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Author Watson, P.B.
Title An understanding of family in the context of families facing the diagnosis of childhood cancer Type
Year (down) 1998 Publication Abbreviated Journal Massey University Library, Manawatu Polytechnic Li
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Abstract The diagnosis of childhood cancer has a profound impact on the family. How nurses understand family affects their practice with families facing the diagnosis of childhood cancerShaped by Heideggerian phenomenology, van Manens methodology for hermeneutic phenomenology was used to construct an understanding of family from the experiences of family members facing the diagnosis of childhood cancer. Seven family members from two families, one mother, two fathers, two siblings, and two grandparents were interviewed about their experience of facing the diagnosis of childhood cancer.From the participants experience the meaning of family was interpreted as being-with-others, for-the-sake-of-others, who one might not distinguish from oneself. This understanding of family is recognisable, yet different from traditional definitions of family and may help nurses and family members to act more thoughtfully and tactfully with each other
Call Number NRSNZNO @ research @ 153 Serial 153
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Author McRae, B.H.T.K.
Title Peer review: organisational learning for nurses Type
Year (down) 1998 Publication Abbreviated Journal Massey University Library
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Call Number NRSNZNO @ research @ 190 Serial 190
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Author Idour, D.M.G.
Title Stepping beyond the known – the lived experience of returning registered nurse students: an interpretive descriptive study Type
Year (down) 1998 Publication Abbreviated Journal Massey University Library, NZNO Library, UMI Disse
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Abstract A Heideggerian Hermeneutical Analysis (HHA) approach was used for a study of returning registered nurse students (RRNS) from a nursing/health management context. In essence a descriptive interpretive study the intent has been to unveil the common meanings embedded in the lived experience of RRNS return to formal (advanced) studies. The phenomenon or issue of interest was pursued in the form of a question: What is meaningful and significant for participant RRNS in their everyday world on re-engaging in formal (advanced) nursing studies?Research from the RRNS viewpoint is scarce, so the focus of the study was to understand what RRNS themselves found to be the highlights of the experience. Participants included RRNS coming from a management background and, therefore, very much at the cutting edge of rapid and continuing change in health care provision. In addition to personal and professional reasons for returning to study, what the narratives disclosed was the compelling need experienced by the RRNS to increase understanding of changing requirements in the workplace. They looked for new possibilities to transform management of nursing/health services and for learning experiences favorable to that purpose. A key aspect of their concern related to the interactive nature of their lived experience as a RRNS with the entire context of their everyday world, that is, with the connections and relations between the study-work-homespace.Fourteen RRNS from an established university nursing programme participated in an expended non-structured interviews lasting 60 – 90 minutes. The interviews were held during 1993 in places selected by participants, some in the home but mostly in the work setting. With the consent of the participants interviews were audiotaped and then transcribed. The texts (transcriptions) were analysed hermeneutically using Heideggerian phenomenology, a particular tradition of philosophy whose concern is the meaning of Being. The concern is to make visible participants' experience of their 'world'. In this instance, it was the everyday 'world' of the participant RRNS and the lived meanings of what they experienced on return to formal (advanced) studies. Hence everyday lived experience is the focus of attention in Heiedeggerian phenomenology. In this research approach what is sought is understanding not explanation. It is a premise of phenemenology that, in general, an understanding of the meaning and significance of the lived experience can be required from the 'things' (the phenomena under study) themselves. Approaching a participant as an expert by virtue of directly experiencing the phenomenon, is basic to phenomenology. Hermeneutic analysis of the texts of the participant RRNS affirmed the authenticity of those assumptions.The study revealed several common or major themes, two relational themes and one constitutive pattern were identified through the process of textual interpretation. The constitutive pattern expressing the full complexity of the relations and connections between the themes, was found to be present in all fourteen texts; the nature of a constitutive pattern being 'that it's always there'. The constitutive pattern 'Nursing is Dwelling in Thoughtful Concern as Context Calls Forth', emerged as the major finding of the study. This pattern witnesses to the pragmatism that is inherent in nursing and commonly found in nurses' responses to the challenges presented by continuing and rapid change. For the participant RRNS nursing had become a way of engaging their energies in the workplace as appropriate to a given place, time and culture. The two relational themes accent particular aspects of the constitutive pattern. 