| Records |
| Author |
Challis-Morrison, S. |
| Title |
Caring for a community wanderer |
Type |
Journal Article |
| Year |
2006 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
| Volume |
12 |
Issue |
11 |
Pages |
20-22 |
Keywords  |
Case studies; Older people; Community health nursing; Dementia |
| Abstract |
A community based registered nurse from Waikato District Health Board's Older Persons Assessment Team (OPAT) presents her experiences of working with older people with dementia. She uses a case study approach to highlight the issue of wandering, behaviour which can be difficult to modify and can cause carer distress. She outlines a team approach to the condition which requires good communication and co-ordination. Key aspects of management included a risk assessment plan, support for caregivers, and encouraging activity. |
| Call Number |
NRSNZNO @ research @ |
Serial |
977 |
| Permanent link to this record |
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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 |
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 |
| Permanent link to this record |
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| Author |
Carter, Lynn J |
| Title |
Am I doing the right thing?: Plunket Nurses' experience in making decisions to report suspected child abuse and neglect |
Type |
Book Whole |
| Year |
2010 |
Publication |
|
Abbreviated Journal |
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| Volume |
|
Issue |
|
Pages |
144 p. |
| Keywords |
Child abuse; Child neglect; Community nursing; Plunket nurses; Ethics; Surveys |
| Abstract |
Studies the experiences of Plunket Nurses reporting suspected child abuse and/or neglect in uncertain situations, using hermeneutic phenomenology. Selects a purposeful sample to ensure participants could provide rich data through semi-structured, face-to-face and recorded telephone interviews. Guides data analysis using the framework developed by van Manen to formulate meaning from participant experiences. |
| Call Number |
NZNO @ research @ |
Serial |
1781 |
| Permanent link to this record |
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| Author |
Shallard, Grace Ann |
| Title |
What are the perceptions of nurses working in child health regarding their role in child protection? |
Type |
Book Whole |
| Year |
2019 |
Publication |
|
Abbreviated Journal |
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| Volume |
|
Issue |
|
Pages |
117 p. |
| Keywords |
Child health nursing; Child protection; Child abuse; Child neglect; Surveys |
| Abstract |
Explores the current perceptions of nurses working in child health with regard to their potential role in child protection. Conducts a mixed-method study using sequential explanatory design involving 134 survey results and six complementary interviews. Aims to provide insight into current nursing practices of those working in child health settings, and identifies barriers to nurses engaging with social services. |
| Call Number |
NZNO @ research @ |
Serial |
1811 |
| Permanent link to this record |
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| Author |
Mockford, Andrea |
| Title |
The exploration of systems and technologies to enhance the healthcare of children under five |
Type |
Report |
| Year |
2009 |
Publication |
|
Abbreviated Journal |
|
| Volume |
|
Issue |
|
Pages |
130p |
| Keywords |
Child health services; Children's hospitals; Family nursing; Reports |
| Abstract |
The well known premise that 'healthy children grow into healthy adults' should reinforce the need for us to engage with parents and caregivers to ensure that we support them with meeting their child's health care needs. This scholarship enabled the author to see what the UK, Sweden, the US, and Canada were doing to strengthen and support children under five and their families across the continuum of care. Part of the Margaret May Blackwell Scholarship Reports series. |
| Call Number |
NZNO @ research @ |
Serial |
1422 |
| Permanent link to this record |
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| Author |
Diack, Aileen |
| Title |
Innovations in home care for infants and young children with long-term illness (observations of care provision in United States of America and England) |
Type |
Report |
| Year |
1993 |
Publication |
|
Abbreviated Journal |
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| Volume |
|
Issue |
|
Pages |
33 p. |
| Keywords |
Child health services; Long-term care; Domiciliary nursing; Reports |
| Abstract |
Visits the US and the UK to observe paediatric nursing services for chronically-ill children at home. Discusses the concepts that enable children with long-term illness to be cared for in the home, how staff are chosen and trained and the degree to which the family is involved in setting objectives and directing the focus of care. Part of the Margaret May Blackwell Scholarship Reports series. |
| Call Number |
NZNO @ research @ |
Serial |
1418 |
| Permanent link to this record |
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| Author |
Smythe, E. |
| Title |
