| 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 |
Stewart, A. |
| Title |
When an infant grandchild dies: Family matters |
Type |
|
| Year |
2000 |
Publication |
|
Abbreviated Journal |
ResearchArchive@Victoria |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Grief; Nurse-family relations; Infants; Nursing research |
| Abstract |
This research undertaken by a nurse working with bereaved families, aimed to explore how grandparents, parents and health/bereavement professionals constructed grandparent bereavement when an infant grandchild died unexpectedly. The 26 participants, living in New Zealand and the United Kingdom, included 16 grandparents and 6 parents from 11 families, in addition to three health/bereavement professionals. A constructivist inquiry informed by writings on nursing, storying and postmodernism was used. Through an exploration of the methodological and ethical issues that arose and were addressed during the study, this work adds to knowledge of how constructivist inquiry can be used in nursing and bereavement research. In addition, the context of this research as a partnership with multiple family members contributes to the ongoing debate about whether participation in bereavement research may be harmful or therapeutic. Conversations in this research formed a series of interviews and letters, which led to the development of a joint construction and each individual's story. A grandchild's death was constructed as a challenge which grandparents faced, responded to and then managed the changes that arose from the challenge. The context of their bereavement was seen as underpinned by their relationship as “parents of the adult parents” of the grandchild who died. This meant that grandparents placed their own pain second to their wish to support and “be with” the parents. Outside the family was where many grandparents found friends, colleagues or their community forgot, or chose not to acknowledge, their bereavement. This work shows how some grandparents help to create a space within the family which maintains a continuing relationship with the grandchild who died. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1205 |
| Permanent link to this record |
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| Author |
Lichfield, M. |
| Title |
The paediatric nurse and the child in hospital |
Type |
Journal Article |
| Year |
1974 |
Publication |
New Zealand Nursing Journal |
Abbreviated Journal |
|
| Volume |
67 |
Issue |
11 |
Pages |
|
| Keywords |
Paediatric nursing; Nurse-family relations; Nurse managers |
| Abstract |
A paper intended to inform paediatric nurses and influence service policy and management, adapted from a presentation at an inservice education study day for nurses at Wellington Hospital. The paper grew out of the findings of a small research project undertaken by the author as part of nursing practice in a paediatric ward of Wellington Hospital. The observations of the stress in the experience of infants and parents and the ambiguities inherent in the relationships between parents and nurses were the basis for arguing for changes in nursing practice and ward management. |
| Call Number |
NZNO @ research @ |
Serial |
1312 |
| Permanent link to this record |
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| Author |
Litchfield, M. |
| Title |
The nursing praxis of family health |
Type |
Book Chapter |
| Year |
2005 |
Publication |
Picard, C & Jones, D., Giving voice to what we know (pp.73-82) |
Abbreviated Journal |
|
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Nursing research; Nursing philosophy; Nurse-family relations |
| Abstract |
The chapter explores the process of nursing practice and how it contributes to health, derived from research undertaken in New Zealand. It presents the nature of nursing research as if practice – the researcher as if practitioner – establishing a foundation for the development of nursing knowledge that would make a distinct contribution to health and health care. It includes the philosophy and practicalities of nursing through the use of a case study of nursing a family with complex health circumstances. |
| Call Number |
NRSNZNO @ research @ 1185 |
Serial |
1170 |
| Permanent link to this record |
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| Author |
Litchfield, M. |
| Title |
The nation's health and our response |
Type |
Conference Article |
| Year |
1992 |
Publication |
|
Abbreviated Journal |
|
| Volume |
Keynote address at the 1992 NERF/NZNZ National Nur |
Issue |
|
Pages |
|
| Keywords |
Nursing; Health reforms; Nurse-family relations |
| Abstract |
An analysis of the challenges for the nursing profession of the Government's health reforms. The findings of the 10-month Wellington Nurse Case Management Project 1991-1992, including the description of family nursing practice, what it achieved for health and the service delivery model that would position family nurses in the health reforms were used to provide an exemplar for the nuyrising contribution to health policy for the health reforms. The paper identified a vacum for the reorientating of health care provision to patients/clients and health need and the call to nursesw to take leadership in goving direction to the reorientation. |
| Call Number |
NZNO @ research @ |
Serial |
1319 |
| Permanent link to this record |
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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 |
| Permanent link to this record |
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| Author |
Roberts, C. |
| Title |
The influence of nursing culture on family visiting in adult intensive care units |
