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Author (up) 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 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 (up) Gifford, H.; Walker, L.; Clendon, J.; Wilson, D.; Boulton, A.
Title Maori nurses and smoking; Conflicted identities and motivations for smoking cessation Type Journal Article
Year 2013 Publication Kai Tiaki Nursing Research Abbreviated Journal Available through NZNO library
Volume 4 Issue 1 Pages 33-38
Keywords Maori nurses; Smoking cessation; smoking; Qualitative research
Abstract This research aims to design and test the feasibility of an intervention promoting smoking cessation, and reducing smoking relapse, among Māori nurses who smoke. It is being conducted in two phases. Phase one, a national web-based survey, conducted in December 2012, explored the views of Māori nurses (smokers, ex-smokers and non-smokers) regarding smoking. This paper reports on the analysis of qualitative responses from 410 nurses and nursing students identifying as Māori who completed an online survey. Five themes were identified: beliefs about smoking; ?for our tamariki?; personal stories of quitting; dissatisfaction with current approaches; and plans for future strategies. The findings confirm that nurses who smoke may experience feelings of conflict, and regard their behaviour as inconsistent with their role as nurses and health promoters. Nurses who smoke must be supported to become, and to stay, smokefree. Tailored Māori-specific cessation initiatives are needed.
Call Number NZNO @ research @ Serial 1392
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Author (up) Gillespie, Moira Elizabeth
Title Compassion fatigue and cancer nurses: a national survey of cancer nurses in New Zealand Type
Year 2013 Publication Abbreviated Journal Available through NZNO library
Volume Issue Pages 91 pp
Keywords Cancer; Nurses -- Job Stress; Empathy; Burnout, Professional -- Psychology; Surveys
Abstract Identifies the experiences of NZ cancer nurses whose primary role is to care for patients aged 20 or older, and their whanau/family, and describes the factors that may influence care. Examines whether nurses received training in the management of stressors associated with caring for cancer patients, either during their training or while in the cancer workplace setting. Considers whether nurses working in peripheral (satellite) cancer centres were at more risk than their colleagues in larger regional centres. Conducts a quantitative, descriptive and anonymous survey of members of the Cancer Nurses' Section of the NZNO, using the Professional Quality of Life (ProQOL) questionnaire, which scores compassion fatigue, compassion satisfaction and burnout.
Call Number NZNO @ research @ WY GIL Serial 1397
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Author (up) Grant-Mackie, D.
Title A literature review of competence in relation to speciality nursing Type
Year 2000 Publication Abbreviated Journal University of Otago Library, NZNO Library
Volume Issue Pages
Keywords Paediatric nursing; Nursing specialties; Professional competence; Nursing; Education
Abstract The original aim of the study was to find out through a questionnaire what child health/paediatric nurses in New Zealand/Aotearoa saw as their needs for post-registration education. Nurses were completing courses in the United Kingdom and returning to New Zealand/Aotearoa and realising that their nursing capabilities had improved. They became senior nurses with education responsibilities and exhibited political leadership among their colleagues in the field of child health/paediatric nursing. They were becoming increasingly concerned at the lack of any clinical courses in the specialty of child health/paediatric nursing to promote an appropriate standard of practice. It was intended that a research project about post-registration child health/paediatric education would assist concerned nurses to develop a programme. The time needed for such a project did not fit with a limited research paper. It was decided to reduce the project to a review of the literature on competence in nursing, with some comment on the specialty of child health/paediatric nursing. In order for nurses to find what they need to learn and know, an understanding of competence in nursing practice is required. Competence is defined as the ability of the nurse to carry out specific work in a designated area at a predetermined standard. Issues around competence, defining a scope of practice, development and assessment of competence, and regulation of nursing, are part of the context in which accountability for the practice of nurses sits.
Call Number NRSNZNO @ research @ Serial 1123
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Author (up) Ha, I.; Huggard, P.; Huggard, J.
Title Staff support and quality of care provided by palliative care nurses: A systematic literature review Type Journal Article
Year 2013 Publication Kai Tiaki Nursing Research Abbreviated Journal Available through NZNO library
Volume 4 Issue 1 Pages 25-32
Keywords Hospice and palliative nursing; Systematic review; Staff support; Quality of health care
Abstract There is a considerable body of literature discussing the stressors experienced by nurses and other health professionals when caring for those who are terminally ill and dying. Also, a number of articles offer suggestions, including the views of staff, as to what type of professional and organisational support is required when working in this often demanding specialty. There are, however, very few reports of assessment of the effectiveness of such supportive interventions and in particular, the impact of such support on the quality of patient care. This literature review examines any reported relationships between the quality of nursing provided by palliative care nurses and the staff support received by those nurses.
Call Number NZNO @ research @ Serial 1391
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Author (up) Hendry, C.; East, S.
Title Impact of the Christchurch earthquakes on clients receiving health care in their homes Type Journal Article
Year 2013 Publication Kai Tiaki Nursing Research Abbreviated Journal Available through NZNO library
Volume 4 Issue 1 Pages 4-10
Keywords Stress Disorders, Post-traumatic; older people; disaster response
Abstract Eighteen months after the first of many large earthquakes, Christchurch-based home health care provider Nurse Maude surveyed staff to identify the impact on the well-being of their mainly elderly clients. Responses from 168 staff identified five key issues. These were: mental health, anxiety, and depression, symptoms similar to post-traumatic stress disorder (PTSD); unsafe environments; loneliness and isolation; difficulty coping with change; and poor access to services. To meet the needs of clients in this challenging environment, staff felt they needed more time to care, including listening to stories, calming clients and dealing with clients who had become slower and more cautious. Damaged and blocked roads, and the fact that many clients moved house without warning, added to the time it took to deliver care in the home. This survey has helped Nurse Maude build on its initial post-earthquake responses to better meet the needs of clients and support health-care workers in this stressful environment.
Call Number NZNO @ research @ Serial 1388
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Author (up) Honey, M.L.L.
Title Methodological issues with case study research Type Journal Article
Year 2010 Publication Kai Tiaki Nursing Research Abbreviated Journal 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 (up) Hooker, M.
Title Implementing the rheumatic fever guidelines: Identifying the challenges and crossing the theory practice divide Type
Year 2010 Publication Abbreviated Journal 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 (up) Houliston, Sally
Title Flight nurse perceptions of factors inflencing clinical decision making in their practice environment Type
Year 2007 Publication Abbreviated Journal 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 (up) Idour, D.M.G.
Title Stepping beyond the known – the lived experience of returning registered nurse students: an interpretive descriptive study Type
Year 1998 Publication Abbreviated Journal Massey University Library, NZNO Library, UMI Disse
Volume Issue Pages
Keywords
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 (up) Irvine, HJ
Title Professional supervision for nurses and midwives Type Report
Year 1998 Publication Abbreviated Journal 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 (up) Jamieson,I
Title What are the views of Generation Y New Zealand Registered Nurses towards nursing, work and career?: A descriptive exploratory study Type
Year 2012 Publication Abbreviated Journal Available from the NZNO Library
Volume Issue Pages 290 pp
Keywords Generation Y; Young nurses; Registered Nurses; Workforce planning; Attitudes to nursing; Surveys; Nursing shortages
Abstract The author has taken a broad approach to this research to explore the views of Generation Y New Zealand Registered Nurses towards the nursing profession, the work itself and their career plans. This study arose out of the author?s interest in health care workforce planning for nursing and in particular the retention of young nurses given the current national and global shortage of nurses. Because of the broad and descriptive nature of the research, a wide variety of topics are included in the literature reviewed.

