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Author  |
Water, T. |
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Title |
The meaning of being in dilemma in paediatric practice: A phenomenological study |
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Year |
2008 |
Publication |
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Abbreviated Journal |
NZNO Library |
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Volume |
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Issue |
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Pages |
259 pp |
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Keywords |
Psychology; Paediatric nursing; Paedetric practice; Problem solving |
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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. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1234 |
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Author |
Tustin-Payne, W. |
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Title |
Self esteem, competence assessment and nurses ability to write reflectively: Is there any connection? |
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Year |
2008 |
Publication |
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Abbreviated Journal |
Wintec Research Archive |
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Volume |
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Issue |
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Pages |
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Keywords |
Professional competence; Nursing; Psychology; Quality of health care; Feminist critique |
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Abstract |
The Health Practitioners Competence Assurance Act 2003 requires nurses to have evidence to support they are competent to practice. Many nurses have become distraught and / or angry at this prospect, and the researcher suggests that this response appears to be more commonly related to the expectation of undertaking reflective writing, which is a key component of the competence evidence. This study explores the predisposing factors relating to nursing, reflective writing and competence to determine how this may impact on a nurse's self esteem. Utilisation of Critical Social Theory informed by feminist framework allows for exploration of the historical, social, political and cultural factors that shape and form female nurses reality in practice. It is a theory that relates to oppression and power, with the primary intent being to raise consciousness in order to emancipate. Although no definitive findings were made, there are multiple factors relating to nurse's history, socialisation, political imperatives and cultural beliefs that have the potential to impact on their self esteem. Competence, competence assessment and reflective practice are complex, therefore presenting multiple challenges. In order for nurses to understand their contextual reality and opportunities for change there is a need for them to engage in critical reflection. |
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Call Number |
NRSNZNO @ research @ 1198 |
Serial |
1183 |
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Author |
Thompson, S.A. |
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Title |
Getting it right: An exploration of compulsive caregiving and helping profession syndrome |
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Year |
2000 |
Publication |
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Abbreviated Journal |
Victoria University of Wellington Library |
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Volume |
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Issue |
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Pages |
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Keywords |
Psychology; Nursing |
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Abstract |
This thesis is a theoretical exploration of the concepts of 'Compulsive caregiving' and 'helping profession syndrome' in relation to the choice of nursing as a career. These concepts are derived from Bowlby's attachment theory and psychodynamic psychotherapy. Both have evolved from psychoanalytic theory. The thesis explains Bowlby's development of compulsive caregiving in health professionals. The author notes that her life history and experience as a nurse educator and as a nurse practicing psychotherapy support this theoretical explanation. An argument is developed that the propensity towards compulsive caregiving is a strength in nurses. Nursing places high value on caring and many of the traits exhibited by compulsive caregivers are desirable in nurses. Nursing as a caring interpersonal process is explored with reference to the literature. However, nursing has been identified as a stressful occupation. Support strategies such as professional supervision and reflective practice are discussed. Thesis concludes with a suggestion for further research on compulsive caregiving and helping profession syndrome. |
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Call Number |
NRSNZNO @ research @ 813 |
Serial |
797 |
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Author |
Sibley, Elyse; Mercer, Christine |
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Title |
Management of behavioural and psychological symptoms of dementia (BPSD): an integrative review |
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Journal Article |
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Year |
2023 |
Publication |
Kaitiaki Nursing Research |
Abbreviated Journal |
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Volume |
14 |
Issue |
1 |
Pages |
41-49 |
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Keywords |
Dementia; Behaviour; Psychology; Non-pharmacological interventions |
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Abstract |
Describes the behavioural and psychological symptoms associated with dementia, including depression, agitation, psychosis, hallucinations, delusions and apathy. Employs an integrative review to investigate why care-givers resort to anti-psychotic medication in the first instance instead of non-pharmacological interventions to manage such symptoms. Identifies three themes: low staff-to-patient ratios, insufficient specialised staff; inadequate understanding of the manifestations of dementia. |
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Call Number |
NZNO @ research @ |
Serial |
1850 |
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Author |
Scott, W. |
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Title |
Listen to the beat of my heart: The lived experience of panic attack in undergraduate nursing students: An interpretive inquiry |
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Year |
2006 |
Publication |
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Abbreviated Journal |
Victoria University of Wellington Library |
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Volume |
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Issue |
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Pages |
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Keywords |
Psychology; Students; Nursing; Midwifery |
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Abstract |
This interpretive inquiry explores the lived experience of 3 undergraduate nursing students and one midwifery student who have panic attacks. The aim of the research is to give voice to these students and to raise awareness among nurse educators about the impact that panic attacks may have for them. The research question asks, “what is the lived experience of panic attack in undergraduate nursing students?” A semi structured interview was conducted with each student in order to gain significant data. The research identified four key themes implicit to the lived experience of panic attack analysis: Listen to the beat of my heart (embodiedness), fearfulness, shamefulness, and holding one's own (coping). The findings suggest that the lived experience of panic attack is embedded in the lifeworld of lived body, lived time, lived relation, and lived space. Panic attack affects students physically and emotionally and interpersonally. The significant finding is that nurse educators need be aware of the coping or non-coping strategies used by students and, most importantly, recognise the impact that panic attacks have on their study. |