'Nursing' is a whole pile of things'; and 'Curriculum: Reflective Openness' reveal the inherent meanings of the constitutive pattern. Firstly, that nursing is diverse in practice and has many dimensions; and,, secondly, that a curriculum befitting the diversity of nursing requires us to constantly challenge ad test the learning experiences we provide for RRNS.The fourteen participants traversed diverse pathways to acquire the understanding and skills required for altered health care structures. Adopting new relationships and 'leaping-ahead' (Heidegger, 1962), to be able to see the whole picture of what was being experienced in nursing/health care, reveals the RRNS becoming-as interpreters for both colleagues and clients. Leaping-ahead is reflective of thoughtful concern as the pattern of responding to presenting need. This way of living a life transforms work. The participant RRNS disclose that, dwelling in such a way in nursing/health work opens up a future of possibilities which brings all the presenting needs into focus. Sharing the story of their lifeworld as RRNS, the participants have exemplified the ' reflective openness' Senge(1990) advocates, as being a pre-requisite for 'learning organisations'. Contemporary oganisations require us to challenge our own thinking as well as being free to speak our minds ('participant openness'). Since, however much we value our daily life practices and understandings, they need to be 'always subject to test and improvement'. In effect, what the participants have bestowed on us is that, within the framework of a curriculum for RRNS and the content learning of a given course, we must generate a process of learning amenable to both individual and group requirements
Call Number NRSNZNO @ research @ 208 Serial 208
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Author Neville, S.J.
Title Well-being in the older male: an investigation of mental, social and physical well-being indicators in Wanganui men Type
Year (down) 1998 Publication Abbreviated Journal Massey University Library & Christchurch Polytechn
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Abstract New Zealand's older population is gradually increasing. This will men the number of people with problems related to psychological and general well-being will also rise. When compared to women, men do not live as long, are more likely to die from intentional injury and use primary health services less. There is a paucity of research on older men, particularly within a New Zealand context. Because nurses work closely with people in primary, secondary and tertiary care settings they are well placed to undertake research and utilise research findings from studies relating to the older adult to promote health and well -being. The intention of the present study was to gain a greater understanding of those factors which impact on the well-being in older men. Based on Wan, Odell and Lewis's (1992) model of general well-being, mental, social and physical well-being indicators were investigated to examine their relationships to overall psychological well-being and physical health.The data for the present study was collected from a non-probability sample of 217 males (over 65 years) residing in the Wanganui area. Multiple regression analysis reveled that of the mental, social and physical indicators only satisfaction with social supports and number of visits to the doctor in the previous 12 months were significantly related to psychological well-being, and number of medications and illness/disabilities were significantly related to physical health as measured by self ratings of health.Findings are discussed in relation to the literature. It ids clear that nurses, and other health professionals, need to be aware of the relationship between objective health status and subjective well-being, and the distinction between the quality and quantity of support in order to provide effective care to older men. Finally the general limitations and future research implications are discussed
Call Number NRSNZNO @ research @ 215 Serial 215
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Author Simpson, J.
Title Hospice nurses responses to patient non-acceptance of treatment or care Type
Year (down) 1998 Publication Abbreviated Journal Massey University Library (later 1999)
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Abstract Hospice nurses in New Zealand provide supportive care to patients of settings. In doing so, the hospice nurse and team are likely to have an ideal of a “good death” that guides their practice.A 'good death“ is one where symptons are well controlled without over medicalisation, where there is an acceptance of death by the patient and loved ones and where appropriatepreparation and completion of unfinished business has occurred. The death itself is peaceful and the loved ones are present. However, patients or their families do not always accept the treatment or care that the nurses offer to facilitate the best quality of life and a ”good death“ for the patient. This may leave the nurses involved feeling distressed and confused, as they are confronted with the conflict between the patients' path and the nurses' ideals.This study employs critical incident technique to explore how nurses respond and feel when the patients decline the treatment or care the nurse feels will improve their quality of life and eventually lead to a ”good death“. The findings illustrate a broad range of treatment or care that is declined by either patients or their families in the first instance. This study uncovers a number of action responses nurses use in these situations, which demonstrate acceptance of patient choice but also need to help the patient experience a ”good death". In addition it demonstrates that nurses experience a gamut of emotional responses to such situations, some of which are painful for the nurse and have the potential to cause stress. Recommendations are made which may assist nurses limit the distress they experience when patients of their families decline the treatment or care, and empower nurses with further strategies to use in such situations
Call Number NRSNZNO @ research @ 306 Serial 306
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Author Smythe, E.
