most fully documented outbreak in New Zealand, and possibly the first study conducted from a community perspective
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McEldowney, R. A. (1995). Critical resistance in nursing education: a nurse educator's story. Ph.D. thesis, , .
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Dodd, J. E. L. (1995). Individual privacy and the public good of health research. Ph.D. thesis, , .
Abstract: This is a piece of philosophy research and covers the following matters; the nature of privacy, Why it is morally significant, nature of health research, the privacy issues in health research and finally some suggestions as to ways privacy in health research may be preserved
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Browne, B. (1995). Health and safety in employment: legal remedies to prevent the occupational hazards of hospital oncology nurses. Ph.D. thesis, , .
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