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Author (up) Miller, N.R.
Title The problems experienced by graduates of student based comprehensive nursing programs as they provide nursing care in general hospitals Type
Year 1978 Publication Abbreviated Journal University of Auckland Library
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Keywords
Abstract When professionals are employed in bureaucratic organisations they can expect to experience incongruence between their professional role conception and the bureaucratic demands of the organisation which lead to their experiencing role deprivation. Students of comprehensive Nursing programs during their preparation are socialised into a role consistent with their professional group when employed in Hospitals, are subjected to its bureaucratic administrative structure This study examines problems experienced by graduates of these programs, the way they cope with these problems and the extent of their role deprivation, 6 months after commencing employment in General hospitals. The result obtained by questionnaire and interview indicate the main problems are related to the provision of nursing Care, the organisation of Hospital and Communication. These problems prevent graduates from functioning as professional Nurses. Almost half considered they have been successful in resolving them. All graduates experienced a considerable magnitude of role deprivation. there are implications both for agencies and for those preparing Comprehensive Nurses
Call Number NRSNZNO @ research @ 120 Serial 120
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Author (up) Morrison, M.
Title Body-guarded: the social aesthetics of critical care Type
Year 1994 Publication Abbreviated Journal University of Auckland Library
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Abstract
Call Number NRSNZNO @ research @ 297 Serial 297
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Author (up) Murray, D.J.
Title The roles of nurses working with adolescents in Auckland secondary schools Type
Year 2004 Publication Abbreviated Journal University of Auckland Library
Volume Issue Pages
Keywords Adolescents; Nurse-patient relations
Abstract
Call Number NRSNZNO @ research @ Serial 605
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Author (up) Neugebauer, A.F.
Title The adult congenital heart disease service: An evidence-based development of a nurse specialist position Type
Year 2004 Publication Abbreviated Journal University of Auckland Library
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Keywords Cardiovascular diseases; Nursing specialties; Nursing
Abstract
Call Number NRSNZNO @ research @ 482 Serial 469
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Author (up) Palmer, S.G.
Title Positively positive: an experimental evaluation of the Wellness Programme, Burnett Centre Type
Year 1993 Publication Abbreviated Journal University of Auckland
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Keywords
Abstract
Call Number NRSNZNO @ research @ 294 Serial 294
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Author (up) Pearce, L.; Cuthbertson, S.; Streat, S.J.; Hay, D.
Title Dental hygiene in the critically ill: a randomised controlled trial of three methods Type
Year 1996 Publication Abbreviated Journal DCCM, Auckland Hospital, Private Bag 92024, Auck
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Abstract Introduction Critically ill patients cannot clean their own teeth. A variety of methods are used but as the best method is unknown we performed a prospective randomised double-blind controlled trial of three methods.Method Of 359 consecutive admissions to the Department of Critical Care Medicine between 31/01/97 and 25/05/97, 222 were excluded (62 edentulous, 6 unexaminable, 142 transferred alive and 12 dead or dying at 24 hours). The remaining 137 patients had quantitative (picture-linked, ordinal score) assessment of caries, peridontal status and plaque (in 12 segments of teeth) before randomisation (to the use of either toothbrush, jumbo swab or sonic toothbrush) by pre-assigned sealed envelopes. All teeth were cleaned (prescribed four hourly) with 0.2% chlorhexidine solution. Daily plaque scores were obtained (by an assessor (SC) blind to treatment allocation) until withdrawal, death or transfer.Results Toothbrush Jumboswab SonicPatients assigned 50 48 39Withdrawn within 24hrs. 9 3 5Patients remaining 41 45 34Percentage of teeth segments thatare pristine: pre treatment 45 50 51 after 2 days 74 57 90 F(2.63) = 5.00 p = 0.0097 More withdrawals for patient noncompliance after randomisation occurred in the sonic group (5/34 versus 3/86). Conclusion. By the second day the sonic toothbrush was the most effective in plaque removal with the toothbrush the next most effective method
Call Number NRSNZNO @ research @ 203 Serial 203
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Author (up) Pearce, L.; Kirkham, S.; Cuthbertson, S.
