| |
Records |
Links |
|
Author |
Evans-Murray, A. |
|
| |
Title |
Meeting the needs of grieving relatives |
Type |
Journal Article |
| |
Year  |
2004 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
10 |
Issue |
9 |
Pages |
18-20 |
|
| |
Keywords |
Intensive care nursing; Grief; Communication |
|
| |
Abstract |
This article examines the role of nurses working in intensive care units who may need to work with families as they face the death of a loved one. How the nurse communicates with relatives during these crucial hours prior to the death can have profound implications on their grief recovery. Universal needs for families in this situation have been identified in the literature, and include: hope; knowing that staff care about their loved one; and having honest information about their loved one's condition. A case study is used to illustrate key skills and techniques nurses can employ to help meet these universal needs. In the first stage of grief the bereaved is in shock and may feel a sense of numbness and denial. The bereaved may feel confused and will have difficulty concentrating and remembering instructions, and they may express strong emotions. Studies on families' needs show that honest answers to questions and information about their loved one are extremely important. It is often very difficult for the nurse to give honest information when the prognosis is poor. Good communication skills and techniques are discussed, in which hope is not offered at the expense of truthfulness, and the nurse facilitates the process of saying goodbye and expressing emotions. Practical techniques, such as including the family in basic care such as foot massaging and simple hygiene routines, may also be used to move the family from being bystanders to the impending death, to comforters. |
|
| |
Call Number |
NRSNZNO @ research @ 1004 |
Serial |
988 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Radka, I.M. |
|
| |
Title |
Handover and the consumer voice: The importance of knowing the whole, full story |
Type |
|
| |
Year |
2003 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Communication; Patient satisfaction; Nurse-patient relations |
|
| |
Abstract |
In the acute hospital setting, nurses provide care twenty-four hours a day, seven days a week. Due to the ever-changing nature of the patient's situation, nurses need quality information at the beginning of each eight-hour shift to plan and implement patient care effectively. It is claimed that handover is central for maintaining the continuity and the quality of patient care. This qualitative descriptive study was undertaken to identify what core information needs to be exchanged at nursing handover to ensure quality and continuity of patient care. Five consumers who had experience of recurrent hospital admissions shared their perceptions of handover practice through individual interviews. Three focus group meetings of seven nurses from a secondary care setting discussed handover practice from their professional perspectives. Both nursing and consumer voices are integral to the overall understanding of this study but the consumer voice is the privileged and dominant voice. Through the process of thematic content analysis the central themes of communication, continuity and competence emerged for the consumers. Consumers expect to be kept informed and involved in their healthcare. They want continuity of nurse, information and care and expect that nurses involved in the delivery of healthcare are competent to manage their situation. The 'importance of knowing' is the overarching construct generated in this research. Knowing is identified as the foundation on which quality and continuity of care is built and is discussed under the subheadings of: not knowing, knowing the patient as a person, knowing takes time, hidden knowing, knowing consumers' rights, oral knowing, knowing involves more than handing over patient care and knowing the economics. Recommendations have been developed for future research, nursing practice, education and management. These centre on ways to develop a more consumer-focused approach to contemporary healthcare. |
|
| |
Call Number |
NRSNZNO @ research @ 883 |
Serial |
867 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
MacDonald, L.M. |
|
| |
Title |
Nurse talk: Features of effective verbal communication used by expert district nurses |
Type |
|
| |
Year |
2003 |
Publication |
|
Abbreviated Journal |
ResearchArchive@Victoria |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Communication; Nurse-patient relations; District nursing |
|
| |
Abstract |
This thesis represents an appreciative enquiry to identify features of effective verbal communication between nurses and patients. Using a method developed by the Language in the Workplace Project (Stubbe 1998) two nurse participants recorded a small sample of their conversations with patients as they occurred naturally in clinical practice. These six conversations constitute the main body of raw data for the study. The data was analysed using a combination of discourse and ethnographic analysis. Experience in nursing, particularly insider knowledge of the context of district nursing, helped me to uncover the richness of meaning in the conversations. The subtle interconnections and nuances could easily have been missed by an outside observer. The study has shown that in their interactions with patients, expert nurses follow a pattern in terms of the structure and content of the conversations and it is possible to identify specific features of effective nurse-patient communication within these conversations. The most significant of these are the repertoire of linguistic skills available to nurses, the importance of small talk and the attention paid by nurses to building a working relationship with patients, in part, through conversation. The findings have implications for nursing education and professional development. |
|
| |
Call Number |
NRSNZNO @ research @ 1180 |
Serial |
1165 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Polaschek, N. |
|
| |
Title |
Negotiated care: A model for nursing work in the renal setting |
Type |
Journal Article |
| |
Year |
2003 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
|
|
| |
Volume |
42 |
Issue |
4 |
Pages |
355-363 |
|
| |
Keywords |
Chronically ill; Nursing models; Nurse-patient relations; Communication |
|
| |
Abstract |
