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Author Houliston, Sally
Title Flight nurse perceptions of factors inflencing clinical decision making in their practice environment Type
Year 2007 Publication Abbreviated Journal (up) NZNO Library
Volume Issue Pages 86 pp
Keywords
Abstract Flight nurse perceptions of factors inflencing clinical decision making in their practice environment: a thesis presented in partial fulfilment of the requirements for the Degree of Master of Nursing at the Eastern Institute of Technology, Taradale, New Zealand

The research project sought to describe the flight nurses perceptions about the factors that influence clinical decision making in their flight nursing practice, using a descriptive survey methodology. Themes emerged as factors which participants perceived influenced clinical decision making in their flight nursing role and in the aeromedical role. These themes included pre-flight preparation, patient status, experience and education of the nurse, and the challenges associated with the physical and atmospheric environments.
Call Number NZNO @ research @ Serial 1334
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Author Walker, Leonie
Title Hardships and hurdles: The experiences of migrant nurses in New Zealand Type Journal Article
Year 2010 Publication Kai Tiaki Nursing Research Abbreviated Journal (up) NZNO Library
Volume 1 Issue 1 Pages 4-8
Keywords Recruitment and retention; Personnel recruitment; Foreign nurses; English as a second language; Emigration and immigration; Bullying
Abstract The New Zealand nursing workforce is increasingly made up of overseas trained nurses. There is extensive literature from elsewhere in the world on the impacts of international nurse recruitment and migration on individual nurses and on health services. The literature also portrays evidence of abuse and exploitation, yet few studies are available relating to the experiences of migrant nurses in New Zealand. This research conducted a survey of overseas-trained nurses, specifically focusing on those nurses for whom English is not their first language, to understand the experiences and factors affecting migrant registered nurses in New Zealand. Given the importance to the New Zealand workforce of overseas-trained nurses, this research highlighted that more warnings and advice regarding recruitment agencies and information about nursing in New Zealand and the Nursing Council requirements for registration should be made available to nurses prior to their migration. Nursing leaders should be particularly alert to any evidence of bullying or discrimination based on race or overseas origin.
Call Number NZNO @ research @ Serial 1337
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Author Honey, M.L.L.
Title Methodological issues with case study research Type Journal Article
Year 2010 Publication Kai Tiaki Nursing Research Abbreviated Journal (up) NZNO Library
Volume 1 Issue 1 Pages 9-11
Keywords Research, nursing; Research methodology; Study design; data analysis; Data collection methods
Abstract Case study research, as a qualitative methodology, attracts some criticism, especially related to rigour, reliability and validity. A New Zealand-based study that explored complex phenomena – flexible learning for postgraduate nurses – provides a practical example of how the case study design can address these criticisms. Through describing the mixed methods used, different sources and methods of data collection, and data analysis, the process of achieving data quality and trustworthiness are highlighted.
Call Number NZNO @ research @ Serial 1338
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Author Gibbons, V.; Rice, S.; Lawrenson, R
Title Routine and rigidity: Barriers to insulin initiation in patients with Type 2 Diabetes Type Journal Article
Year 2010 Publication Kai Tiaki Nursing Research Abbreviated Journal (up) NZNO Library
Volume 1 Issue 1 Pages 19-22
Keywords Medication compliance; Diabetes Mellitus, Non-Insulin-Dependent; Primary health care
Abstract It has been shown that intensive management of diabetes with type 2 diabetes is effective and has led to wider use of insulin. The conversion of patients from oral medication to insulin is usually managed in primary care. The study discussed here aimed to explore how patients with type 2 diabetes mellitus (T2DM) perceived insulin. The study was conducted in 2009 in an urban general practice in a large town in New Zealand with more than 300 patients with type 2 diabetes. A qualitative study was conducted with face-to-face interviews with 13 participants. The question focused on insulin initiation, lifestyle and routine. The transcribed responses were subject to thematic anaylsis. Interviews showed participants felt restricted by the prospect and eventuality of the routine and restrictions of being on insulin. Results show there needs to be a greater emphasis on the disease being progressive. This study provides the ground work for developing resources that will benefit patients with T2DM.
Call Number NZNO @ research @ Serial 1339
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Author Watson, P, B.
Title Positive pressure intravenous access ports on central venous devices in children: An evidence-based review Type Journal Article
Year 2010 Publication Kai Tiaki Nursing Research Abbreviated Journal (up) NZNO Library
Volume 1 Issue 1 Pages 12-18
Keywords Venous pressure; Central venous pressure; Central venous catheters; Catheter-related infections; Children
Abstract This research aimed to assess the evidence for benefits and risks of positive pressure mechanical valve (PPMV) intravenous access ports on central nervous system devices (CVADs) in children. PPMVs on CVADs have been promoted as preventing occlusion and the need for heparin flushing. A search for primary research to March 2010 was conducted using MEDLINE, EMBASE and CINAHL. There is sufficient evidence that some models of PPMV intravenous access ports on CVADs, when flushed with normal saline, are associated with increased bloodstream infections in children. Further research is required.
Call Number NZNO @ research @ Serial 1340
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Author Gibbison, B.
Title Are we there yet?: Factors associated with, and experiences of, weight maintenance in the Adult Weight Management Programme in the Waikato Type
Year 2010 Publication Abbreviated Journal (up) NZNO Library
Volume Issue Pages 132 pp
Keywords Weight loss; Obesity
Abstract A research portfolio submitted in partial fulfilment of the requirements for the degree of Master of Nursing, the University of Auckland, 2010.

