| Records |
| Author |
Hall, J. |
| Title |
Building trust to work with a grounded theory study of paediatric acute care nurses work |
Type |
|
| Year |
2004 |
Publication |
|
Abbreviated Journal |
Auckland University of Technology Library |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Nurse-family relations; Nurse-patient relations; Children; Paediatric nursing; Intensive care nursing |
| Abstract |
Grounded theory methodology has guided the grounded theory methods used to explore the acute care paediatric nurses' perspective of what they do when a child has had a severe accident. The research was initiated from the experience of nursing children in the context of a rehabilitation centre and wondering how acute care nurses promoted a child's recovery after a severe unintentional injury. Many avenues were used to search international and New Zealand literature but the scarcity of literature related to what acute care paediatric nurses do was evident. Nursing children in the acute care ward after a severe accident is complex. It encompasses nursing the family when they are experiencing a crisis. It is critical that the acute care nurse monitors and ensures the child's physiological needs are met, and the nurse “works with” the child to maintain and advance medical stability. Nursing interactions are an important part of “working with”, communication is the essence of nursing. This research has focussed on the nurses' social processes whilst caring for the physical needs of the child and interacting with the family and multidisciplinary team when appropriate. An effective working-relationship with a nurse and family is founded on trust. Grounded theory methods supported the process of exploring the social processes of “building trust” whilst “working with” families in a vulnerable position. Nurses rely on rapport to be invited into a family's space to “work with” and support the re-establishment of the parenting role. The “stepping in and out” of an effective working-relationship with a family is reliant on trust. Nurses build trust by spending time to “be with”, using chat to get to know each other, involving and supporting the family to parent a “different” child and reassuring and giving realistic hope to help the child and parents cope with their changed future. A substantive theory of the concept of “building trust to work with” has been developed using grounded theory methods. The theory has been conceptualised using the perspective of seven registered nurses working in paediatric acute care wards that admit children who have had a severe traumatic accident. |
Call Number  |
NRSNZNO @ research @ |
Serial |
597 |
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| Author |
Horsburgh, M.; Smith, V.A.; Kivell, D. |
| Title |
South Auckland community paediatric nursing service: A framework for evaluation |
Type |
Journal Article |
| Year |
2002 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
|
| Volume |
18 |
Issue |
3 |
Pages |
40-49 |
| Keywords |
Paediatric nursing; Community health nursing; Evaluation research |
| Abstract |
This paper describes the Kidz First paediatric community homecare nursing team in South Auckland. While the service was not initially planned as an integrated approach to child health, its evolution reflects the move to more community based care delivery and the expansion of nurse-led initiatives in New Zealand. The components of a community paediatric home nursing team as described by Eaton (2000) are used to provide the framework with which to describe the service. A focus group held with the Kidz First paediatric community homecare nurses has enabled definition of the key nursing components provided to children and their families living in South Auckland. |
| Call Number |
NRSNZNO @ research @ |
Serial |
622 |
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| Author |
Manning, J. |
| Title |
Skin-to-skin care of the very low birth weight infant: Taking a risk and making it happen |
Type |
|
| Year |
2007 |
Publication |
|
Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Paediatric nursing; Premature infants; Nursing; Hospitals |
| Abstract |
Parent-infant skin-to-skin care has become an advocated aspect of care in neonatal intensive care units nationally within New Zealand and internationally. However the implementation of this care by nurses can be limited by a number of factors within the practice environment. This dissertation presents a critical analysis of literature alongside reflection on the author's own practice experience to explore factors that may be constraining the use of skin-to-skin care with the very low birth weight infant in the neonatal intensive care unit. These factors are examined through a lens of risk taking behaviour underpinned by the grounded theory work of Dobos (1992). The concept of risk is explored in order to develop an understanding of why, in the author's view, the practice of skin-to-skin care of very low birth weight infants may have declined in recent years. For neonatal nurses skin-to-skin care of the very low birth weight infant presents challenges related to the environment, physiological stability of the infant and changes over the past 10 years in the clinical management of very low birth weight infants. As progress is made toward the design, development and eventual move to a new unit in Dunedin recommendations pertaining to the change in physical space, the introduction of a structured model for nursing care and implications for nursing practice development in relation to skin-to-skin care are described. |
| Call Number |
NRSNZNO @ research @ |
Serial |
800 |
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| Author |
Chenery, K. |
| Title |
Building child health nurses' confidence and competence |
Type |
Journal Article |
| Year |
2007 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
| Volume |
13 |
Issue |
5 |
Pages |
26-38 |
| Keywords |
Paediatric nursing; Nursing; Education; Evaluation |
| Abstract |
This article describes the development of the Generic Orientation Programme, Child Health Nursing and its perceived impact on practice after ten months, through two simultaneous evaluation surveys, seeking the views of programme participants and their nurse managers. The programme aims to equip the newly appointed RN in the child health cluster or the nurse working in a non-designated children's area with the knowledge and skills to safely care for children. These include basic anatomical and physiological differences; fluid and electrolyte management; safe administration of medication; pain management; recognition of the seriously ill child; and building partnerships with children and their families. A survey instrument eliciting qualitative and quantitative responses was used. The majority of nurse respondents believed they had gained new knowledge and described how they were incorporating it into everyday practice. Similarly, several nurse managers observed that nurses' clinical knowledge and skills had improved since attending the programme. In particular, responses from those working in non-designated children's areas suggested the programme had provided them with greater insight into the care of children. |
