| Records |
Author  |
Dickinson, A.R. |
| Title |
Within the web: The family/practitioner relationship in the context of chronic childhood illness |
Type |
|
| Year |
2004 |
Publication |
|
Abbreviated Journal |
ScholarlyCommons@AUT |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Nurse-family relations; Chronically ill; Children |
| Abstract |
This study explores the phenomenon of the relationships between practitioners and families who have a child with a chronic illness. Using a heremeneutic phenomenological method informed by the writings of Martin Heidegger [1889-1976] and Hans-Georg Gadamer [1900-2002], this study provides an understanding of the meaning of 'being in relationship' from the perspective of both families and practitioners. Study participants include ten family groups who have a child with a chronic illness and twelve practitioners from the disciplines of nursing, medicine, dietetics, physiotherapy and speech therapy who work with children with chronic illness. Narrative audio-taped interviewing was the means by which the participants told their stories about times that relationships worked well and when they did not. These stories uncover the every day realities of 'being in relationship' and provide another understanding of the relationship between family and practitioner.The findings of this thesis suggest that chronic childhood illness 'throws' families and practitioners together into a web of relationships that must work for the sake of the child. The relationship is primarily conducted between adults. Children are usually excluded. In order to understand and manage the child's illness, practitioners and families 'go around' and act 'in-between' relationships. While the quality of the relationship from the family perspective is not essential to the chronic illness journey, relationships are more successful when practitioners recognise the uniqueness of each family web. The nature of the relationship is often simple, yet it co-exists with complexity. This thesis proposes that a 'companion relationship' between practitioners and family may offer a more effective and satisfying way of working. It also challenges practitioners to consider the voice of children within health care relationships. |
| Call Number |
NRSNZNO @ research @ 1253 |
Serial |
1238 |
| Permanent link to this record |
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| Author |
Dickinson, A.R. |
| Title |
Managing it: a mother's perspective of managing their pre-school child's acute asthma episode |
Type |
|
| Year |
1997 |
Publication |
|
Abbreviated Journal |
Massey University Library |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
|
| Abstract |
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| Call Number |
NRSNZNO @ research @ 367 |
Serial |
367 |
| Permanent link to this record |
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| Author |
Dickinson, A.R.; Dignam, D. |
| Title |
Managing it: A mother's perspective of managing a pre-school child's acute asthma episode |
Type |
Journal Article |
| Year |
2002 |
Publication |
Journal of Child Health Care |
Abbreviated Journal |
|
| Volume |
6 |
Issue |
1 |
Pages |
7-18 |
| Keywords |
Asthma; Parents and caregivers; Children; Nurse-patient relations |
| Abstract |
This exploratory descriptive study informed by grounded theory examines the experience of mothers in managing their pre-school child's acute asthma attack at home. The study reveals that mothers perceive that they are responsible for the management of their pre-school child during an acute asthma episode, a process they described as 'managing it'. This process involves mother in 'working on treatment', 'making the call', 'watching' and 'calming', while the husband/partner, family, friends and health professionals are 'supporting treatment'. This study suggests that nurses and doctors need to move away from the current paternalistic view of health care delivery in acute settings and embrace the concepts of support and partnership in the care of the pre-school child with asthma and their family. |
| Call Number |
NRSNZNO @ research @ 728 |
Serial |
714 |
| Permanent link to this record |
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| Author |
Henty, C.; Dickinson, A.R. |
| Title |
Practice nurses' experiences of the Care Plus programme: A qualitative descriptive study |
Type |
Journal Article |
| Year |
2007 |
Publication |
New Zealand Family Physician |
Abbreviated Journal |
The Royal New Zealand College of General Practitioners website |
| Volume |
34 |
Issue |
5 |
Pages |
335-338 |
| Keywords |
Primary health care; Chronic diseases; Nursing; Evaluation |
| Abstract |
The aim of this small qualitative descriptive pilot study was to describe the experiences of practice nurses delivering the Care Plus programme within the general practice setting. Care Plus was introduced into Primary Health Organisations (PHOs) in 2004. This programme encourages more involvement from practice nurses in chronic care management. For many New Zealand practice nurses this is a new role. This study, carried out prior to the larger Care Plus implementation review (2006), provides an insight into the nursing experience of implementing Care Plus and provides a basis for future studies with regard to the nurse's role within the Care Plus programme. |
| Call Number |
NRSNZNO @ research @ 468 |
Serial |
454 |
| Permanent link to this record |
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| Author |
McArthur, J.; Dickinson, A.R. |
| Title |
Decision making the explicit evidence-based way: Comparing benefits, harms and costs |
Type |
Journal Article |
| Year |
1999 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
| Volume |
14 |
Issue |
1 |
Pages |
33-42 |
| Keywords |
Evidence-based medicine; Nursing; Guidelines; Clinical decision making |
| Abstract |
This paper explores the relationship between evidence, decision tools, and the effectiveness of the nursing contribution to health services. It examines a continuum of decision-making within the international trend of the Effectiveness Movement, drawing on international literature and local experience. It draws on the concept of explicit evidence-based decision-making, the guideline development movement as exemplified through the New Zealand Guidelines Group, information technology in decision support, and the challenges of an evidential approach to nursing. This article is based on a paper given at 'The Pride and Passion of Professional Nursing Practice' College of Nurses' Aotearoa (NZ) Conference, Rotorua, 8-9 October 1998. |
| Call Number |
NRSNZNO @ research @ |
Serial |
639 |
| Permanent link to this record |
