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Author Seaton, L.; Seaton, P.; Yarwood, J.
Title Preparedness: Lessons for educators from the Christchurch disaster Type Journal Article
Year 2013 Publication Kai Tiaki Nursing Research Abbreviated Journal Available through NZNO library
Volume 4 Issue 1 Pages 11-16
Keywords (up) Education, Nursing; Case studies; Disasters
Abstract This study describes the impact of a sudden, traumatic natural disaster on a bachelor of nursing programme, and the capacity and processes required to minimise disruption to programme delivery and student learning. This descriptive case study, undertaken across 2011-2012, collected data through interviews, a survey and artefact collection. Six key themes emerged from the inductive and descriptive statistical analyses: context; communication; leadership and followership; decision making; the need to balance shifting priorities around professional responsibilities and personal imperatives; and taking action and action plans. The conclusions reached emphasise safety as the first priority, encourage personal risk mitigation, and emphasise the importance of ongoing support and flexibility for all staff and students as well as the need for clear communication and decision-making. What is perhaps most important to take from this experience is that a plan does not, by itself, equal preparedness; every institution must look to its own context, consider its own priorities, and formulate its own approach to preparedness.
Call Number NZNO @ research @ Serial 1389
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Author Bennison, C.
Title Emergency nurses' perceptions of the impact of postgraduate education on their practice in New Zealand Type
Year 2008 Publication Abbreviated Journal NZNO Library
Volume Issue Pages
Keywords (up) Emergency nursing; Nursing; Education
Abstract ABSTRACT

BACKGROUND: Emergency nursing is a specialty concerned with the care of people of all ages, with either perceived or actual unwellness presenting to the emergency department(ED) for assessment, resuscitation, investigation, treatment and review of their illness or injury. Emergency nurses apply specialty knowledge and expertise in the provision, delivery and evaluation of emergency nursing care. Over recent decades social, political and professional changes have affected nursing care delivery and nursing education. In particular the 21st century has witnessed the development of state funded postgraduate nursing education programmes, developing nurses specialty or advanced nursing knowledge, quality patient/client care and nursing practice within the tertiary education system.

AIM: The aim of this study is to investigate emergency nurses? perceptions of the impact of postgraduate education on their practice in New Zealand (NZ).

METHODS: This study utilises critical social theory as the overarching framework, informed by the writing of Jürgen Habermas (b.1929- ). It is the three phases of

Habermas?s practical intent of critical social theory; namely enlightenment, empowerment and emancipation, that this study is concerned with. This descriptive research study employs both quantitative and qualitative methods and is therefore known as mixed-methods research. Data collection took place over 12 weeks, from August to November 2006, using a survey questionnaire obtained with permission from Ms Dianne Pelletier, Sydney, Australia. The sample included 105 emergency nurses from District Health Board (DHB) emergency departments in NZ, 10 respondents from this sample self-selected to be interviewed by telephone. Ethical approval for this study was obtained from the University of Otago Ethics Committee for research involving human participants. Data was analysed using the Statistical Package for Social Sciences (SPSS).

RESULTS: Two main themes arose from the thematic analysis; these being positive and negative, these themes were further divided into 10 sub-themes. The results indicate that postgraduate study (PGS) has increased nurses? perception of their knowledge; leadership and understanding on the quality of patient care delivered, increased their academic and research skills and increased their confidence/self-esteem and recognition by their colleagues and team. Therefore the majority of respondents perceive postgraduate education has been an instrument of liberation and a process of empowerment and emancipation. A smaller percentage of respondents perceived that PGS had no effect on various aspects of patient care and another significantly smaller percentage of respondents reported negative results from PGS. This research identified similarities between this study and that of Pelletier and colleagues? (2003; , 2005; , 1998a; , 1998b) Australian study.

