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Author Frost, Celine Elizabeth
Title After mastectomy -- inpatient experience of women in New Zealand: A qualitative study Type Book Whole
Year (down) 2020 Publication Abbreviated Journal
Volume Issue Pages 199 p.
Keywords Mastectomy; Breast cancer; Post-operative nursing; Person-centred care; Cancer nursing; Inpatients
Abstract Explores the experiences of 10 women post-operatively following mastectomy in an acute surgical ward in a large tertiary hospital in NZ by means of face-to-face, semi-structured, individual interviews. Identifies the women's expectations of care and service delivery from healthcare professionals, in order to inform the development of evidence-based interventions and models of care for the breast cancer care team. Suggests potential areas for future research.
Call Number NZNO @ research @ Serial 1667
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Author Matthews, Tamyra Marie
Title Breaking bad news about cancer: The experience of patients, patients' family/whanau members and healthcare professionals Type Book Whole
Year (down) 2020 Publication Abbreviated Journal
Volume Issue Pages 258 p.
Keywords Cancer nurses; Cancer patients; Diagnosis; Prognosis; Surveys
Abstract Explores the subjective experiences of patients, patients' family/whanau members, and health-care professionals (HCP) when bad news was delivered to patients about their cancer within the surgical departments of MidCentral District Health Board. Gathers and compares multiple perspectives and makes recommendations for practice that align with the goals of those involved in the project. Utilises a qualitative approach with the epistemological and methodological basis informed by interpretative phenomenological analysis. Collects data through semi-structured interviews with 10 patients, 6 family members, 5 surgeons and 6 nurses.
Call Number NZNO @ research @ Serial 1771
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Author Kell, Anne-Marie; Gilmour, Jean; Wissen, Kim van
Title Nurses' experiences caring for patients surgically treated for oral cavity cancer Type Journal Article
Year (down) 2018 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 34 Issue 1 Pages p.7-19
Keywords Oral cavity cancer; Surgery; Post-operative nursing; Emotional labour; Stress
Abstract Explores nurses' experiences of caring for patients who have had surgery for oral cavity cancer in one NZ hospital, involving wound care, tracheostomy management, oral care, ongoing patient education and the provision of emotional support to patients and families. Interviews three registered nurses about the challenges involved in caring for this patient group; their moral conflict over the effects of surgery on the patients; their professional uncertainty, and the emotional effort involved in nursing oral cavity cancer patients. Suggests the need for informal debriefing, grief counselling, clinical supervision, stress management training, and continuing education in this specialised role.
Call Number NZNO @ research @ Serial 1590
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Author Kerr, Christine
Title The key components of cancer nurse coordination: an integrative review Type Book Chapter
Year (down) 2016 Publication Abbreviated Journal
Volume Issue Pages 115 p.
Keywords Cancer nurses; Nurse specialists; Nurse coordination
Abstract Backgrounds the creation of the Cancer Nurse Coordinator (CNC) role in NZ. Identifies common key components associated with care-coordination services for cancer patients provided by nurses, and compares these with the NZ Cancer Nurse Coordinator Initiative (CNCI), which was launched in 2013. Undertakes an integrative review of international literature to examine the topic, focusing on the care given to the patient, interactions with health professionals and the system surrounding the patient, and the characteristics surrounding the role of the nurse.
Call Number NZNO @ research @ Serial 1557
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Author Garcia, Alicia; Whitehead, Dean; Winter, Helen S
Title Oncology nurses' perception of cancer pain: a qualitative exploratory study Type Journal Article
Year (down) 2015 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 31 Issue 1 Pages 27-33
Keywords Cancer pain; Oncology nurses; Pain assessment; Pain management; Nursing education
Abstract Undertakes research to explore how oncology nurses perceive cancer pain in patients. Presents the findings of semi-structured interviews with a sample of 5 registered nurses working in a NZ oncology ward, who reported their responses to under-treatment of cancer pain. Highlights the need to explore cancer pain management with patients.
Call Number NZNO @ research @ Serial 1500
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Author Tewin, Maureen Heather
Title Exploring the impact of the lung cancer Clinical Nurse Specialist role on patient care in a regional hospital in New Zealand Type Book Whole
Year (down) 2015 Publication Abbreviated Journal
Volume Issue Pages 193 p.
Keywords Lung cancer; Clinical nurse specialist; Patient care; Standards of care; Hospitals
Abstract Distributes a questionnaire to 50 members of the multidisciplinary team within a regional lung cancer service to investigate the impact of an advanced nursing role within the team. Performs an audit of five months of clinical data relating to patients cared for by the lung cancer Clinical Nurse Specialist as judged against the MOH Standards of Service Provision for Lung Cancer Patients in New Zealand .
