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Author Trenberth, D.
Title New Zealand families' beliefs about what constitutes successful management of unsupervised childcare Type
Year (down) 2008 Publication Abbreviated Journal ResearchArchive@Victoria
Volume Issue Pages
Keywords Children; Parents and caregivers
Abstract This study explored what some New Zealand families believe constitutes the successful management of unsupervised childcare. It was designed to increase social understanding and practitioner knowledge of the issue by exploring families' beliefs, practices and perspectives. The researcher was concerned with the professional role nurses may play with this group of children. A qualitative descriptive approach was used to obtain a straight description of successful unsupervised childcare, using the everyday language of the participating families. Data was collected in semi structured interviews with five family groups, and subjected to content and thematic analysis. Findings suggest unsupervised childcare is both choice and solution, though parents are fearful of the legal and social consequences of using it. Context of the care is important, with the child's preference, community context and availability of adults through distal supervision critical components of its success. Trust between parent and child, the use of rules and boundaries to regulate child behaviour, the teaching of skills and strategies to build child competency, and parental support of children while unsupervised are identified by parents as factors linked to success. Parents identify increasing child independence and self responsibility as positive outcomes from the successful use of unsupervised childcare. This study has helped to identify positive factors resulting in good outcomes from which successful interventions could be developed, provides information that will be of particular interest to practitioners and policy makers, and provides a platform to launch larger studies into the issue of unsupervised children.
Call Number NRSNZNO @ research @ 1252 Serial 1237
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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 (down) 2008 Publication Abbreviated Journal NZNO Library
Volume 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 Watson, Paul
Title Preschool children frequently seen but seldom heard in nursing care Type Journal Article
Year (down) 2008 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 24 Issue 3 Pages 41-48
Keywords Preschool children; Children's voices; Paediatric nursing
Abstract Maintains that children's voices are largely unheard in nursing practice. Recommends the need for research that seeks to understand how preschool children experience being ill and how they communicate those experiences to others.
Call Number NZNO @ research @ Serial 1438
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Author Buxton, J.
Title Factors which may influence parental decisions about childhood vaccinations Type
Year (down) 2007 Publication Abbreviated Journal Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz
Volume Issue Pages
Keywords Immunisation; Practice nurses; Children; Parents and caregivers
Abstract Practice nurses are primarily responsible for the administration of vaccinations in New Zealand, although many other health professionals contribute to the success of the National Immunisation Schedule by providing vaccination information and advice to parents. Vaccination uptake remains relatively low, indicating many parents choose not to vaccinate their children. A literature review was undertaken to gain an understanding of factors which may influence parents when they are making decisions about childhood vaccinations. Four key themes were identified within the literature: Perceived risk; Vaccine safety and efficacy; Child characteristics; and the Influence of health professionals/supporting vaccination structures. Increased knowledge and awareness about influential factors creates opportunities for health professionals and policy makers to develop strategies to increase vaccination uptake. Implications and recommendations are made for practice, with particular emphasis on the role of the primary healthcare nurse.
Call Number NRSNZNO @ research @ Serial 919
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Author Bolitho, S.; Huntington, A.D.
Title Experiences of Maori families accessing health care for their unwell children: A pilot study Type Journal Article
Year (down) 2006 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 22 Issue 1 Pages 23-32
Keywords Maori; Qualiltative research; Access; Children; Parents and caregivers
Abstract The aim of this study was to explore with a small number of Maori families their experiences of accessing health care when their children were unwell with a respiratory condition. A qualitative research methodology was used in the study. Participating families were among those experiencing an admission to a children's ward between July and December 2003. Four families were interviewed. They discussed in depth their experience of accessing health care for their unwell children. Data were analysed using thematic analysis, and three common themes were evident: family resources, choice of health service provider and parents' feelings of vulnerability. The findings highlight that while socio-economic status plays a large part in determining the ease with which families can access the needed health care, there are other barriers within the health system which also pose difficulties for Maori.
Call Number NRSNZNO @ research @ 535 Serial 521
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Author Isaac, D.
Title Passionate dedication: A qualitative descriptive study of nurses' and hospital play specialists' experiences on a children's burn ward Type
Year (down) 2006 Publication Abbreviated Journal Auckland University of Technology Library
Volume Issue Pages
Keywords Children; Nursing specialties; Mentoring; Job satisfaction
Abstract A qualitative descriptive approach was undertaken to explore the experience of eight registered nurses and two hospital play specialists who care for children hospitalised with burn injuries. The research participants were recruited from a paediatric ward that offers centralised specialty care to children with burns. Emerging out of the data was the over-arching theme of 'passionate dedication' that shows the nurses and hospital play specialists genuine compassion and commitment to meet the needs of the children with burns. The findings of the study reveal that the participant's dedication is shaped and determined by a dynamic process that involves having professional integrity and in-depth knowledge of caring for children and burn management. The nurses and the hospital play specialists have a common understanding of what their role entails and the skills required to provide quality care and support to the children and the children's family. On a personal and professional level the participants encounter several challenges in this care context that are physically and emotionally overwhelming. Despite becoming overwhelmed the participants are revealed as being resourceful and resilient in their aptitude to find ways that enable them to cope and get through. The author suggests that this study supports international literature that suggests that caring for children with burns is equally rewarding, as much as it is physically and emotionally demanding. The author identifies that the implication in this study for the organisation is to seriously consider issues regarding productivity and efficiency of the workforce with acknowledgement that nurses and hospital play specialists cannot do this emotional work without effective systems of support in place.
