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Author (up) Blair, K.M.
Title Recognising the sick patient: An emergency nurses view: A research paper Type
Year 2006 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages
Keywords Emergency nursing; Patient safety; Diagnosis; Training; Clinical decision making
Abstract This paper reports on a literature review that examines how health professionals (mainly nurses) recognise the signs of physical deterioration in their patients. It includes discussion of how nurses' clinical decision making skills influence how physical deterioration is identified and determines what changes in the delivery of care could have an impact on emergency department patients at risk of life threatening deterioration.
Call Number NRSNZNO @ research @ Serial 467
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Author (up) Blair, S.
Title The human cost of 'caring' care for registered nurses in clinical practice Type
Year 1999 Publication Abbreviated Journal Victoria University of Wellington
Volume Issue Pages
Keywords
Abstract This research utilized a focus group methodology to discover what nurses in clinical practice considered 'caring' care meant for them. Six registered nurses volunteered to participate in the project. They practiced over a wide variety of real settings within the public hospital, which provided both acute and elective surgical and medical services, including an extensive elderly population. Taking these important 'caring' statements, I then explored with the group what factors in their work environment hindered of enhanced their identified 'caring' care in clinical practice as did their overseas counterparts. This study also highlighted the impact the health reforms had on the individual clinical practice at this hospital. The effects of the institutional changes in response to the health reforms were far reaching at both the personal and professional level. Caring is an important concept found in nursing practice. It has been widely documented By nurse scholars, researchers and nurse authors that care is at the core of nursing practice.Some have even referred to care as being the heart of nursing. The finding from the present research indicates the importance nurses place on caring in their day to day encounters with patients. It also demonstrates how nurses express their care and their perceptions of the importance of care has in the clinical practice
Call Number NRSNZNO @ research @ 246 Serial 246
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Author (up) Blair, S.
Title The lived experience of the surgical patient Type Miscellaneous
Year Publication Abbreviated Journal
Volume Issue Pages
Keywords
Abstract Acute illness as lived experience gives the person involved an understanding and knowledge of how they perceive a crisis in their lives. It also provides meaning and orientation to their world. Any perception a person has to an acute illness is a lived experience for that person. It is very personal and will live with that person forever
Call Number NRSNZNO @ research @ 115 Serial 115
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Author (up) Blair, Wendy
Title Nurses' recognition and response to unsafe practice by their peers Type Book Whole
Year 2021 Publication Abbreviated Journal
Volume Issue Pages 336 p.
Keywords Unsafe practice; Behaviour; Registered nurses; Surveys
Abstract Uses a mixed-methods approach to identify the behaviours and cues that nurses recognise as indicators of unsafe practice. Details those factors that influence unsafe practice. Reports the actions and responses taken by nurses who encounter unsafe practice by their peers. Conducts surveys of nurses about their perceptions of unsafe practice and the organisational practices and policies for its prevention.
Call Number NZNO @ research @ Serial 1690
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Author (up) Blake-Palmer, E.
Title Seeing the world through orthopaedic eyes: The experience of being an orthopaedic nurse: A hermeneutic study Type
Year 2007 Publication Abbreviated Journal
Volume Issue Pages
Keywords Nursing specialties
Abstract This study explores the experience of being an orthopaedic nurse. As an orthopaedic nurse the author had concerns that the validity of orthopaedic nursing as a unique scope of practice was being questioned. In this thesis, the case for orthopaedic nursing is argued, by showing it as a specialty in its own right. A qualitative approach informed by the author's interpretation of philosophical hermeneutics as articulated by Heidegger (1927/1962) and Gadamer (1976; 1989) was undertaken. Phenomenology seeks to uncover 'taken-for granted' meanings in everyday experience and hermeneutic research recognises that the historical and cultural horizons of participants and researcher influence the interpretation. Eight nurses working in various orthopaedic settings were interviewed. Data was analysed using the interpretive thematic approach described by van Manen (1990). The nurses' stories from practice yielded two essential themes, 'being part', and 'gaining and maintaining integrity'. The author concludes that these themes interrelate and together reveal meanings and insights about being an orthopaedic nurse. 'Being part', shows the essential nature of relationships between orthopaedic nurses and others. 'Gaining and maintaining integrity' describes the embodied nature of the phenomenon. The overall thematic finding 'seeing the world through orthopaedic eyes' reveals the nature of orthopaedic nursing as a unique scope of practice.
Call Number NRSNZNO @ research @ 479 Serial 466
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Author (up) Blakey, V.M.; Bradley, F.V.
Title Survey of home visits by public health nurses in Dunedin Health District Type Miscellaneous
Year Publication Abbreviated Journal
Volume Issue Pages
Keywords
Abstract
Call Number NRSNZNO @ research @ 104 Serial 104
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Author (up) Blanchard, D.L.
Title Developing the place and role of family within the culture of critical care nursing: An action research approach Type
Year 2006 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages
Keywords Relationships; Nurse-family relations; Intensive care nursing; Nursing research
Abstract This research examines how nurses negotiate the context of the Intensive Care Unit (ICU) while working with families. The action research described in this thesis developed through a series of meetings and conversations where the conversations supported the reflexive intent of the research. In commissioning the research, the design of the meetings and conversations were as a series of overlapping actions. Data collection and data analysis occurred in the action research by meetings, reflective conversations, ad libitum observations, and in a research journal. Conceptual maps explain the progress and findings of the research in this thesis while categories distilled from the conversations also support the findings in the research. The Family Action Research Group that was established within this project proposed a Family Assessment Form for the family to provide an assessment of themselves and the patient. Implementing this assessment tool demonstrated that clear information was needed for the family in the ICU. Findings in this research focus on developing action research and family care in ICU. Findings also focused on the role of the researcher being of and not being of the context where action research is undertaken. Recommendations include staff examining relationships for potential asymmetries and seeking ways to address these to support families and staff. Suggested strategies for developing action research in a clinical context include detailed planning, clear focusing, transparency of data, and working to explain change initiatives through the research are also included.