Title Quality of follow-up for self-poisoning patients after discharge from intensive care: 1996, one year later Type
Year 1996 Publication Abbreviated Journal DCCM, Auckland Hospital, P.O.Box 92024, Auckland
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Abstract In 1995 we conducted a retrospective audit on a prospectively collated database to find out which intensive care patients missed out on psychiatric care after self poisoning. Our results showed that 57 patients in 1995 may not have received psychiatric follow-up assessment. Department of Critical Care Medicine (DCCM) follow-up was also less successful for this particular group. It was recommended that on admission to intensive care, all self poisoning patients would be referred to the Liaison Psychiatry Service (LPS).In 1996 we reviewed the databases of DCCM and LPS to determine if the quality of psychiatric follow-up had improved after the initial 1995 audit. In 1996 124 patients had 149 admissions (85F, age range 14.6-85.3, median 35, median GCS 9, 99 ventilated, 3 deaths). Thirteen patients had 25 admissions within 6 months of their index admission , 7/13 had a major psychiatric disorder. Mixed poisoning remained common. Forty-five admissions took cyclic antidepressants, 21 sedatives, 52 other medications, 25 ethanol (median 43 mmol/l ), 30 carbon monoxide and 5 took various non-prescription poisons.Thirteen went home, 32 to other hospitals, 4 to psychiatric hospitals and 97 were transferred to wards within Auckland Hospital. Psychiatric follow-up assessment was successful in 96/97 patients prior to discharge from Auckland Hospital. Those discharged to other hospitals or home were referred and followed up by LPS teams or other Mental Health Services.DCCM follow-up 4-6 weeks post discharge was more successful for 1996 with 120/146 contacted of which 33/120 were receiving ongoing psychiatric care.
Call Number NRSNZNO @ research @ 207 Serial 207
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Author (up) Perry, J.(see also C.)
Title Currents – towards professionalism Type
Year 1990 Publication Abbreviated Journal Auckland Institute of Technology Library, NZNO Li
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Abstract Attitudes towards the concept of professionalism have not been explored to any great extent in this country, especially the attitudes of the Clinical Nurse practitioner. The importance of knowing what Nurses attitudes are to this concept is central to the recognition of the current developmental stage and growth of the profession. A twenty statement Like-style attitudinal questionnaire was given to Registered Nurses to measure current attitudes to professionalism. No statistical significance was found between the degree of positively to professionalism and years of service, educational qualifications eg, practise area, or involvement with a professional organisation. There appeared to be a positive relationship between questionnaire score and length of time in the current practise area ( the longer the service the higher the score). Further statistical significance was found in questions highlighting what Nurses think of Nursing as a profession. This study should form the basis of further research and provide some thought for Nurse leaders, educators and policy makers
Call Number NRSNZNO @ research @ 42 Serial 42
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Author (up) Prebble, K.
Title Ordinary men and uncommon women: A history of psychiatric nursing in New Zealand public mental hospitals, 1939-1972 Type
Year 2007 Publication Abbreviated Journal University of Auckland Library
Volume Issue Pages
Keywords Psychiatric Nursing; Mental health; History; Gender
Abstract This social-cultural history explores the changing context, culture, and identity of psychiatric nurses working in New Zealand public mental hospitals between 1939 and 1972. Primary documentary sources and oral history interviews provided the data for analysis. The thesis is divided into two periods: 1939 to 1959 when asylum-type conditions shaped the culture of the institutional workforce, and 1960 to 1972 when mental health reform and nursing professionalisation challenged the isolation and distinct identity of mental hospital nurses. Between 1939 and 1959 the introduction of somatic treatments did not substantially change nursing practice in mental hospitals. Overcrowding, understaffing and poor resources necessitated the continuance of custodial care. The asylum-type institutions were dependent on a male attendant workforce to ensure the safety of disturbed male patients, and the maintenance of hospital farms, gardens, and buildings. Although female nurses provided all the care and domestic work on the female side, the belief that psychiatric nursing was physically demanding, potentially dangerous, and morally questionable, characterised the work as generally unsuitable for women. Introduction of psychiatric nursing registration which was a move toward professionalisation did little to change the dominance of a male, working-class culture. From 1960 to 1972 psychiatric nurses' identity was contested. New therapeutic roles created the possibility of the nurses becoming health professionals. Their economic security and occupational power, however, was tied to an identity as unionised, male workers. As psychiatric nurses were drawn closer to the female-dominated nursing profession through health service changes and nursing education reform, both men and women acted to protect both their working conditions and their patients' welfare. To achieve these ends, they employed working-class means of industrial action. By accepting the notion that psychiatric nurses' identity was socially constructed, this thesis provides an interpretation that goes beyond the assumption that nursing is a woman's profession. Instead, it presents psychiatric nursing as a changing phenomenon shaped by contested discourses of gender, class and professionalisation. Nursing in public mental hospitals attracted ordinary men and uncommon women whose collective identity was forged from the experience of working in a stigmatised role.
Call Number NRSNZNO @ research @ 763 Serial 749
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Author (up) Ratnasabapathy, P.