Call Number NZNO @ research @ Serial 1576
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Author Gillespie, Moira Elizabeth
Title Compassion fatigue and cancer nurses: a national survey of cancer nurses in New Zealand Type
Year (down) 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 Lamb, J and others
Title Cigarette smoking and the frequency of colposcopy visits, treatments and re-referral Type Journal Article
Year (down) 2013 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 29 Issue 1 Pages 24-33
Keywords Cervical cancer; Colposcopy; Cigarette smoking; Ethnicity; Cervical intraepithelial neoplasia
Abstract Aims to identify whether female smokers referred to the colposcopy department at a city hospital required more follow-up visits, treatments and re-referrals than did non-smokers. Performs a retrospective descriptive study observing 494 new patients over 6 years. Identifies the percentage of Maori women attending the clinic who were smokers and their likelihood of non-attendance. Emphasises the need for smoke-free education for women that highlights the link between smoking and cervical cancer.
Call Number NZNO @ research @ Serial 1481
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Author Noble-Adams, Rae
Title Cancer Connect New Zealand : description and retrospective audit Type Journal Article
Year (down) 2012 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 28 Issue 3 Pages 24-34
Keywords Retrospective audit; Cancer Connect NZ; Cancer Society of NZ; Trained peer support volunteer
Abstract Retrospectively audits the Cancer Connect New Zealand (CCNZ)service to review, assess and describe 156 paper records of CCNZ matches made between July 2008-July 2009. Records baseline demographic data of those using and providing the CCNZ service.
Call Number NZNO @ research @ Serial 1478
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Author Tielemans, W.
Title Encouraging young women to have regular smear tests Type Journal Article
Year (down) 2008 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 14 Issue 7 Pages 16-18
Keywords Nursing research; Sexual and reproductive health; Screening; Attitude to health; Cancer
Abstract The author presents the results of a study carried out as part of a research project with two nurse researchers from Maastricht University in the Netherlands. The aim of this study was to examine awareness among female students aged 18 to 25 about cervical cancer and to identify factors associated with their decision or intention to enter the cervical screening programme. Students aged 18-25 were recruited from four tertiary institutions in the Wellington region. A questionnaire was available online and distributed by student health centres and the researchers. Questions covered the following areas: intentions, attitude, knowledge, awareness, modelling, and support systems and efficacy. Data was analysed using descriptive statistics, multiple regression and independent t-tests. The findings are presented, and factors associated with intention and participation in cervical screening are discussed. The results indicate that the information concerning the national screening programme needs to be adjusted for the different age groups.
Call Number NRSNZNO @ research @ Serial 984
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Author James, G.G.
Title Woven threads: A case study of chemotherapy nursing practice in a rural New Zealand setting Type
Year (down) 2008 Publication Abbreviated Journal ResearchArchive@Victoria
Volume Issue Pages
Keywords Case studies; Rural health services; Nursing specialties; Cancer; Oncology
Abstract This descriptive case study was undertaken to provide an account of chemotherapy practice in a nurse-led clinic located within a rural New Zealand area. The researcher, an oncology nurse specialist, worked alongside colleagues for thirteen months to enable practice development. This clinic developed out of a need to have services closer to rural patients in order to address issues of equity, access, care integration and the fiscal and social constraints associated with the cancer burden of care. Capturing the range of data applicable to this case; the ability to conceptualise it as a service within its context was possible using case study research methods. Four nurses involved in the chemotherapy clinic were participants in this study. The findings of this study reveal that what could be perceived as barriers to outcomes and practice can in essence be turned into opportunities to develop new ways of caring for the patient and supporting nursing practice. These nurses view their practice as safe within the clinic despite resource constraints. They work in many ways to support each other and to cushion the patient from the impact of situational and contextual influences. Nursing practice was shown to evolve as a direct result of internal and external influences which were the impetus for nurses taking responsibility for their own competency. This study also explored what it meant to be an experienced nurse but novice in a speciality practice. It challenges previously held assumptions that, to deliver chemotherapy successfully, a nurse needs to be operating from a previously held body of oncology nursing knowledge. Many challenges are faced on a day to day basis in a rural practice environment to just maintain consistent care and promote good patient outcomes. The nurses are well aware of their role in contributing to patients' quality of life and the roles they take to meet the growing needs of the patient as a consumer. This study delves into the multifarious nature of this nurse-led clinic and discusses the processes and relationships that are forged to deliver care.
Call Number NRSNZNO @ research @ Serial 1166
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Author Fairhall, M.