Call Number NRSNZNO @ research @ 577 Serial 563
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Author Garlick, A.
Title Determined to make a difference: A study of public health nursing practice with vulnerable families Type
Year (down) 2006 Publication Abbreviated Journal Massey University Library, NZNO Library
Volume Issue Pages
Keywords Public health; Children; Nurse-family relations
Abstract
Call Number NRSNZNO @ research @ 737 Serial 723
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Author Sampson, C.
Title The allergy nurse specialist: A proposed nurse-led model of care for children with severe food allergies Type
Year (down) 2006 Publication Abbreviated Journal Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz
Volume Issue Pages
Keywords Children; Nursing specialties; Child health services; Food allergies
Abstract The prevalence of allergic disease has increased significantly in western countries over the last decade. However, the author points to the availability of specialist allergy services in New Zealand being limited to the large cities, resulting in a lack of, or fragmentation of, the allergy-related services in smaller regions. As a public health nurse in Otago working with a rising number of families with severely food allergic children, the author had become aware of the challenges many parents face in accessing accurate information about their child's allergy and the negative impact this has had on them and their child. The purpose of this dissertation is to explore how an Allergy Nurse Specialist (ANS) led service could improve the experiences and health outcomes of the families and children with severe food allergies living in Otago. A critical analysis of the literature on allergy nursing, advanced nursing roles, and related food allergy issues was conducted and applied to the Otago region. Drawing on the 'Nurse with a Special Interest in Allergy' model of nurse-led allergy care outlined by Cross (2005) and the existing Otago District Health Board's (2004) clinical nurse specialist role, the author proposes that an ANS-led model of care, incorporating advanced nursing practice, primary care access and multidisciplinary collaboration could complement the existing allergy related services in Otago. The focus of the ANS's care will be on facilitating timely access to accurate assessment and advice for families regarding the management of their child's food allergies.
Call Number NRSNZNO @ research @ Serial 730
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Author Strickland, A.
Title Nurse-initiated retinoblastoma service in New Zealand Type Journal Article
Year (down) 2006 Publication Insight: The Journal of the American Society of Ophthalmic Registered Nurses Abbreviated Journal
Volume 31 Issue 1 Pages 8-10
Keywords Case studies; Nursing specialties; Children; Quality of health care; Evaluation
Abstract This article describes the implementation of a nurse-led, dedicated support network and service for children with a diagnosis of retinoblastoma and their families. Nurses with an interest in retinoblastoma at an Auckland Ophthalmology Department realised that the service provided was not meeting the needs of patients and families, particularly since the numbers had increased over the past two years. This article outlines the development of a cost-effective approach that improved the service.
Call Number NRSNZNO @ research @ Serial 884
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Author Ward, C.R.
Title Children matter: What is important to the child living with a life-threatening illness Type Miscellaneous
Year (down) 2005 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages
Keywords Children; Nurse-patient relations; Nursing; Chronically ill
Abstract When a child lives with a life-threatening illness there is a range of emotions that affect the child, family and people close to the child. This study utilises a narrative approach to explore what the child puts emphasis on in what is important to them as they live with serious illness. The study incorporates the nurse as narrator with the 'narratives' of the children integrated into her reflections to gain a broader understanding. The focus is on listening intently to the spoken needs of children, their story and the meaning they make of their situation when they live with their illness. 'Children' in this study are between the ages of six years to 15 years. The aim of this research is to provide a clear understanding of the lived experience, which may illuminate the needs of the child and what is required throughout the time of illness; therefore informing health professionals of a culture of care that may support these needs. A broader understanding and deeper insight into the complexity of children living with life-threatening illnesses provides a basis for the development of sensitive, humanistic quality nursing care for both the child and his/her family, this then enhances the potential for best practice for children living with a life-threatening illness.
Call Number NRSNZNO @ research @ Serial 577
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Author Wilson, D.; McBride-Henry, K.; Huntington, A.D.
Title Family violence: Walking the tight rope between maternal alienation and child safety Type Journal Article
Year (down) 2005 Publication Contemporary Nurse Abbreviated Journal
Volume 18 Issue 1-2 Pages 85-96
Keywords Nursing; Domestic violence; Nurse-patient relations; Children
Abstract This paper discusses the complexity of family violence for nurses negotiating the 'tight rope' between the prime concern for the safety of children and further contributing to maternal alienation, within a New Zealand context. The premise that restoration of the mother-child relationship is paramount for the long-term wellbeing of both the children and the mother provides the basis for discussing implications for nursing practice. Evidence shows that when mothers are supported and have the necessary resources there is a reduction in the violence and abuse she and her children experience; this occurs even in situations where the mother is the primary abuser of her children. The family-centred care philosophy, which is widely accepted as the best approach to nursing care for children and their families, creates tension for nurses caring for children who are the victims of abuse as this care generally occurs away from the context of the family.