Sustained weight loss maintenance is a constant challenge, especially for morbidly obese individuals who have tried and failed repeatedly. Why is it then, that some individuals are successful whilst others are not so successful? This two-phase sequential, mixed methods study sought to identify and gain insight into the factors associated with successful weight loss maintenance for participants in an adult weight management programme in the Waikato. Success appeared to be independent of age, gender, ethnicity, domicile, employment status and the presence of co-morbities.

Four major themes emerged:

- “Actions speak louder than words – just do it” (Following a lower energy diet, having higher levels of physical activity, regular self weighing, and vigilance in adjusting their behaviours based on the results)

- Routines were also important in supporting the changed behaviours

- What's it worth to me

- Valuing the achievements associated with lesser weight was seen as another important factor of success
Call Number NZNO @ research @ Serial 1342
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Author Irvine, HJ
Title Professional supervision for nurses and midwives Type Report
Year 1998 Publication Abbreviated Journal (up) NZNO Library
Volume Issue Pages 53 pp
Keywords Professional Supervision; Clinical supervision
Abstract Report to the Winston Churchill Memorial Trust on Professional Supervision for registered Nurses and Midwives, May 1998.

Objective of Project:

To explore the extent of the development of a model of clinical supervision for nurses in the United Kingdom.

Some of the key points that emerged:

- Clinical supervision is a strong and accepted part of nursing culture in Britain. While not mandatory and not available to, or accepted by, all nurses, it is nevertheless generally known about and discussed at main nursing forums

- The strong support and directives coming from nursing leadership is a major factor in the adoption of clinical supervision as a developmental, support and quality control

- The increasing availability of resource material, courses, and in particular the investment made by the Department of Health and the Scottish Home and Health Office in funding a 23 site evaluation project has stimulated implementation of clinical supervision
Call Number NZNO @ research @ Serial 1343
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Author Shih, Li-Chin
Title Impact of Dialysis on Rurally Based Mäori Clients and Their Whänau Type
Year 2009 Publication Abbreviated Journal (up) NZNO Library
Volume Issue Pages 105 pp
Keywords renal disease; hemodialysis; maori
Abstract A research portfolio submitted in partial fulfilment of the requirements for the degree of Master of Nursing, The University of Auckland, 2009

This paper is a report of a study seeking to understand the experience of New Zealand rural dwelling Mäori clients with end-stage renal disease who receive haemodialysis. End stage renal disease (ESRD) is related to lifestyle, genetic factors and environment, and Mäori are at higher risk of renal disease which results of need for renal replacement therapy to sustain their lives. Dialysis clients are a group of ?silent? clients under the care of the dominant health professionals. Adherence with therapeutic regimes has been a main issue for health care professionals and service delivery, as it directly contributes to the efficacy of the treatment and cost effectiveness. Mäori clients? experience of living with haemodialysis has not been explored. Although there are a number of studies describing the experience of patients living on dialysis so far, no studies have yet focused specifically on the experience of Mäori clients towards their renal replacement therapy. The continual demands of dialysis treatment are significant and given the high proportion of Mäori having dialysis. It is timely to explore the experience of Mäori clients and their family/whänau in order to understand the need for quality of care and to promote Mäori health outcomes in chronic kidney disease management
Call Number NZNO @ research @ Serial 1348
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Author Hooker, M.
Title Implementing the rheumatic fever guidelines: Identifying the challenges and crossing the theory practice divide Type
Year 2010 Publication Abbreviated Journal (up) NZNO Library
Volume Issue Pages 122 pp
Keywords Rheumatism; rheumatic fever
Abstract A research portfolio submitted in partial fulfilment of the requirements for the degree of Master of Health Sciences, The University of Auckland, 2010.