This article outlines a model for the nursing role in the chronic health care context of renal replacement therapy. Materials from several streams of literature are used to conceptualise the potential for nursing work in the renal setting as negotiated care. In order to present the role of the renal nurse in this way it is contextualised by viewing the renal setting as a specialised social context constituted by a dominant professional discourse and a contrasting client discourse. While performing specific therapeutic activities in accord with the dominant discourse, renal nurses can develop a relationship with the person living on dialysis, based on responsiveness to their subjective experience reflecting the renal client discourse. In contrast to the language of noncompliance prevalent in the renal setting, nurses can, through their relationship with renal clients, facilitate their attempts to negotiate the requirements of the therapeutic regime into their own personal life situation. Nurses can mediate between the dominant and client discourses for the person living on dialysis. Care describes the quality that nurses actively seek to create in their relationships with clients, through negotiation, in order to support them to live as fully as possible while using renal replacement therapy. The author concludes that within chronic health care contexts, shaped by the acute curative paradigm of biomedicine, the model of nursing work as negotiated care has the potential to humanise contemporary medical technologies by responding to clients' experiences of illness and therapy. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1186 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Powell, J. |
|
| |
Title |
Caring for patients after an ICU admission |
Type |
Journal Article |
| |
Year |
2002 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
8 |
Issue |
7 |
Pages |
24-25 |
|
| |
Keywords |
Intensive care nursing; Nurse-patient relations; Trauma; Communication |
|
| |
Abstract |
The author presents research on nursing strategies that reduce the psychological effects of critical illness and prevent the intensive care unit (ICU) atmosphere from adversely affecting the nurse-patient relationship. Post-traumatic stress disorder and other phobic anxiety syndromes are noted as a risk among former ICU patients. Four interventions to put in place for discharge are presented: patient-centred nursing, communication, multidisciplinary care, and patient/family education. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
954 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Lally, E.J. |
|
| |
Title |
An exploration of language and nursing practice to improve communication in the context of ear syringing |
Type |
|
| |
Year |
2002 |
Publication |
|
Abbreviated Journal |
ResearchArchive@Victoria |
|
| |
Volume |
|
Issue |
|
Pages |
|
|
| |
Keywords |
Communication; Practice nurses; Economics |
|
| |
Abstract |
This action research inquiry explores communication and nursing practice in an effort to improve practice and enhance patient care. Action research is a critical reflective process that involves spirals or cycles of planning, acting, reflecting/evaluating and replanning the next cycle. Using ear syringing as a procedure, in the general practice setting and at two separate surgeries, the author and another practice nurse co-researched this study during working hours. Twelve people consented to participate in the research that involved the audiotaping of each ear syringing interaction. Following each transcription of the recording, the researchers read their own and then each other's transcripts, and listened to the recordings. They discussed and reflected on their findings and planned the next cycle. Throughout the process, the researchers found a number of areas of practice to change or enhance. Changes included the use of technical language such as “contraindications” and “auditory meatus”, the side effects of syringing, improvements in communicating situations where ear syringing is not recommended and the options available, and post procedure information. These changes became a significant challenge, for example when both researchers forgot the changes, thus repeating previous errors and omissions. This factor highlighted the need to practise any changes prior to interactions, and to have a cue card on hand to facilitate recollection and to cement improvements into practice. Although time constraints limited this inquiry to three cycles, at the final meeting the researchers agreed to continue the reflective process they had begun to explore their practice. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
1189 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
White, G.E.; Su, H.-R. |
|
| |
Title |
Am I dying, nurse? |
Type |
Journal Article |
| |
Year |
2000 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
15 |
Issue |
1 |
Pages |
33-40 |
|
| |
Keywords |
Communication; Ethics; Nursing; Palliative care |
|
| |
Abstract |
This paper addresses the concept of truth, and debates who should tell it and how it should be told. It explores the cultural aspects of knowing the truth about dying. The question of whether nurses have a moral obligation to tell the truth is explored, and suggests the lack of New Zealand research in this area should be addressed. |
|
| |
Call Number |
NRSNZNO @ research @ |
Serial |
631 |
|
| Permanent link to this record |
| |
|
| |
|
Author |
Gallaher, L. |
|
| |
Title |
Expert public health nursing practice: A complex tapestry |
Type |
Journal Article |
| |
Year |
1999 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
|
| |
Volume |
14 |
Issue |
3 |
Pages |
16-27 |
|
| |
Keywords |
Public health; Community health nursing; Communication |
|
| |
Abstract |
The research outlined in this paper used Heideggerian phenomenology to examine the phenomenon of expert public health nursing practice within a New Zealand community health setting. Narrative interviews were conducted with eight identified expert practitioners who are currently practising in this speciality area. Data analysis led to the identification and description of themes which were supported by paradigm cases and exemplars. Four key themes were identified which describe the finely tuned recognition and assessment skills demonstrated by these nurses; their ability to form, sustain and close relationships with clients over time; the skilful coaching undertaken with clients; and the way in which they coped with the dark side of their work with integrity and courage. |
|
| |
Call Number |
NRSNZNO @ research @ 656 |
Serial |
642 |
|
| Permanent link to this record |