Title An observational study of Peripherally Inserted Central Cather(PICC)-related complications amongst oncology patients Type
Year (down) 2008 Publication Abbreviated Journal ResearchArchive@Victoria
Volume Issue Pages
Keywords Patient safety; Equipment and Supplies; Nursing specialties; Cancer; Oncology
Abstract This thesis reports on a retrospective observational study that examined the complication rate of peripherally inserted central catheters (PICCs) within a regional cancer centre. PICCs are increasingly used for delivery of chemotherapy and other intravenous therapies in oncology patients. A literature review revealed that almost all published research on PICC complications reported on silicone (Groshong(TM)) catheter use, rather than the polyurethane (Arrow(TM)) PICCs used at Christchurch Hospital. Also, much literature referred to PICCs being inserted by non-nurses, whereas the Christchurch service uses specially-trained nurses to insert them. The purpose of the study was to identify the nature, incidence and rates of polyurethane (Arrow(TM)) PICC complications in an adult oncology cohort. Ethics Committee approval was gained to retrospectively follow all PICCs inserted in adult oncology patients at Christchurch Hospital over a 13-month period from 1st March 2006 until 31st March 2007. Data collected were analysed utilising the statistical computer package SPSS. One hundred and sixty-four PICCs were inserted into 156 individual oncology patients over this period. The median dwell time was 68 days for a total of 14,276 catheter-days. Complications occurred in 25 (15%) out of 164 PICC lines, in 22 (15%) of the 156 patients for an overall complication rate of 1.75 per 1000 catheter-days. However, only 16 of the 25 PICCs with complications required early removal (9.75% of the cohort) for a favourably low serious complication rate of 1.12 per 1000 catheter-days. The three commonest complications were infection at 4.3% (7/164) or 0.49 infection complications/1000 PICC-days, PICC migration at 3% (5/164) or 0.35/1000 catheter days, and thrombosis at 2.4% (4/164) or 0.28/1000 catheter days. The median time to complication was 41 days. Those with complications were more likely to have a gastro-intestinal or an ovarian cancer diagnosis, and less likely to have colorectal cancer. These findings provide support for the safe and effective use of polyurethane (Arrow(TM)) PICCs for venous access within the adult oncology context. Furthermore, it suggests that cost effective nurse-led (Arrow(TM)) PICC insertions can contribute to a low complication rate.
Call Number NRSNZNO @ research @ Serial 1222
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Author Clark, P.N.
Title The potential for nurse-led clinics on oncology at Southland District Health Board Type
Year (down) 2006 Publication Abbreviated Journal Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz
Volume Issue Pages
Keywords Older people; Scope of practice; Nursing; Oncology; Cancer
Abstract The author points to a “waiting list crisis” occurring in ambulatory oncology services at Southland District Health Board (SDHB), and notes that the literature suggests this is occurring both nationally and globally. This is due to factors such as an increase in the number of people aged 65 years and over, many of whom will develop cancer. Furthermore new drug therapies and indications for treatment have led to increased numbers of patients referred for oncological assessment in the out-patient clinics. The author notes that, at SDHB, this delay for patients to be seen at a first specialist assessment appointment is causing concern for patients, managers and the medical and nursing staff involved. This dissertation analyses relevant literature in order to explore the nature and outcomes of nurse-led clinics. A range of studies indicate that effective care can be provided by nurses working in a variety of nurse-led clinics settings. These studies reveal ways in which a nurse-led clinic might be established and delivered in oncology services and, the author suggests, this will go some way to provide a solution for SDHB. These clinics would assess and monitor the follow-up of selected patients with stable disease and established care plans such as patients receiving adjuvant chemotherapy for bowel and breast cancer. This would allow medical oncologists to see more new patients at first assessment and the follow-up of complex cases, and could go some way in relieving the current waiting lists. The educational preparation and competency of nurses leading such a clinic are considered.
Call Number NRSNZNO @ research @ Serial 677
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Author Framp, A.
Title Diffuse gastric cancer Type Journal Article
Year (down) 2006 Publication Gastroenterology Nursing Abbreviated Journal
Volume 29 Issue 3 Pages 232-238
Keywords Maori; Nursing; Diseases; Case studies; Cancer; Oncology
Abstract This article provides an overview of gastric cancer using a unique case study involving a Maori family genetically predisposed to diffuse gastric cancer. The pathophysiology of diffuse gastric cancer, including prognosis, diagnosis, and treatment, along with important patient considerations is highlighted.
Call Number NRSNZNO @ research @ Serial 691
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Author Gibson, C.
Title Hearing the adolescents' voice: A study evaluating the use of conjoint analysis for use with adolescents to determine preferences for inpatient hospital facilities Type
Year (down) 2005 Publication Abbreviated Journal ResearchArchive@Victoria
Volume Issue Pages
Keywords Adolescents; Hospitals; Patient satisfaction; Cancer
Abstract This research used the economic technique of conjoint analysis and an informal discussion to canvas opinions regarding ideal combination of inpatient facilities and the use of cell phones in hospital. The content of the conjoint analysis was, with the exception of the inclusion of the question regarding the use of cell phones, derived from the literature. Because conjoint analysis does not appear to have been used with adolescents one of the questions to be answered was whether this was a method of research that could be used with adolescents. The research was undertaken with 29 young people, most of who were from CanTeen (the adolescent cancer support group) in Wellington. The conjoint analysis, and discussion with the adolescents supported the general findings from the literature that adolescents do not want to be nursed in either overtly paediatric or, in their words, 'dull adult wards', as they enjoy bright lively surrounds. Ideally they would like to be nursed with their peer group and so have the opportunity to interact with young people of their age. The research demonstrated that adolescents are able to understand the concept of conjoint analysis and also supported findings from overseas that these healthcare consumers value having their opinions canvassed and are well able to give constructive and well thought out opinions. A report on the findings of this research will be presented to Capital and Coast District Health Board with the expectation that it will be considered when the final decisions are made regarding the upgrading of Wellington Hospital's present facilities as it is anticipated that these facilities will contain dedicated adolescent beds within the paediatric unit.
Call Number NRSNZNO @ research @ Serial 1225
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