Uncovering the meaning of 'being safe' in practice |
Type |
Journal Article |
| Year |
2003 |
Publication |
Contemporary Nurse |
Abbreviated Journal |
|
| Volume |
14 |
Issue |
2 |
Pages |
196-204 |
| Keywords |
Childbirth; Patient safety; Advanced nursing practice; Midwifery |
| Abstract |
This paper moves away from the prevalent discourse of competence to consider the meaning of the experience of 'being safe' within the context of childbirth. It offers findings from a doctoral study, informed by the philosophies of Heidegger and Gadamer. Following ethical approval, the data was collected in New Zealand by tape-recorded interviews of 5 midwives, 4 obstetricians, 1 general practitioner and 10 women. The method was informed by van Manen. The findings reveal that in seeking the meaning of being safe one needs to be aware that the unsafety may already be present in the situation. Practitioners may be able to do little to rectify the unsafeness. There is, however, a spirit of safe practice, explicated in this paper, that is likely to make practice as safe as it can possibly be. Wise practitioners are ever mindful that a situation may be or become unsafe, and are always aware of their own limitations. |
| Call Number |
NRSNZNO @ research @ |
Serial |
877 |
| Permanent link to this record |
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| Author |
Lowson, S. |
| Title |
Sacred memories: Creative art therapy for children in grief |
Type |
|
| Year |
2004 |
Publication |
|
Abbreviated Journal |
ResearchArchive@Victoria |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Children; Grief; Nursing; Terminal care; Psychology |
| Abstract |
This paper explores the creative opportunities children might have to attend to their emotions and feelings following the death of a parent, grandparent or close friend. It presents the position that often children are left out of the process of caring for an adult when they are terminally ill and that has long term psychological implications. It also suggests that this has antecedents for the white New Zealand culture that were noted historically. In this research the author describes a personal journey that has shaped her current work as a hospice practice manager. The writer explores literature in psychological aspects of removing children from the dying room, creative therapies and the importance of sacred memories for the living child. The need to create memory that will embrace the child as a cloak enfolds them in their crisis stimulated the writer to offer a text in the personal narrative form. This text is presented in this form to enable other clinicians to access their own memories as survivors of grief in their own families. It is suggested that by enabling children and family to explore the importance of relating in the palliative phase of a person's life journey, good memories are created for the survivors. |
| Call Number |
NRSNZNO @ research @ 1245 |
Serial |
1230 |
| Permanent link to this record |
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| Author |
Ward, C.R. |
| Title |
Children matter: What is important to the child living with a life-threatening illness |
Type |
Miscellaneous |
| Year |
2005 |
Publication |
|
Abbreviated Journal |
Victoria University of Wellington Library |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Children; Nurse-patient relations; Nursing; Chronically ill |
| Abstract |
When a child lives with a life-threatening illness there is a range of emotions that affect the child, family and people close to the child. This study utilises a narrative approach to explore what the child puts emphasis on in what is important to them as they live with serious illness. The study incorporates the nurse as narrator with the 'narratives' of the children integrated into her reflections to gain a broader understanding. The focus is on listening intently to the spoken needs of children, their story and the meaning they make of their situation when they live with their illness. 'Children' in this study are between the ages of six years to 15 years. The aim of this research is to provide a clear understanding of the lived experience, which may illuminate the needs of the child and what is required throughout the time of illness; therefore informing health professionals of a culture of care that may support these needs. A broader understanding and deeper insight into the complexity of children living with life-threatening illnesses provides a basis for the development of sensitive, humanistic quality nursing care for both the child and his/her family, this then enhances the potential for best practice for children living with a life-threatening illness. |
| Call Number |
NRSNZNO @ research @ |
Serial |
577 |
| Permanent link to this record |
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| Author |
Sampson, C. |
| Title |
The allergy nurse specialist: A proposed nurse-led model of care for children with severe food allergies |
Type |
|
| Year |
2006 |
Publication |
|
Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Children; Nursing specialties; Child health services; Food allergies |