Call Number NRSNZNO @ research @ Serial 698
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Author Gasquoine, S.E.
Title Mothering a hospitalized child: It's the 'little things' that matter Type Journal Article
Year (down) 2005 Publication Journal of Child Health Care Abbreviated Journal coda, An Institutional Repository for the New Zealand ITP Sector
Volume 9 Issue 3 Pages 186-195
Keywords Nurse-family relations; Parents and caregivers; Paediatric nursing; Children
Abstract This article reports one aspect of a phenomenological study that described the lived experience of mothering a child hospitalised with acute illness or injury. The significance for mothers that nurses do the 'little things' emerged in considering the implications of this study's findings for nurses in practice. Seven mothers whose child had been hospitalised in the 12 months prior to the first interview agreed to share their stories. The resulting data were analysed and interpreted using van Manen's interpretation of phenomenology. This description of mothering in a context of crisis is useful in the potential contribution it makes to nurses' understanding of mothers' experience of the hospitalisation of their children. It supports the philosophy of family-centred care and highlights the ability of individual nurses to make a positive difference to a very stressful experience by acknowledging and doing 'little things', because it is the little things that matter to the mothers of children in hospital.
Call Number NRSNZNO @ research @ Serial 1053
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Author Moore, Justin
Title Breaking down barriers in child healthcare (0-5) years. Margaret May Blackwell Travelling Fellowship 2005 Type Report
Year (down) 2005 Publication Abbreviated Journal
Volume Issue Pages 29
Keywords Child health services; Children's Hospitals; Emergency Departments; Drugs; Reports
Abstract Travels to Australia, Canada, the US and the UK to investigate various methods of procedural sedation for 0-5-year-olds in paediatric Emergency Departments. Describes the types of sedation used and the recovery periods. Transcribes the interviews he conducted with Emergency Department staff in each country. Part of the Margaret May Blackwell Scholarship Reports series.
Call Number NZNO @ research @ Serial 1427
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Author Hall, J.
Title Building trust to work with a grounded theory study of paediatric acute care nurses work Type
Year (down) 2004 Publication Abbreviated Journal Auckland University of Technology Library
Volume Issue Pages
Keywords Nurse-family relations; Nurse-patient relations; Children; Paediatric nursing; Intensive care nursing
Abstract Grounded theory methodology has guided the grounded theory methods used to explore the acute care paediatric nurses' perspective of what they do when a child has had a severe accident. The research was initiated from the experience of nursing children in the context of a rehabilitation centre and wondering how acute care nurses promoted a child's recovery after a severe unintentional injury. Many avenues were used to search international and New Zealand literature but the scarcity of literature related to what acute care paediatric nurses do was evident. Nursing children in the acute care ward after a severe accident is complex. It encompasses nursing the family when they are experiencing a crisis. It is critical that the acute care nurse monitors and ensures the child's physiological needs are met, and the nurse “works with” the child to maintain and advance medical stability. Nursing interactions are an important part of “working with”, communication is the essence of nursing. This research has focussed on the nurses' social processes whilst caring for the physical needs of the child and interacting with the family and multidisciplinary team when appropriate. An effective working-relationship with a nurse and family is founded on trust. Grounded theory methods supported the process of exploring the social processes of “building trust” whilst “working with” families in a vulnerable position. Nurses rely on rapport to be invited into a family's space to “work with” and support the re-establishment of the parenting role. The “stepping in and out” of an effective working-relationship with a family is reliant on trust. Nurses build trust by spending time to “be with”, using chat to get to know each other, involving and supporting the family to parent a “different” child and reassuring and giving realistic hope to help the child and parents cope with their changed future. A substantive theory of the concept of “building trust to work with” has been developed using grounded theory methods. The theory has been conceptualised using the perspective of seven registered nurses working in paediatric acute care wards that admit children who have had a severe traumatic accident.
Call Number NRSNZNO @ research @ Serial 597
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Author Heap, J.
Title Enuresis in children and young people: A public health nurse approach in New Zealand Type Journal Article
Year (down) 2004 Publication Journal of Child Health Care Abbreviated Journal
Volume 8 Issue 2 Pages 92-101
Keywords Public health; Nursing specialties; Children; Adolescents
Abstract This article discusses a child/adolescent-centred primary nocturnal enuresis program and service that is administered by a group of public health nurses in South Auckland. Enuresis is the involuntary passing of urine. Many children and adolescents who are nocturnal enuretics exhibit behaviours such as low self-esteem, withdrawal, less ambition and increased anxiety. These children are often low achievers within the school system and become a problem for their family and school.
Call Number NRSNZNO @ research @ 708 Serial 694
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