Type |
|
| Year |
2007 |
Publication |
|
Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Intensive care nursing; Nurse-family relations; Culture; Nursing |
| Abstract |
This dissertation considers the implications of the relationship between nurses and the patient's family, when family members visit intensive care units (ICUs) following the acute admission of a relative there. In particular it explores the issues of power and control, nurses might have in this setting, the culture that supports that, and the implications this has for practice in the New Zealand context. A comprehensive literature review on the perspective of nurses in relation to relatives visiting adult intensive care units was conducted. The author concludes that nurses modify policies related to visiting access for family members to suit themselves, and the needs of their patient. Nurses use a variety of tactics to maintain a position of power and control by looking out for themselves first, their patient second, and relatives third. The need of the patient and their families is not well understood by nurses, and nurses feel they have inadequate skills to cope with the needs and stresses of visiting relatives. The author suggests that for nurses to provide family focused care in ICU they must develop a therapeutic relationship with all concerned. ICU nursing culture affects nurses ability to focus on caring for their patients and their families. Nurses in ICU appear to need to maintain power and control over their environment but further research is needed to identify the current situation in New Zealand ICUs. |
| Call Number |
NRSNZNO @ research @ |
Serial |
502 |
| Permanent link to this record |
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| Author |
Tritschler, E.; Yarwood, J. |
| Title |
Relating to families through their seasons of life: An indigenous practice model |
Type |
Journal Article |
| Year |
2007 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
| Volume |
13 |
Issue |
5 |
Pages |
18-3 |
| Keywords |
Parents and caregivers; Nursing models; Nurse-family relations; Communication |
| Abstract |
In this article the authors introduce an alternative way that nurses can be with families, using a relational process that can enhance nurses' responses when working with those transitioning to parenthood. Seasons of Life, a framework adapted from the Maori health model He Korowai Oranga, emerged from practice to offer a compassionate and encouraging stance, while at the same time respecting each family's realities and wishes. The model allows the exploration of the transition to parenthood within a wellness model, and takes a strengths-based approach to emotional distress. This approach provides a sense of “normality”, rather than of pathology, for the emotions experienced by new parents. The specific issues men may face are discussed, where despite recent culture change that allows men a more nurturing parental role, there is still no clear understanding of how men articulate their sense of pleasure or distress at this time. Practitioners are encouraged to examine their own assumptions, values and beliefs, and utilise tools such as reflective listening, respect, insight and understanding. The most significant aspect of relationship between nurse and parents is not the outcome, but how nurses engage with families. Examples from practice will demonstrate some of the differing ways this relational process framework has been effective. |
| Call Number |
NRSNZNO @ research @ 1007 |
Serial |
991 |
| Permanent link to this record |
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| Author |
Cleaver, H. |
| Title |
Reflections on knowing, not knowing and being in palliative care nursing |
Type |
|
| Year |
2005 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Palliative care; Nursing; Terminal care; Nurse-family relations; Nurse-patient relations |
| Abstract |
The author notes that responses to questions from dying people and their families are as individual as each nurse, patient, family member, or situation. This is well recognised and an unspoken truth in palliative care practice. This paper explores the subjective nature of knowledge in palliative care generated through capturing moments of practice and subsequent reflections. This demonstrates how the author uses her model of care to open a space that enables the person and their family to find meaning from their experience and articulate what they need at the time. The author identifies her interest in the paradoxical reality of knowing and not knowing and describes how that paradox contributes to her role in supporting individuals' needs within their realities. |
| Call Number |
NRSNZNO @ research @ |
Serial |
511 |
| Permanent link to this record |
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| Author |
Litchfield, M. |
| Title |
Professional development: Developing a new model of integrated care |
Type |
Journal Article |
| Year |
1998 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
| Volume |
4 |
Issue |
9 |
Pages |
23-25 |
| Keywords |
Nursing models; Nurse practitioners; Policy; Nurse-family relations |
| Abstract |
An overview of the model of nursing practice and nurse roles derived through a programme of nursing research in the context of the policy and strategies directing developments in the New Zealand health system. The emphsis was on the health service configuration model presented diagrammatically to show the position of a new role of family nurse with a distinct form of practice forming the hub. |
| Call Number |
NZNO @ research @ |