Background:

The 2006 New Zealand (NZ) Guidelines for Rheumatic Fever (RHF) (National Heart Foundation of New Zealand and Cardiac Society of Australia and New Zealand, 2006) have an over-arching objective to support appropriate management of RHF to prevent recurrent attacks and reduce mortality and morbidity from RHF and Rheumatic Heart Disease (RHD) (Craig, Anderson, & Jackson, 2008; National Heart Foundation of New Zealand and Cardiac Society of Australia and New Zealand, 2006).

Aims:

The aims of this study were to audit current practice and service provision associated with RHF programmes and initiatives in NZ District Health Boards (DHBs) against the 2006 NZ Guidelines for RHF and to identify the barriers and facilitators to clinicians meeting the guidelines.
Call Number NZNO @ research @ Serial 1349
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Author Eden, S
Title An integrated literature review of the role of the nurse practitioner in the emergency department Type
Year 2011 Publication Abbreviated Journal (up) NZNO Library
Volume Issue Pages 115 pp
Keywords
Abstract A dissertation in partial fulfilment of Master Health Sciences (Clinical)through University of Otago

The nurse practitioner is one of the newest nursing health care professionals to be introduced to the New Zealand health system for many years. Eighty-six nurse practitioners are credentialed in New Zealand, with three working in urban Emergency Department settings. Nurse Practitioners are common internationally especially in the United States, Canada, United Kingdom and Australia. The purpose of this integrated literature review is to explore current research and literature in regards to the Emergency Department Nurse Practitioner, and their role within emergency settings. This review presents the growth and development of the nurse practitioner as an advanced practice nursing position. Four key themes emerge from the literature review; education of the Emergency Nurse Practitioner , how and who defined the Emergency Nurse Practitioner role, practice setting of the Emergency Nurse Practitioner, and what the barriers are to independent practice. The economic, legal and governance aspects of the Nurse Practitioner role are also portrayed. This integrated review documents the potential for further development and expansion of the Emergency Nurse Practitioner scope of practice to provide a broad range of patient care services within Emergency Departments, and emergency care settings. Future research is essential for the promotion of autonomous practice of the Emergency Nurse Practitioner within the international and New Zealand health care system.
Call Number NZNO @ research @ Serial 1352
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Author Rosieur, J.
Title An exploration of family partnership approaches to enhance care delivery and improve healthcare outcomes to young families within their communities Type Report
Year 2010 Publication Abbreviated Journal (up) NZNO Library
Volume Issue Pages 127 pp
Keywords Professional-family relations; family health; family nursing
Abstract Margaret May Blackwell Trust Travel Study Fellowship 2009/2010.

This report is an exploration of some current international trends and tools in the delivery of services supporting families with young children that aim to utilise a partnership approach between health providers, families and their communities. The MMB scholarhsip for 2009/2010 included six weeks of international travel in order to consult with a range of people in realtion to services provided to parents with young children in their various communities. My proposal was to explore current policies supporting Family Partnership (FP)approaches in health services; trends relating to FP approaches in practice; tools supporting FP practice for clinicians; as well as recent FP training and initiatives.
Call Number NZNO @ research @ Serial 1353
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Author Alleyne, D.
Title The context of nursing in New Zealand prisons from historical and contemporary perspectives Type
Year 2007 Publication Abbreviated Journal (up) NZNO Library
Volume Issue Pages 94 pp.
Keywords
Abstract This dissertation by Deborah Alleyne explores the current context of nursing in New Zealand prisons through rediscovering the history of its introduction and development, and review of relevant literature. Prison nursing is recognised as a unique branch of the wider nursing profession by virtue of the environment in which nurses work and the population for whom they provide care. Four key themes are identified from the literature review: custody versus caring; nurses' relationship with custody staff; nurses' relationship with prisoners; isolation.
Call Number NZNO @ research @ Serial 1377
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Author Barber, M
Title Nursing and living in rural New Zealand communities: an interpretive descriptive study Type
Year 2007 Publication Abbreviated Journal (up) NZNO Library
Volume Issue Pages 116pp
Keywords
Abstract A thesis submitted in partial fulfilment of the requirements of the degree of Master of Nursing at Otago Polytechnic, Dunedin, New Zealand. June 2007

This study used an interpretive descriptive method to gain insight into and

explore key issues for rural nurses working and living in the same

community. Four Rural Nurse Specialists were recruited as participants. The

nurses had lived and nursed in the same rural community for a minimum of

12 months. Participants were interviewed face to face and their transcribed

interviews underwent thematic analysis.