| Abstract |
The prevalence of allergic disease has increased significantly in western countries over the last decade. However, the author points to the availability of specialist allergy services in New Zealand being limited to the large cities, resulting in a lack of, or fragmentation of, the allergy-related services in smaller regions. As a public health nurse in Otago working with a rising number of families with severely food allergic children, the author had become aware of the challenges many parents face in accessing accurate information about their child's allergy and the negative impact this has had on them and their child. The purpose of this dissertation is to explore how an Allergy Nurse Specialist (ANS) led service could improve the experiences and health outcomes of the families and children with severe food allergies living in Otago. A critical analysis of the literature on allergy nursing, advanced nursing roles, and related food allergy issues was conducted and applied to the Otago region. Drawing on the 'Nurse with a Special Interest in Allergy' model of nurse-led allergy care outlined by Cross (2005) and the existing Otago District Health Board's (2004) clinical nurse specialist role, the author proposes that an ANS-led model of care, incorporating advanced nursing practice, primary care access and multidisciplinary collaboration could complement the existing allergy related services in Otago. The focus of the ANS's care will be on facilitating timely access to accurate assessment and advice for families regarding the management of their child's food allergies. |
| Call Number |
NRSNZNO @ research @ |
Serial |
730 |
| Permanent link to this record |
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| Author |
Isaac, D. |
| Title |
Passionate dedication: A qualitative descriptive study of nurses' and hospital play specialists' experiences on a children's burn ward |
Type |
|
| Year |
2006 |
Publication |
|
Abbreviated Journal |
Auckland University of Technology Library |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Children; Nursing specialties; Mentoring; Job satisfaction |
| Abstract |
A qualitative descriptive approach was undertaken to explore the experience of eight registered nurses and two hospital play specialists who care for children hospitalised with burn injuries. The research participants were recruited from a paediatric ward that offers centralised specialty care to children with burns. Emerging out of the data was the over-arching theme of 'passionate dedication' that shows the nurses and hospital play specialists genuine compassion and commitment to meet the needs of the children with burns. The findings of the study reveal that the participant's dedication is shaped and determined by a dynamic process that involves having professional integrity and in-depth knowledge of caring for children and burn management. The nurses and the hospital play specialists have a common understanding of what their role entails and the skills required to provide quality care and support to the children and the children's family. On a personal and professional level the participants encounter several challenges in this care context that are physically and emotionally overwhelming. Despite becoming overwhelmed the participants are revealed as being resourceful and resilient in their aptitude to find ways that enable them to cope and get through. The author suggests that this study supports international literature that suggests that caring for children with burns is equally rewarding, as much as it is physically and emotionally demanding. The author identifies that the implication in this study for the organisation is to seriously consider issues regarding productivity and efficiency of the workforce with acknowledgement that nurses and hospital play specialists cannot do this emotional work without effective systems of support in place. |
| Call Number |
NRSNZNO @ research @ 577 |
Serial |
563 |
| Permanent link to this record |
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| Author |
Giddings, D.L.S.; Roy, D.E.; Predeger, E. |
| Title |
Women's experience of ageing with a chronic condition |
Type |
Journal Article |
| Year |
2007 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
|
| Volume |
58 |
Issue |
6 |
Pages |
557-565 |
| Keywords |
Chronic diseases; Age factors; Gender; Nursing |
| Abstract |
This paper is a report of a study to explore the experiences of 'almost old' women as they grow older while living with a chronic condition. Little is known about the contextual effects of ageing and how it shapes and is shaped by a woman's chronic illness experience. Seven women aged between 50 and 58 years participated in this interpretive descriptive study that explored the issues of ageing with a chronic condition. Three focus groups were held between March 2003 and March 2004. Transcriptions were analysed after each focus group. Participants were given the opportunity to respond to the findings as the analysis progressed. The experience of living with a chronic illness foreshadowed what was to come with ageing and embodied the ageing process: it was just part of their lives. Alongside this, the women now felt less out of place. Their peers were catching up and beginning to experience aspects of participants' everyday reality. The women, however, experienced double jeopardy because ageing amplified the ongoing vulnerabilities of living with a chronic condition. The authors conclude that nurses who recognise the resourcefulness and expertise of women who live with a chronic condition can effectively be co-strategists in helping them to age well. |
