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Author (up) Bland, M.F.
Title Betwixt and between: A critical ethnography of comfort in New Zealand residential aged care Type Journal Article
Year 2007 Publication Journal of Clinical Nursing Abbreviated Journal
Volume 16 Issue 5 Pages 937-944
Keywords Geriatric nursing; Rest homes; Patient satisfaction; Quality of health care
Abstract This research sought to explore the nature of comfort within the context of three New Zealand nursing homes and examine how nursing and other actions contribute to residents' comfort. A critical ethnographic approach was used and fieldwork included 90 days of participant observation, interviews with 27 residents and 28 staff and extensive document examination. Comfort was multidimensional, idiosyncratic, dynamic and context dependent, rather than merely the absence of discomfort. This multidimensional nature meant residents could be 'betwixt and between' comfort and discomfort simultaneously. The constraints of one-size-fits-all care delivery practices and the tensions inherent in communal living compounded residents' discomfort. The findings show that individualised care, based on comprehensive and accurate nursing assessment, is fundamental to the comfort of residents.
Call Number NRSNZNO @ research @ Serial 657
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Author (up) Bland, M.F.
Title The challenge of feeling 'at home' in residential aged care in New Zealand Type Journal Article
Year 2005 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 21 Issue 3 Pages 4-12
Keywords Rest homes; Older people; Patient satisfaction; Nursing; Identity
Abstract In this research report, a resident reveals the challenges associated with firstly becoming a nursing home resident, and then trying to establish a new sense of 'home'. The story supports a conclusion that nurses' knowledge of the unique 'admission story' of each resident, and their individual understandings of home, is essential in promoting their ongoing comfort. Although approximately 30,000 older adults live in residential aged care, little research has been done on their experience.
Call Number NRSNZNO @ research @ 862 Serial 846
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Author (up) Bland, M.F.
Title All the comforts of home? A critical ethnography of residential aged care in New Zealand Type
Year 2004 Publication Abbreviated Journal NZNO Library
Volume Issue Pages
Keywords Rest homes; Older people; Patient satisfaction
Abstract
Call Number NRSNZNO @ research @ 1141 Serial 1126
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Author (up) Bland, M.F.
Title Patient observation in nursing home research: Who was that masked woman? [corrected] [published erratum appears in Contemporary Nurse 2002 Apr; 12(2): 135] Type Journal Article
Year 2002 Publication Contemporary Nurse Abbreviated Journal
Volume 12 Issue 1 Pages 42-48
Keywords Nursing research; Ethics; Rest homes; Nurse-patient relations
Abstract This article discusses the issues that one nurse researcher faced during participant observation in three New Zealand nursing homes. These include the complexity of the nurse researcher role, the blurring of role boundaries, and various ethical concerns that arose, including the difficulties of ensuring that all those who were involved in the study were kept informed as to the researcher's role and purpose. Strategies used to maintain ethical and role integrity are outlined, with further debate and discussion around fieldwork issues and experiences for nurse researchers called for.
Call Number NRSNZNO @ research @ Serial 892
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Author (up) Bland, M.F.
Title Challenging the myths: the lived experience of chronic leg ulcers Type
Year 1994 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal Massey University Library
Volume 2 Issue 3 Pages 13-14
Keywords
Abstract This phenomenological study explored the experiences of five men and four women whose lives have been shaped by chronic leg ulcers. It reveals the suffering that accompanies these wounds, and challenges health professionals to move from a focus on wound management to understanding the realities of chronic illness experience
Call Number NRSNZNO @ research @ 160 Serial 160
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