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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 | 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 | Water, T. | ||||
| Title | The meaning of being in dilemma in paediatric practice: A phenomenological study | Type | |||
| Year |
2008 | Publication | Abbreviated Journal | NZNO Library | |
| Volume | Issue | Pages | 259 pp | ||
| Keywords | Psychology; Paediatric nursing; Paedetric practice; Problem solving | ||||
| Abstract | This study explores the phenomenon of dilemma in paediatric practice. Using a hermeneutic phenomenological method informed by the writings of Heidegger [1889-1976] and Gadamer [1900-2002] this study provides an understanding of the meaning of 'being in dilemma' from the perspective of predominantly paediatric health care professionals but also families in New Zealand. Study participants include four families who had a child requiring health care and fifteen health care practitioners from the disciplines of medicine, nursing, physiotherapy, play specialist and occupational therapy who work with families and children requiring health care. Participants' narratives of their experiences of 'being in dilemma' were captured via audio taped interviewing. These stories uncover the everyday realities facing health professionals and families and provide an ontological understanding for the notion of dilemma. The findings of this study suggest that experience of dilemma for health professionals reveals a world that is uncertain and questionable where they are thrown into having to make uncomfortable choices and must live with the painful consequences of their actions. The consequences of being in such dilemma are having to find ways of living with the angst, or risk becoming too sensitive or desensitizing. For families the experience of dilemma reveals a similar phenomenon most evident in circumstances where they feel totalized by the impact of heath care encounters. This study has uncovered that the perspectives that health professionals and families bring to the experience of dilemma reveal different concerns and commitments and may be hidden from each other. This thesis proposes that health professionals and families need support in living with their own personal encounters of enduring experiences of dilemma. | ||||
| Call Number | NRSNZNO @ research @ | Serial | 1234 | ||
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| Author | Mahoney, L. | ||||
| Title | Making the invisible visible: Public health nurses role with children who live with a parent with a mental illness | Type | |||
| Year |
2008 | Publication | Abbreviated Journal | NZNO Library | |
| Volume | Issue | Pages | |||
| Keywords | Public health; Children; Community health nursing; Scope of practice | ||||
| Abstract | This research uses focus group methodology to examine the public health nursing practice with children living with a mentally ill parent. These children are often neglected, yet are at increased risk of developing mental illnesses themselves. The research data identified the burgeoning impact on public health nurses of such care, and found their role to be primarily assessment and advocacy. | ||||
| Call Number | NRSNZNO @ research @ 1304 | Serial | 1289 | ||
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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 | 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. |
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| Call Number | NRSNZNO @ research @ | Serial | 1291 | ||
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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 | 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 | 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 | 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 | 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 | ||
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| 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. |
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| Call Number | NZNO @ research @ | Serial | 1334 | ||
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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 | NZNO Library | |
| Volume | Issue | Pages | 94 pp. | ||
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| 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 | NZNO Library | |
| Volume | Issue | Pages | 116pp | ||
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| 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. |
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| Call Number | NZNO @ research @ | Serial | 1386 | ||
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| Author | Cook, Deborah. | ||||
| Title | Open visiting: does this benefit adult patients in intensive care units | Type | |||
| Year |
2006 | Publication | Abbreviated Journal | NZNO Library | |
| Volume | Issue | Pages | 32 pp | ||
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| Abstract | A dissertation submitted in partial fulfilment of the requirements of the degree of Master of Nursing at Otago Polytechnic, Dunedin, New Zealand. As the healthcare system moves toward a consumer-driven paradigm, visiting hours for family and significant others of the intensive care unit patient have become a topic of interest and discussion. Research since the 1970s has generated controversy and speculation over the ideal visiting practices in the adult intensive care unit. Analysis of the growing body of research can now be reviewed to enable existing visiting policies to be revised. |
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| Call Number | NZNO @ research @ | Serial | 1332 | ||
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| Author | Garlick, A. | ||||
| Title | Determined to make a difference: A study of public health nursing practice with vulnerable families | Type | |||
| Year |
2006 | Publication | Abbreviated Journal | Massey University Library, NZNO Library | |
| Volume | Issue | Pages | |||
| Keywords | Public health; Children; Nurse-family relations | ||||
| Abstract | |||||
| Call Number | NRSNZNO @ research @ 737 | Serial | 723 | ||
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| Author | Morgan, F.A. | ||||
| Title | Primary health care nurses supporting families parenting pre-term infants | Type | |||
| Year |
2006 | Publication | Abbreviated Journal | NZNO Library, University of Otago Library | |
| Volume | Issue | Pages | |||
| Keywords | Primary health care; Community health nursing; Paediatric nursing; Premature infants | ||||
| Abstract | This thesis reviews the role of primary health care nurses, who have an opportunity to play a unique role in teaching, touching and empowering families with newly discharged pre-term babies. Birth of a baby earlier than 37 weeks gestation ushers in a period of uncertainty and stress for parents. Uncertainties may centre on whether their infant will survive and what ongoing growth and developmental issues their infant will face. | ||||
| Call Number | NRSNZNO @ research @ | Serial | 1132 | ||
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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 | Gender; Primary health care; Access; Male | ||||
| Abstract | |||||
| Call Number | NRSNZNO @ research @ | Serial | 1138 | ||
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| Author | Taua, C. | ||||
| Title | Revisiting the past: A focused ethnography of contemporary dual diagnosis nursing practice | Type | |||
| Year |
2005 | Publication | Abbreviated Journal | Copy downloadable from the NZNO Library | |
| Volume | Issue | Pages | |||
| Keywords | Psychiatric Nursing | ||||
| Abstract | As has been the case internationally, deinstitutionalisation of dual diagnosis (intellectual disability and mental illness) services has also occurred in New Zealand. Inpatient services have been redefined to respond to the more acute focus that has arisen out of this deinstitutionalisation process and nurses are having to redefine their roles in response. This study was undertaken to explore and describe the culture of nursing practice in a dual diagnosis inpatient unit in one psychiatric hospital. A focused ethnographic approach was used to triangulate data gathered from fieldwork observations, review of documents and semi-structured interviews. Schein's (1985) levels of culture model, was used to identify and explore the artifacts, values and assumptions evident in this nursing practice. Analysis presents three key themes categorised as 'communication', 'assessment' and 'safety'. While these key themes are shown to be evident in the everyday practice of the nurses, how these relate to the notion of 'dual diagnosis nursing' is not clear. Therefore, the author describes the major finding of this study as revealing a nursing culture holding tight to traditional psychiatric and psychopaedic nursing practices and struggling to develop a distinctive culture in the absence of a defined dual diagnosis knowledge base. The author concludes that these findings suggest an urgent need to provide nurses with support in gaining contemporary knowledge regarding dual diagnosis nursing. Support for nurses in advancing these areas then impacts on support for the patients. It is suggested that additional research is undertaken to assess the learning needs of the nurses in order to develop clinical practice guidelines for this area. Further recommendations are made to address system issues which are contributing to the gap in knowledge. | ||||
| Call Number | NRSNZNO @ research @ | Serial | 674 | ||
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| Author | Lynch, T.M. | ||||
| Title | A qualitative descriptive study of youth with Crohn's disease | Type | |||
| Year |
2005 | Publication | Abbreviated Journal | NZNO Library | |
| Volume | Issue | Pages | |||
| Keywords | Diseases; Adolescents; Nursing | ||||
| Abstract | |||||
| Call Number | NRSNZNO @ research @ 1143 | Serial | 1128 | ||
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