Title Being safe in childbirth: a hermeneutic interpretation of the narratives of women and practitioners Type
Year (down) 1998 Publication Abbreviated Journal Massey University Library
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Call Number NRSNZNO @ research @ 390 Serial 390
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Author Calvert, I.
Title The evaluation of the use of herbal substances in the baths of labouring women: a randomised controlled trial Type
Year (down) 1998 Publication Abbreviated Journal Massey University Library
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Call Number NRSNZNO @ research @ 391 Serial 391
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Author Anderson, M.
Title Universal change – individual responses: women's experience of the menopause and of taking hormone replacement therapy Type
Year (down) 1998 Publication Abbreviated Journal Massey University Library
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Call Number NRSNZNO @ research @ 392 Serial 392
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Author Calvert, S.
Title Making decisions: focusing on my baby's well-being: a grounded theory study exploring the way that decisions were made in the midwife-woman relationship Type
Year (down) 1998 Publication Abbreviated Journal Massey University Library
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Call Number NRSNZNO @ research @ 393 Serial 393
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Author Cooper, M.A.
Title Towards the professionalisation of New Zealand midwifery, 1840-1921 Type
Year (down) 1998 Publication Abbreviated Journal Massey University Library
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Call Number NRSNZNO @ research @ 394 Serial 394
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Author Dyson, L.
Title The role of the lecturer in the preceptor model of clinical teaching Type
Year (down) 1998 Publication Abbreviated Journal Massey University Library
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Call Number NRSNZNO @ research @ 395 Serial 395
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Author Hopkins, C.J.
Title The presenting symptoms associated with arachnoiditis and the experience of living with them in everyday life Type
Year (down) 1998 Publication Abbreviated Journal Massey University Library
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Call Number NRSNZNO @ research @ 396 Serial 396
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Author Vincent, N.
Title Starting late: problems and coping strategies of women who delay parenting until after the age of 40 years Type
Year (down) 1998 Publication Abbreviated Journal Massey University Library
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Call Number NRSNZNO @ research @ 401 Serial 401
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Author Davenport, F.A.
Title A descriptive study of the spiritual needs of patients with leukemia Type
Year (down) 1998 Publication Abbreviated Journal Massey University Library
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Call Number NRSNZNO @ research @ 403 Serial 403
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Author Wenmoth, J.D.A.
Title A phenomenological study examining the experience of nausea, vomiting and retching associated with pregnancy Type
Year (down) 1997 Publication Abbreviated Journal Massey University Library
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Abstract This paper outlines a phenomenological study carried out to explore the experience of nausea, vomiting and retching associated with pregnancy. These phenomena lack Nursing research and are debilitating symptoms which effect the quality of life for 50-75% of all pregnant women. Madjar ( 1991) indicates that the communication of such experiences can deepen our understanding of human life and coping. It is importance for Nurses to develop an understanding of lived experiences so that they can make more effective interventions. This study explores the essential humanness of life experiences as they are for those who live them. It involved collecting data from those experiencing the phenomena and analysing it. It focuses on the study of phenomena not as separate entities in themselves but as they are perceived as they are experienced. A 'purposeful sample' was required for this study. The aim was to include women who had direct knowledge of the phenomena of nausea, vomiting and retching associated with pregnancy. The study involved in depth interviewing of six women, the interviews were taped and independently transcribed, the transcripts were analysed to determine the meaning of the experience and to identify common themes. The experiences of the women are discussed in relation to what van Manen (1990) describes as four main life world existentials; the lived body, the lived other, lived space and lived time
Call Number NRSNZNO @ research @ 15 Serial 15
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