Title Silent suffering: The 'lived experience' of women who have experienced early pregnancy loss and used the health services for their care Type
Year 2005 Publication Abbreviated Journal University of Auckland Library
Volume Issue Pages
Keywords Pregnancy; Grief; Psychology
Abstract
Call Number NRSNZNO @ research @ 786 Serial 770
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Author (up) Robinson, T.
Title Advancing nursing practice and deep vein thrombosis prevention Type
Year 2005 Publication Abbreviated Journal University of Auckland Library
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Keywords Cardiovascular diseases; Nursing; Prevention
Abstract
Call Number NRSNZNO @ research @ 477 Serial 464
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Author (up) Seton, K.M.
Title Diversity in action: Overseas nurses' perspectives on transition to nursing practice in New Zealand Type
Year 2004 Publication Abbreviated Journal University of Auckland Library
Volume Issue Pages
Keywords Nursing; Cross-cultural comparison; Education
Abstract
Call Number NRSNZNO @ research @ Serial 1110
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Author (up) Shadbolt, Y.T.
Title Curriculum innovation in a school of nursing – a case study Type
Year 1984 Publication Abbreviated Journal University of Auckland Library
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Keywords
Abstract The study gives an account of curriculum development and innovation in a New Zealand school of nursing and focuses on some aspects of the basic diploma course. The study attempts, through the medium of case study, to illuminate the way in which significant curriculum decisions are made and ideas translated into institutional and technical form. Evidence is derived from the recorded perceptions of the participants, observations, and analyses of documented material. The findings confirm that the field of study is complex, multivariable and dynamic, and that translation of the curriculum on paper involves a multitude of deliberative and factual decisions by practicing teachers
Call Number NRSNZNO @ research @ 43 Serial 43
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Author (up) Shelah, G.E.
Title Enabling pedagogy: An enquiry into New Zealand students' experience of bioscience in pre-registration nursing education Type
Year 2003 Publication Abbreviated Journal University of Auckland Library
Volume Issue Pages
Keywords Teaching methods; Nursing; Education
Abstract
Call Number NRSNZNO @ research @ Serial 856
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Author (up) Sheridan, N.F.
Title Mapping a new future: Primary health care nursing in New Zealand Type
Year 2005 Publication Abbreviated Journal University of Auckland Library
Volume Issue Pages
Keywords Primary health care; Chronic diseases; Community health nursing; Nursing models
Abstract The aim of the study was to determine the practice of nurses employed in integrated care projects in New Zealand from late 1999 to early 2001. Integrated care was a major health reform strategy that emphasised primary health care as a means to improve service provision between the health sectors. An investigation of nurses' practice sought to determine the extent to which primary health care principles had been adopted in practice, as a comprehensive primary health care approach has been advocated globally in the management of chronic conditions; the leading cause of disability throughout the world and the most expensive problems faced by health care systems. The philosophical basis of the research was postpositivism. The study employed a quantitative non-experimental survey design because it allowed numeric descriptions of the characteristics of integrated care projects to be gained for the purpose of identifying nurses' practice. The unit of inquiry was the integrated care project, and 80 comprised the study population. Data were obtained on projects from expert informants (n=27) by telephone survey using a structured interview questionnaire developed by the researcher. Data obtained from interviews were statistically analysed in two stages. First, data were produced to comprehensively describe the characteristics of integrated care projects and nurses practice. The 'Public health interventions model' was used as a framework to analyses the interventions (activities) and levels of population-based practice of nurses. Following this, the social values embedded in nurses' practice were determined using 'Beattie's model of health promotion' as a framework for analysis. A strong association was found between nurses' practice in projects and strategies used in integrated care, such as information sharing, guideline development and promotion, and case management, and projects with an ethnic focus, low income focus, chronic condition focus, and well-health focus. Whilst nurses undertook interventions most frequently at the individual practice level they were also strongly associated with the small proportion of interventions that were undertaken at the community level. The majority of interventions by nurses reflected the health promotion value of health persuasion, indicating a paternalist and individual-oriented philosophy. Nurses were engaged in two interventions that indicated a collective-oriented philosophy – coalition building and community development, the latter reflecting health promotion values of negotiation, partnership and empowerment. The study demonstrated that nurses' practice in projects was predominantly centred on individual-focused population-based practice suggesting the need for a framework to assist nurses to transition their practice to include more activity at the community and systems levels. Without a reorientation of practice, nurses will remain limited in their ability to achieve health gains for populations. In response to this conclusion, and drawing on research results and reviewed literature, a new model, The 'Primary Health Care interventions model' was constructed. Recommendations include advocacy for the acceptance of the model by the health funder, professional nursing bodies, health organisations, educational institutions, nurses, communities, and individuals.
Call Number NRSNZNO @ research @ 679 Serial 665
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