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Call Number |
NRSNZNO @ research @ 735 |
Serial |
721 |
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Author |
Sadler, D. |
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Title |
Stigma, discrimination and a model for psychiatric mental health nursing practice |
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Year |
2000 |
Publication |
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Abbreviated Journal |
Victoria University of Wellington Library |
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Volume |
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Issue |
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Pages |
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Keywords |
Mental health; Psychiatric Nursing; Psychology |
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Abstract |
This paper seeks to understand the aetiology of stigma. The word stigma comes from the Greek language and refers to a brand, a mark of shame. Society has used this phenomenon to mark those who do not fit with the stereotypical virtual identity expected by a group. Stigma has persisted throughout the ages to enforce norms and sanction rules. Stigma is a term used to broadly define an attitude to negative attributes. It is a way of treating people that indicates to the individual, they are different from the norm. Research indicates the general population has discriminatory attitudes to those who have experienced mental illness. This discrimination impacts on the lives of those people. Their stories tell of shame, sadness and anguish. Families too, feel the ongoing effects of stigma. Psychiatric mental health professionals are said to perpetuate the discrimination arising from the stigma of mental illness. This is shown in the literature to persist through labelling and disempowering practices. The attitude of nurses in particular is critical to promoting healing environments. It is thought that a humanistic altruistic approach to nursing practice will help to eliminate discriminatory practice by nurses. It is hoped that this approach will create collaborative care that gives the individual the respect, response, choice and support they need to assist in recovering from mental illness. |
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Call Number |
NRSNZNO @ research @ 815 |
Serial |
799 |
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Author |
Ronaldson, A. |
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Title |
Coping with body image changes after limb loss |
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Journal Article |
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Year |
1999 |
Publication |
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Abbreviated Journal |
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Volume |
5 |
Issue |
11 |
Pages |
14-16 |
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Keywords |
People with disabilities; Nursing; Psychology |
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Abstract |
The author reviews the literature on the differences in the way people manage the process of coming to terms with amputation. The socio-cultural implications of body image construction are discussed and a new framework for clinical practice is suggested. The implications for nursing are examined and positions nurses as advocates. The importance of language is identified. |
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Call Number |
NRSNZNO @ research @ 1042 |
Serial |
1026 |
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Author |
Richardson, C.A. |
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Title |
Ever decreasing circles: Non-curative terminal illness, empowerment and decision making: Lessons for nursing practice |
Type |
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Year |
2005 |
Publication |
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Abbreviated Journal |
University of Otago Library |
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Volume |
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Issue |
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Pages |
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Keywords |
Nursing; Palliative care; Terminal care; Psychology |
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Abstract |
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Call Number |
NRSNZNO @ research @ 683 |
Serial |
669 |
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Author |
Ratnasabapathy, P. |
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Title |
Silent suffering: The 'lived experience' of women who have experienced early pregnancy loss and used the health services for their care |
Type |
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Year |
2005 |
Publication |
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Abbreviated Journal |
University of Auckland Library |
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Volume |
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Issue |
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Pages |
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Keywords |
Pregnancy; Grief; Psychology |
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Abstract |
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Call Number |
NRSNZNO @ research @ 786 |
Serial |
770 |
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Author |
Polaschek, N. |
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Title |
Living on dialysis: Concerns of clients in a renal setting |
Type |
Journal Article |
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Year |
2003 |
Publication |
Journal of Advanced Nursing |
Abbreviated Journal |
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Volume |
41 |
Issue |
1 |
Pages |
44-52 |
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Keywords |
Nurse-patient relations; Psychology; Attitude to health; Terminal care |
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Abstract |
This article reports a study that sought to understand the experience of a group of Caucasian men with end stage renal failure managing their own haemodialysis therapy in their homes. The study used a critical interpretive methodology. The renal setting was critically viewed as a specialised health care context constituted by several interrelated discourses. Although established by the dominant professional discourse, it also includes a number of others, in particular an obscure client discourse that is a response to the dominant discourse. Initially, participants' own interpretations of their individual experiences were outlined. These were then collectively reinterpreted by contextualising them in terms of the critical view of the renal setting, in order to discern their own views as renal clients that were obscured by the language and ideas of the dominant discourse with which they had been enculturated. From an analysis of the set of accounts derived from interviews with six participants, four concerns of the renal client discourse were identified. These concerns were: (1) suffering from continuing symptoms of end stage renal failure and dialysis; (2) limitations resulting from negotiating dialysis into their lifestyle; (3) ongoingness and uncertainty of life on dialysis; and (4) altered relationship between autonomy and dependence inherent in living on dialysis. One specific implication of this study is that the distinctive potential of the nursing role in renal settings lies beyond the performance of a range of technical tasks, in addressing the experience of people living on dialysis, described here as the concerns of the renal client discourse. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1072 |