| Call Number |
NRSNZNO @ research @ |
Serial |
975 |
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| Author |
Manning, J. |
| Title |
Building trust with families in neonatal intensive care units |
Type |
Journal Article |
| Year |
2006 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
| Volume |
12 |
Issue |
6 |
Pages |
18-20 |
| Keywords |
Paediatric nursing; Neonatal nursing; Parents and caregivers; Communication |
| Abstract |
Establishing a trusting relationship is a key therapeutic intervention for nurses working with families of hospitalised children. This article is an exploration of the definition of trust. Specifically, it considers how parents come to trust (or not) nurses in neonatal intensive care unit (NICU) helps to reveal the meaning of parent-nurse trust and how this affects nursing practice. Understanding and meeting parental needs is important in developing and sustaining trust. The medical model of care often dominates in NICU. This is a deficit model that focuses on illness and treatment. However, the use of a nursing framework, such as developmentally supportive family centred care, focuses on recognising and building on the strengths of the family, by fostering trust to equip the family with the capacity to manage their infant's health care. |
| Call Number |
NRSNZNO @ research @ |
Serial |
976 |
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| Author |
Warren, B.L. |
| Title |
Using paracetamol before immunisation: Does it work? |
Type |
Journal Article |
| Year |
2007 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
| Volume |
13 |
Issue |
5 |
Pages |
24-26 |
| Keywords |
Immunisation; Paediatric nursing; Evidence-based medicine |
| Abstract |
The author presents a review of evidence on the prophylactic use of paracetamol prior to infant and child immunisation. The research was prompted when the Otago District Health Board was planning its Meningococcal B strategy. The evidence suggests that it was appropriate when the whole cell pertussis vaccine was used, but it was not recommended since the introduction of better vaccines such as acellular pertussis with fewer antigens and fewer side effects. Paracetamol may still be given orally to treat pain and fever that occasionally follows vaccination. Paracetamol pharmacology is presented, along with alternatives to paracetamol. |
| Call Number |
NRSNZNO @ research @ |
Serial |
998 |
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| Author |
Christie, J. |
| Title |
Managing febrile children: When and how to treat |
Type |
Journal Article |
| Year |
2002 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
| Volume |
8 |
Issue |
4 |
Pages |
15-17 |
| Keywords |
Paediatric nursing; Evidence-based medicine; Children; Guidelines |
| Abstract |
The author describes the nursing of febrile children in a general paediatric ward at Tauranga Hospital. She focuses on the cooling methods used and their efficacy. Ward practice is compared with clinical trials and the literature to determine best practice and evidence-based guidelines. Also discussed are fans and clothes removal, tepid sponging, paracetamol, and brufen. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1006 |
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| Author |
Gasquoine, S.E. |
| Title |
Mothering a hospitalized child: It's the 'little things' that matter |
Type |
Journal Article |
| Year |
2005 |
Publication |
Journal of Child Health Care |
Abbreviated Journal |
coda, An Institutional Repository for the New Zealand ITP Sector |
| Volume |
9 |
Issue |
3 |
Pages |
186-195 |
| Keywords |
Nurse-family relations; Parents and caregivers; Paediatric nursing; Children |
| Abstract |
This article reports one aspect of a phenomenological study that described the lived experience of mothering a child hospitalised with acute illness or injury. The significance for mothers that nurses do the 'little things' emerged in considering the implications of this study's findings for nurses in practice. Seven mothers whose child had been hospitalised in the 12 months prior to the first interview agreed to share their stories. The resulting data were analysed and interpreted using van Manen's interpretation of phenomenology. This description of mothering in a context of crisis is useful in the potential contribution it makes to nurses' understanding of mothers' experience of the hospitalisation of their children. It supports the philosophy of family-centred care and highlights the ability of individual nurses to make a positive difference to a very stressful experience by acknowledging and doing 'little things', because it is the little things that matter to the mothers of children in hospital. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1053 |
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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 |
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| Author |
Grant-Mackie, D. |
| Title |
A literature review of competence in relation to speciality nursing |
Type |
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| Year |
2000 |
Publication |
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Abbreviated Journal |
University of Otago Library, NZNO Library |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Paediatric nursing; Nursing specialties; Professional competence; Nursing; Education |
| Abstract |
The original aim of the study was to find out through a questionnaire what child health/paediatric nurses in New Zealand/Aotearoa saw as their needs for post-registration education. Nurses were completing courses in the United Kingdom and returning to New Zealand/Aotearoa and realising that their nursing capabilities had improved. They became senior nurses with education responsibilities and exhibited political leadership among their colleagues in the field of child health/paediatric nursing. They were becoming increasingly concerned at the lack of any clinical courses in the specialty of child health/paediatric nursing to promote an appropriate standard of practice. It was intended that a research project about post-registration child health/paediatric education would assist concerned nurses to develop a programme. The time needed for such a project did not fit with a limited research paper. It was decided to reduce the project to a review of the literature on competence in nursing, with some comment on the specialty of child health/paediatric nursing. In order for nurses to find what they need to learn and know, an understanding of competence in nursing practice is required. Competence is defined as the ability of the nurse to carry out specific work in a designated area at a predetermined standard. Issues around competence, defining a scope of practice, development and assessment of competence, and regulation of nursing, are part of the context in which accountability for the practice of nurses sits. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1123 |