CONCLUSION: This study adds to the existing literature on postgraduate studies undertaken by nurses. No known study has previously investigated solely emergency nurses?perceptions of the effects of PGS, either nationally or internationally. The results of this study offer enlightening information regarding emergency nurses? perceptions of their PGS within NZ and offers a platform from which other studies may be undertaken. It also has the potential to inform nurses contemplating PGS and educators facilitating these programmes,as well as provide implications for policy development by the Nursing Council of NZ, NZ Universities, DHBs and the Ministry of Health.
Call Number NRSNZNO @ research @ Serial 1291
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Author Williams, H.
Title One for the boys: An evaluative study of primary health care access by men in Tairawhiti Type
Year 2006 Publication Abbreviated Journal NZNO Library
Volume Issue Pages
Keywords (up) Gender; Primary health care; Access; Male
Abstract
Call Number NRSNZNO @ research @ Serial 1138
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Author 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 (up) 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 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 (up) 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 Litchfield, M.
Title The language of nursing practice in hospitals Type Conference Article
Year 1997 Publication Abbreviated Journal held by NZNO Library and author
Volume Proceedings of the National Nursing Informatics Co Issue Pages
Keywords (up) Hospitals; Nurse managers; Advanced nursing practice; Nurse-patient relations; Care plans
Abstract A paper presenting the findings of a small research project involving a group of self-selected senior nurses of Wellington Hospital to explore the nature of nursing practice in the care and management of hospitalised patients and to formalise the language that would acknowledge its significance in the current effort of hospitals to define patient care pathways. The nature of hospital nursing practice was described in themes of a generic process of nurse-patient care that articulates a distinct specialism of hospital nursing, whatever the hospital department in which nurses hold positions.
Call Number NZNO @ research @ Serial 1322
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Author McNamara, N.
Title The meaning of the experience for ICU nurses when a family member is critically ill: A hermeneutic phenomenologcial study Type
Year 2007 Publication Abbreviated Journal NZNO Library
Volume Issue Pages
Keywords (up) Intensive care nursing; Nurse-family relations
Abstract This study provides insight into the experience of being an ICU nurse and relative of a critically ill patient. Analysis of data from interviews of four ICU nurses who had experienced having a family member admitted to ICU brought up several themes. These included: a nurses' nightmare, knowing and not knowing, feeling torn, and gaining deeper insight and new meaning. Recommendations for organisational support for ICU nurse/relatives, and education for staff are made, based on the findings.
Call Number NRSNZNO @ research @ 1312 Serial 1296
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Author Winiata, W
Title Leadership Styles and Nursing in a Whanau Ora Context Type Journal Article
Year 2012 Publication Whitireia Nursing Journal Abbreviated Journal Available through NZNO library
Volume Issue 19 Pages 43-50
Keywords (up) Leadership; Management Styles; Nursing Leaders; Nursing Practice
Abstract This paper will focus on nursing leadership, in particular the place of whanau ora in nursing practice. It explores one Maori and one tauiwi leadership style in relation to nursing practice in a whanau ora context. A critical appraisal of the Maori leadership style is given alongside discussion of how it promotes positive shifts in the health status of Maori communities. Finally, the paper discusses how this Maori leadership style supports the learning and development of Maori student nurses preparing for registered practice.
Call Number NZNO @ research @ Serial 1383
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Author 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 (up) 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 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 (up) 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 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 (up) 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 Spackman, N. E.
Title Nurses' early experiences with patient death Type
Year 2008 Publication Abbreviated Journal NZNO Library
Volume Issue Pages 156 pp
Keywords (up) New graduate nurses; Terminal care
Abstract Chronic stress and 'burnout' have been extensively researched in nursing populations, but very little is known about the impact of specific acutely stressful or significant events. A novice nurse's first encounter with patient death may pose considerable cognitive, emotional and clinical challenges. Using a mixed methods design, this study explored the clinical circumstances, impact and challenges and rewards of nurses' early experiences with patient death.
Call Number NRSNZNO @ research @ Serial 1292
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Author Pirret, A M
Title Nurse practitioner diagnostic reasoning Type
Year 2013 Publication Abbreviated Journal Available from the NZNO Library
Volume Issue Pages 280 pp
Keywords (up) Nurse practitioners; Diagnostic reasoning; Diagnostic accuracy; Surveys; Decision-making theory
Abstract Uses a post-positivist mixed-methods convergent-parallel design to explore nurse practitioner diagnostic reasoning and compare it to that of registrars. Includes 30 nurse practitioners and 16 registrars in a case scenario. Outlines nurse practitioner practice in NZ and how the NZ title of nurse practitioner differs from that used internationally.
Call Number NZNO @ research @ Reference only Serial 1394
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Author Woods, M.
Title Parental resistance. Mobile and transitory discourses: A discursive analysis of parental resistance towards medical treatment for a seriously ill child Type
Year 2008 Publication Abbreviated Journal NZNO Library
Volume Issue Pages
Keywords (up) Nurse-family relations; Parents and caregivers; Pacific peoples; Communication; Children; Chronically ill
Abstract This qualitative thesis uses discourse analysis to examine parental resistance towards medical treatment of critically ill children. It is an investigation of the 'mobile and transitory' discourses at play in instances of resistance between parents, physicians and nurses within health care institutions, and an examination of the consequences of resistance through providing alternative ways of perceiving and therefore understanding these disagreements. The philosophical perspectives, methodology and methods used in this thesis are underpinned by selected ideas taken from the works of Michel Foucault and Pierre Bourdieu and supported by relevant literature in the fields of media, law, children, parenting, caring, serious childhood illness, medicine and nursing. It is argued that from an examination of interview based texts, parental resistance is an omnipresent but transitory occurrence that affects many of the interactions between the parents of seriously ill children and clinical staff. It is maintained that within these interactions, the seeds of this resistance are sown in both critical decision making situations and in everyday occurrences between doctors, nurses and parents within healthcare institutions. Contributing factors to parental resistance include the use of power games by staff, the language of medicine, forms of symbolic violence, the presence or absence of trust between parents and medical staff, the effects of medical habitus, and challenges to the parental role and identity. Overall, it is proposed in this thesis that parents who resist treatment for their seriously ill child are not exceptions to the normative patient-physician relationship.
Call Number NRSNZNO @ research @ Serial 1140
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Author Litchfield, M.
Title Computers and the form of nursing to come Type Conference Article
Year 1992 Publication Abbreviated Journal Held by NZNO Library and author
Volume Proceedings of the Inaugural National Nursing Info Issue Pages 81-90
Keywords (up) Nursing: Computers; Technology
Abstract A paper presented at the annual conference of Nursing Informatics New Zealand (subsequently incorporated into the collective organisation, Health Informatics NZ).
Call Number NZNO @ research @ Serial 1317
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