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Author |
Narbey, N. |
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Title |
Cognitive Behaviour Therapy in psychosis: Relevance to mental health nurses |
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Year |
2001 |
Publication |
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Abbreviated Journal |
ResearchArchive@Victoria |
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Volume |
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Issue |
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Pages |
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Keywords |
Psychiatric Nursing; Psychology; Evidence-based medicine |
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Abstract |
The author uses his personal and professional experience to explore the application of Cognitive Behavioural Therapy in caring for people who experience psychosis. Psychosis can be a life-threatening illness; about one in ten young men with psychosis will take their own lives. Much of the progress in treatment has been predicated on a biological explanation of psychosis. The late 1990s have seen increasing interest in psychological approaches in the treatment of psychosis; not withstanding that this treatment does not work for all people. The first aim of this research report is to develop understanding about Cognitive Behavioural Therapy, through exploration of its origins and examining the theoretical basis and reviewing the evidence that may support its use. The second aim is to explore the evidence around mental health nurses' training and use of Cognitive Behavioural Therapy, by critically examining some of the major UK and Australian reports. The author considers that Cognitive Behavioural Therapy is theoretically and pragmatically compatible with contemporary nursing practice, and will have increasing prominence for New Zealand mental health nurses. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1187 |
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Author |
Maloney-Moni, J. |
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Title |
Kia Mana: A synergy of wellbeing |
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Year |
2004 |
Publication |
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Abbreviated Journal |
University of Auckland Library |
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Volume |
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Issue |
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Pages |
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Keywords |
Transcultural nursing; Psychology; Maori |
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Abstract |
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Call Number |
NRSNZNO @ research @ 841 |
Serial |
825 |
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Author |
Lowson, S. |
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Title |
Sacred memories: Creative art therapy for children in grief |
Type |
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Year |
2004 |
Publication |
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Abbreviated Journal |
ResearchArchive@Victoria |
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Volume |
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Issue |
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Pages |
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Keywords |
Children; Grief; Nursing; Terminal care; Psychology |
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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. |
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Call Number |
NRSNZNO @ research @ 1245 |
Serial |
1230 |
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Author |
Johnson, S. |
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Title |
Hope in terminal illness |
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Year |
2007 |
Publication |
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Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
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Volume |
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Issue |
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Pages |
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Keywords |
Palliative care; Terminal care; Psychology |
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Abstract |
Hope is considered an elusive, vague, over-used, and ambiguous concept in nursing practice which lacks clarity, but hope is essential to the quality of life in the terminally ill. Therefore, hope is an important concept to research further. A gap in nursing research has been identified in the area of hope in terminal illness. The aims of this research were to clarify the concept of hope as perceived by patients with a terminal illness; to develop hope as an evidence-based nursing concept; and to contribute new knowledge and insights about hope to the relatively new field of palliative care. Utilising Rodgers' (2000b) evolutionary concept analysis methodology and thematic content analysis, 17 pieces of research-based literature on hope as perceived by adult patients with any terminal illness pathology (from the disciplines of nursing and medicine) have been reviewed and analysed. Hope's attributes, antecedents, consequences, social-cultural variations, temporal variations, surrogate terms, and related concepts have been considered. An exemplary case of the concept in action is presented along with the evolution of the concept hope in terminal illness. Ten essential attributes of the concept were identified in this research: positive expectation, personal qualities, spirituality, goals, comfort, help / caring, interpersonal relationships, control, legacy, and life review. The evolution of hope in terminal illness has evolved from patients hoping for a prosperous healthy future to an enrichment of being is more important than having or doing. Patients' hopes and goals are scaled down and refocused in order to live in the present and enjoy the time they have left with loved ones. Hope in the terminal phase of one's illness is orientated in the past and the present, hope in the here and hope in the now. The author concludes that by completing all the steps to Rodgers' (2000b) evolutionary view of concept analysis, a working definition and clarification of the concept in its current use has been achieved, providing a solid conceptual foundation for further study. Recommendations are made for hope-enhansing strategies, that may help to maximise the quality of life of terminally ill patients in the future. |
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Call Number |
NRSNZNO @ research @ |
Serial |
922 |
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Author |
Gillespie, Moira Elizabeth |
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Title |
Compassion fatigue and cancer nurses: a national survey of cancer nurses in New Zealand |
Type |
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Year |
2013 |
Publication |
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Abbreviated Journal |
Available through NZNO library |
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Volume |
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Issue |
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Pages |
91 pp |
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Keywords |
Cancer; Nurses -- Job Stress; Empathy; Burnout, Professional -- Psychology; Surveys |
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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. |
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Call Number |
NZNO @ research @ WY GIL |
Serial |
1397 |
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