The meta-theme was: the distinctive nature of rural nursing. The themes

identified were: interwoven professional and personal roles; complex role of

rural nurses and relationships with the community. A conceptual model was

developed to capture the relationship between the meta-theme and the

themes. A definition for rural nursing was developed from the findings.

This research identified some points of difference in this group of rural

nurses from the available rural nursing literature. It also provides a better

understanding of the supports Rural Nurse Specialists need to be successful

in their roles, particularly around the recruitment and retention of the rural

nursing workforce.
Call Number NZNO @ research @ Serial 1386
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Author Surtees, R.
Title Midwifery as Feminist Praxis in Aotearoa/New Zealand Type
Year 2003 Publication Abbreviated Journal (up) NZNO Library
Volume Issue Pages 323 pp
Keywords
Abstract A thesis submitted in fulfilment of the requirements for the Degree

of DOCTOR OF PHILOSOPHY IN EDUCATION, UNIVERSITY OF CANTERBURY 2003.

This thesis highlights the ways in which the practices of contemporary midwives in

Aotearoa/New Zealand are caught within the intersection of an array of competing discourses. The context for this is the reconstruction of midwifery in Aotearoa/New Zealand as an autonomous feminist profession founded on partnership with women. Interviews and participant observation with midwives, based mainly in one New Zealand city, are the basis of an analysis of the complexity of midwives? praxis as professionals. The analysis draws on insights from critical and feminist approaches to Foucault?s theories of discourse, power and the subject. It includes discussion of the conditions which came to produce and authorise the concept of ?partnership?. Which subjects can speak about partnership, and when? What claims

are made about it? What challenges it?
Call Number NZNO @ research @ Serial 1403
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Author Miles, M.A.P.
Title A critical analysis of the relationships between nursing, medicine and the government in New Zealand 1984-2001 Type
Year 2005 Publication Abbreviated Journal (up) NZNO Library, University of Otago Library
Volume Issue Pages
Keywords Primary health care; Interprofessional relations; Policy
Abstract This thesis concerns an investigation of the tripartite arrangements between the government, the nursing and the medical sectors in New Zealand over the period 1984 to 2001 with a particular focus on primary health care. The start point is the commencement of the health reforms instituted by the Fourth New Zealand Labour Government of 1984. The thesis falls within a framework of critical inquiry, specifically, the methodology of depth hermeneutics (Thompson, 1990), a development of critical theory. The effects of political and economic policies and the methodologies of neo-liberal market reform are examined together with the concept of collaboration as an ideological symbolic form, typical of enterprise culture. The limitations of economic models such as public choice theory, agency theory and managerialism are examined from the point of view of government strategies and their effects on the relationships between the nursing and medical professions. The influence of American health care policies and their partial introduction into primary health care in New Zealand is traversed in some detail, together with the experiences of health reform in several other countries. Post election 1999, the thesis considers the effect of change of political direction consequent upon the election of a Labour Coalition government and concludes that the removal of the neo-liberal ethic by Labour may terminate entrepreneurial opportunities in the nursing profession. The thesis considers the effects of a change to Third Way political direction on national health care policy and on the medical and nursing professions. The data is derived from various texts and transcripts of interviews with 12 health professionals and health commentators. The histories and current relationships between the nursing and medical professions are examined in relation to their claims to be scientific discourses and it is argued that the issue of lack of recognition as a scientific discourse is at the root of nursing's perceived inferiority to medicine. This is further expanded in a discussion at the end of the thesis where the structure of the two professions is compared and critiqued. A conclusion is drawn that a potential for action exists to remedy the deficient structure of nursing. The thesis argues that this is the major issue which maintains nursing in the primary sector in a perceived position of inferiority to medicine. The thesis also concludes that the role of government in this triangular relationship is one of manipulation to bring about necessary fundamental change in the delivery of health services at the lowest possible cost without materially strengthening the autonomy of the nursing or the medical professions.
Call Number NRSNZNO @ research @ 1146 Serial 1131
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