Chapter one provides background to the study and an overview of generational cohorts.

Chapter two explores selected literature relevant to the concept of work and the characteristics of the Generation Y workforce.

Other topics included in this chapter include Herzberg?s work motivation hygiene/maintenance theory and a selection of literature about key workforce recruitment and retention issues.

A thesis submitted in partial fulfilment of the requirements for the degree of Doctor of Philosophy in Health Sciences
Call Number NZNO @ research @ Serial 1393
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Author (up) Jones, R.G.
Title Rongoa Maori and primary health care Type
Year 2000 Publication Abbreviated Journal Held by NZNO Library
Volume Issue Pages
Keywords
Abstract A thesis submitted in partial fulfilment of the requirements for the degree of Master of Public Health.

Rongoa Maori, in its wider sense, refers to the traditional medical system of the indigenous people of New Zealand. The aims of this thesis were to identify the major issues involved in incorporating traditional healing in this context and to look at how this might be achieved.
Call Number NZNO @ research @ WA 300 JON Serial 1364
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Author (up) Keer-Keer, Trudy
Title The lived experience of adults with myasthenia gravis : a phenomenological study Type
Year 2012 Publication Abbreviated Journal Available from the NZNO Library
Volume Issue Pages 120 pp
Keywords Myasthenia gravis; Myasthenia gravis --Patients --Attitudes; Myasthenia gravis --Patients --Care; Phenomenological studies
Abstract Examines the lived experiences of adults with myasthenia gravis(MG). Uses an interpretive phenomenological approach applying the research methodology of van Manen (1990). Interviews seven people living with MG and records their experiences of the disease. Poses broadly-worded questions about various topics related to MG, that include diagnosis, symptoms, treatments and coping strategies, guided by individual experiences. Reveals by means of thematic analysis that MG affects every aspect of a person?s ?lifeworld?: their sense of time, body, and space and their relationships with others. Highlights three main themes embedded in the data experienced by a person with MG: living with uncertainty, living with weakness and living with change.
Call Number NZNO @ research @ Serial 1396
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Author (up) Litchfield, M.
Title Achieving health in a rural community: A case study of nurse – community partnership Type Book Whole
Year 2004 Publication Abbreviated Journal University and Polytechnic Libraries, NZNO Library
Volume Issue Pages
Keywords Rural health services; Nursing models; Advanced nursing practice; Health promotion; Organisational change
Abstract This study describes rural, nurse-led health services provided by the Takapau Health Centre (Central Hawkes Bay) and its outreach, Norsewood & District Health Centre. The study looks at its model of service delivery through to 2002. It examines the establishment, development, funding and management of the service, along with the nursing practice and the healthcare people received. The book is a snapshot of nursing initiative and survival through a decade of change in health policy and service funding and delivery. The information was subsequently used to move the health centre service into the new paradigm of primary health care launched in the New Zealand Health Strategy.
Call Number NRSNZNO @ research @ 1183 Serial 1168
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