Serial |
1324 |
| Permanent link to this record |
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| Author |
Wilson, H.V. |
| Title |
Power and partnership: A critical analysis of the surveillance discourses of child health nurses |
Type |
Journal Article |
| Year |
2001 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
|
| Volume |
36 |
Issue |
2 |
Pages |
294-301 |
| Keywords |
Paediatric nursing; Nurse-family relations; Nursing philosophy; Plunket |
| Abstract |
The aim of this research was to explore surveillance discourses within New Zealand child health nursing and to identify whether surveillance practices have implications in this context for power relations. Five experienced and practising Plunket nurses were each interviewed twice. The texts generated by these semi-structured interviews were analysed using a Foucauldian approach to critical discourse analysis. In contrast with the conventional view of power as held and wielded by one party, this study revealed that, in the Plunket nursing context, power is exercised in various and unexpected ways. Although the relationship between the mother and the nurse cannot be said to operate as a partnership, it is constituted in the nurses' discourses as a dynamic relationship in which the mother is actively engaged on her own terms. The effect of this is that it is presented by the nurses as a precarious relationship that has significant implications for the success of their work. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1085 |
| Permanent link to this record |
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| Author |
Lynes, H. |
| Title |
Partnership or collaboration? Exploring professional relationships between public health nurses and school staff in Otago, New Zealand |
Type |
|
| Year |
2004 |
Publication |
|
Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Public health; Nursing; Nurse-family relations; School nursing |
| Abstract |
School staff are a conduit by which children and families can access the public health nursing service and the public health nurses can access children and their families. The author notes that, to benefit children, public health nurses need more than knowledge of health issues; they need to understand how to work well with staff from the education sector. A good professional relationship between public health nurses and school staff will therefore ultimately result in a benefit to children's health. This thesis reviews the literature using an interpretive lens to examine the position of public health nurses and schools. It argues that public health nurses need to access expertise from other sources besides nursing in order to develop and sustain the skills of relating professionally to staff from the education sector. It proposes collaboration as a model of public health nursing practice with school staff but recognises that further research on inter-sectorial collaboration is necessary. |
| Call Number |
NRSNZNO @ research @ |
Serial |
836 |
| Permanent link to this record |
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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 |
| Permanent link to this record |
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| Author |
Wilson, H.V. |
| Title |
Paradoxical pursuits in child health nursing practice: Discourses of scientific mothercraft |
Type |
Journal Article |
| Year |
2003 |
Publication |
Critical Public Health |
Abbreviated Journal |
|
| Volume |
13 |
Issue |
3 |
Pages |
281-293 |
| Keywords |
Plunket; Nurse-family relations; Paediatric nursing; Nursing philosophy |
| Abstract |
The purpose of this paper is to examine the discourses of scientific mothercraft and their implications for the nurse-mother relationship, drawing on the author's recent research into surveillance and the exercise of power in the child health nursing context. The application of Foucauldian discourse analysis to the texts generated by interviews with five New Zealand child health nurses confirms that this paradoxical role has never been fully resolved. Plunket nurses primarily work in the community with the parents of new babies and preschool children. Their work, child health surveillance, is considered to involve routine and unproblematic practices generally carried out in the context of a relationship between the nurse and the mother. However, there are suggestions in the literature that historically the nurse's surveillance role has conflicting objectives, as she is at the same time an inspector and family friend. |
| Call Number |
NRSNZNO @ research @ 1116 |
Serial |
1101 |
| Permanent link to this record |
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| Author |
Crawford, R. |
| Title |
Nutrition: Is there a need for nurses working with children and families to offer nutrition advice? |
Type |
Journal Article |
| Year |
2001 |
Publication |
Vision: A Journal of Nursing |
Abbreviated Journal |
|
| Volume |
7 |
Issue |
13 |
Pages |
10-15 |
| Keywords |
Paediatric nursing; Community health nursing; Nurse-family relations; Socioeconomic factors; Diet |
| Abstract |
Using nursing and associated literature, the relevance of nutrition in the care of children and families is highlighted in this article. The role of a nurse in providing nutrition advice and interventions is examined, in the context of social and economic pressures on the provision of a healthy diet. Relevant examples of the provision of such advice is provided, along with competencies required to achieve this in practice. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1276 |
| Permanent link to this record |