| Call Number |
NRSNZNO @ research @ |
Serial |
880 |
| Permanent link to this record |
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| Author |
Rickard, Debbie |
| Title |
Parents as experts: partnership in the care of the chronically ill children : Margaret May Blackwell Travel Study, Fellowship for Nurses of Young Children, 1999 |
Type |
Report |
| Year |
1999 |
Publication |
|
Abbreviated Journal |
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| Volume |
|
Issue |
|
Pages |
65p. |
| Keywords |
Chronically ill children – home care; Child health services; Paediatric nursing; Community health nursing; Reports |
| Abstract |
Visits paediatric community nursing services in the UK and Australia to report on how specialist and children's community nurses work with parents to deliver health care to children with asthma, diabetes and other endocrine disorders, cystic fibrosis, eczema, cardiac diseases, and liver transplants. Part of the Margaret May Blackwell Scholarship Reports series. |
| Call Number |
NZNO @ research @ |
Serial |
1414 |
| Permanent link to this record |
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| Author |
Wagener, Sally |
| Title |
The nursing management of the acutely ill child in communities without readily available specialist paediatric services |
Type |
Report |
| Year |
1994 |
Publication |
|
Abbreviated Journal |
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| Volume |
|
Issue |
|
Pages |
22 p. |
| Keywords |
Chronically ill children; Pediatric nursing -- Australia; Child health services -- Australia; Reports |
| Abstract |
Observes how acutely ill children in remote areas of Australia are managed in the absence of specialist paediatric nursing services. Visits remote nursing stations, rural hospitals, and the Royal Flying Doctor Service. Part of the Margaret May Blackwell Scholarship Reports series. |
| Call Number |
NZNO @ research @ |
Serial |
1415 |
| Permanent link to this record |
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| Author |
Turnwald, A.B. |
| Title |
Acute Hypercarbia in Chronic Obstructive Pulmonary Disease (COPD): Presentations to a New Zealand emergency department |
Type |
|
| Year |
2006 |
Publication |
|
Abbreviated Journal |
ResearchArchive@Victoria |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Chronically ill; Clinical assessment; Emergency nursing |
| Abstract |
A retrospective descriptive design was used to examine the records of all presentations to the emergency department of patients with COPD over a 3-month period to determine whether there is a subset group of people who present with hypercarbia. There were 114 presentations, amongst those there were 71 individuals, a number presenting more than once within the three months. 80% of the 71 individuals had a smoking history of which 53% were female. Of the 114 presentations, 76 had arterial blood gases taken during their emergency department presentation. Of these 76 presentations 30 had hypercarbia and 46 were non-hypercarbia. These 76 presentations involved 58 individuals, with some individuals presenting five times over the three-month period. Three groups emerged, some who were only hypercarbia (n= 18), some in the non-hypercarbia group (n=35) and 5 individuals who had presentations in both the hypercarbia and non-hypercarbia groups. Data showed that there was no definable subset group of hypercarbia patients within acute exacerbations of COPD presenting to the emergency department according to the variables. However the sample of presentations (with a blood gas) found within the study suffering hypercarbia was much higher (31.1%) than anticipated. Further analysis showed that the hypercarbia group had a significant lower forced expiratory volume in one second (FEV1) and a combination diagnosis of emphysema or asthma and congestive heart failure. An implication to the clinician is that identification of hypercarbia within COPD exacerbation is problematically difficult until the late signs are shown with the individual. By that time effective treatment patterns may have changed from the initial presenting problem. The author concludes that future areas of research within this field needs to lie within the community, and look at when these people start the exacerbation, what leads them to progression presentation to the emergency department, and whether these people are chronic sufferers of hypercarbia or presenting after a period of days exacerbation within their own home. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1210 |
| Permanent link to this record |