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| Author |
Morgan, F.A. |
| Title |
Primary health care nurses supporting families parenting pre-term infants |
Type |
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| Year |
2006 |
Publication |
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Abbreviated Journal |
NZNO Library, University of Otago Library |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Primary health care; Community health nursing; Paediatric nursing; Premature infants |
| Abstract |
This thesis reviews the role of primary health care nurses, who have an opportunity to play a unique role in teaching, touching and empowering families with newly discharged pre-term babies. Birth of a baby earlier than 37 weeks gestation ushers in a period of uncertainty and stress for parents. Uncertainties may centre on whether their infant will survive and what ongoing growth and developmental issues their infant will face. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1132 |
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| Author |
Chenery, K. |
| Title |
'Can mummy come too?' Rhetoric and realities of 'family-centred care' in one New Zealand hospital, 1960-1990 |
Type |
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| Year |
2001 |
Publication |
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Abbreviated Journal |
ResearchArchive@Victoria |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Nurse-family relations; Policy; Hospitals; History of nursing; Paediatric nursing |
| Abstract |
This study explores the development of 'family-centred care' in New Zealand as part of an international movement advanced by 'experts' in the 1950s concerned with the psychological effects of mother-child separation. It positions the development of 'family-centred care' within the broader context of ideas and beliefs about mothering and children that emerged in New Zealand society between 1960 and 1980 as a response to these new concerns for children's emotional health. It examines New Zealand nursing, medical and related literature between 1960 and 1990 and considers both professional and public response to these concerns. The experiences of some mothers and nurses caring for children in one New Zealand hospital between 1960 and 1990 illustrate the significance of these responses in the context of one hospital children's ward and the subsequent implications for the practice of 'family-centred care'. This study demonstrates the difference between the professional rhetoric and the parental reality of 'family-centred care' in the context of one hospital children's ward between 1960 and 1990. The practice of 'family-centred care' placed mothers and nurses in contradictory positions within the ward environment. These contradictory positions were historically enduring, although they varied in their enactment. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1206 |
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| Author |
Water, T. |
| Title |
The meaning of being in dilemma in paediatric practice: A phenomenological study |
Type |
|
| Year |
2008 |
Publication |
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Abbreviated Journal |
NZNO Library |
| Volume |
|
Issue |
|
Pages |
259 pp |
| Keywords |
Psychology; Paediatric nursing; Paedetric practice; Problem solving |
| Abstract |
This study explores the phenomenon of dilemma in paediatric practice. Using a hermeneutic phenomenological method informed by the writings of Heidegger [1889-1976] and Gadamer [1900-2002] this study provides an understanding of the meaning of 'being in dilemma' from the perspective of predominantly paediatric health care professionals but also families in New Zealand. Study participants include four families who had a child requiring health care and fifteen health care practitioners from the disciplines of medicine, nursing, physiotherapy, play specialist and occupational therapy who work with families and children requiring health care. Participants' narratives of their experiences of 'being in dilemma' were captured via audio taped interviewing. These stories uncover the everyday realities facing health professionals and families and provide an ontological understanding for the notion of dilemma. The findings of this study suggest that experience of dilemma for health professionals reveals a world that is uncertain and questionable where they are thrown into having to make uncomfortable choices and must live with the painful consequences of their actions. The consequences of being in such dilemma are having to find ways of living with the angst, or risk becoming too sensitive or desensitizing. For families the experience of dilemma reveals a similar phenomenon most evident in circumstances where they feel totalized by the impact of heath care encounters. This study has uncovered that the perspectives that health professionals and families bring to the experience of dilemma reveal different concerns and commitments and may be hidden from each other. This thesis proposes that health professionals and families need support in living with their own personal encounters of enduring experiences of dilemma. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1234 |
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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 |
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| Author |
Ho, T. |
| Title |
Ethical dilemmas in neonatal care |
Type |
Journal Article |
| Year |
2000 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
|
| Volume |
6 |
Issue |
7 |
Pages |
17-19 |
| Keywords |
Intensive care nursing; Paediatric nursing; Ethics; Clinical decision making |
| Abstract |
The author explores possible approaches to the ethical dilemma confronting nurses of critically ill premature infants with an uncertain or futile outcome despite aggressive neonatal intensive care. A case history illustrates the issues. The morality of nursing decisions based on deontological and utilitarian principles is examined, as are the concepts of beneficence and non-maleficence. A fusion of virtue ethics and the ethic of care is suggested as appropriate for ethical decision-making in the neonatal intensive care environment. |
| Call Number |
NRSNZNO @ research @ 1035 |
Serial |
1019 |
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