Call Number NRSNZNO @ research @ 494 Serial 480
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Author (up) Blanchard, D.L.
Title Nursing practice in the changing health care environment “just keep going until you see it right” Type
Year 1995 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages
Keywords
Abstract
Call Number NRSNZNO @ research @ 410 Serial 410
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Author (up) Bland, M.F.
Title Betwixt and between: A critical ethnography of comfort in New Zealand residential aged care Type Journal Article
Year 2007 Publication Journal of Clinical Nursing Abbreviated Journal
Volume 16 Issue 5 Pages 937-944
Keywords Geriatric nursing; Rest homes; Patient satisfaction; Quality of health care
Abstract This research sought to explore the nature of comfort within the context of three New Zealand nursing homes and examine how nursing and other actions contribute to residents' comfort. A critical ethnographic approach was used and fieldwork included 90 days of participant observation, interviews with 27 residents and 28 staff and extensive document examination. Comfort was multidimensional, idiosyncratic, dynamic and context dependent, rather than merely the absence of discomfort. This multidimensional nature meant residents could be 'betwixt and between' comfort and discomfort simultaneously. The constraints of one-size-fits-all care delivery practices and the tensions inherent in communal living compounded residents' discomfort. The findings show that individualised care, based on comprehensive and accurate nursing assessment, is fundamental to the comfort of residents.
Call Number NRSNZNO @ research @ Serial 657
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Author (up) Bland, M.F.
Title The challenge of feeling 'at home' in residential aged care in New Zealand Type Journal Article
Year 2005 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 21 Issue 3 Pages 4-12
Keywords Rest homes; Older people; Patient satisfaction; Nursing; Identity
Abstract In this research report, a resident reveals the challenges associated with firstly becoming a nursing home resident, and then trying to establish a new sense of 'home'. The story supports a conclusion that nurses' knowledge of the unique 'admission story' of each resident, and their individual understandings of home, is essential in promoting their ongoing comfort. Although approximately 30,000 older adults live in residential aged care, little research has been done on their experience.
Call Number NRSNZNO @ research @ 862 Serial 846
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Author (up) Bland, M.F.
Title All the comforts of home? A critical ethnography of residential aged care in New Zealand Type
Year 2004 Publication Abbreviated Journal NZNO Library
Volume Issue Pages
Keywords Rest homes; Older people; Patient satisfaction
Abstract
Call Number NRSNZNO @ research @ 1141 Serial 1126
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Author (up) Bland, M.F.
Title Patient observation in nursing home research: Who was that masked woman? [corrected] [published erratum appears in Contemporary Nurse 2002 Apr; 12(2): 135] Type Journal Article
Year 2002 Publication Contemporary Nurse Abbreviated Journal
Volume 12 Issue 1 Pages 42-48
Keywords Nursing research; Ethics; Rest homes; Nurse-patient relations
Abstract This article discusses the issues that one nurse researcher faced during participant observation in three New Zealand nursing homes. These include the complexity of the nurse researcher role, the blurring of role boundaries, and various ethical concerns that arose, including the difficulties of ensuring that all those who were involved in the study were kept informed as to the researcher's role and purpose. Strategies used to maintain ethical and role integrity are outlined, with further debate and discussion around fieldwork issues and experiences for nurse researchers called for.
Call Number NRSNZNO @ research @ Serial 892
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Author (up) Bland, M.F.
Title Challenging the myths: the lived experience of chronic leg ulcers Type
Year 1994 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal Massey University Library
Volume 2 Issue 3 Pages 13-14
Keywords
Abstract This phenomenological study explored the experiences of five men and four women whose lives have been shaped by chronic leg ulcers. It reveals the suffering that accompanies these wounds, and challenges health professionals to move from a focus on wound management to understanding the realities of chronic illness experience
Call Number NRSNZNO @ research @ 160 Serial 160
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Author (up) Bleach, A.
Title Nurses talk the walk: An exploration of nurses' perception of advanced nursing practice on acute mental health inpatient units in New Zealand Type
Year 2005 Publication Abbreviated Journal Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz
Volume Issue Pages
Keywords Mental health; Nursing; Policy; Registered nurses; Advanced nursing practice; Psychiatric Nursing
Abstract The last twenty years, particularly the early 1990s, ushered in major mental health sector reforms inclusive of deinstitutionalisation policies and subsequent development of community services. Concurrent changes to student nurses' education left registered nurses as the workforce mainstay on inpatient units. However, the author suggests, an emerging global shortage of nurses and implementation of the Employment Contracts Act (1991) negatively impacted on recruitment and retention of registered nurses. Inpatient nurses either left nursing or moved to community positions for better money and increased job status. The author suggests that, as a consequence, the 'critical mass' of experienced and skilled nurses who traditionally provided nursing leadership disappeared resulting in compromised standards of care for patients. As the manager of an inpatient unit, the author proposed the establishment of advanced nursing practice roles as one initiative to provide nursing leadership in order to attract and retain nurses. This study explored five inpatient nurses' perceptions of advanced practice and whether these roles could assist to provide leadership and improve standards of care. The research was a qualitative exploratory descriptive study using a focus group interview as the data collection method. A thematic analysis of the group discussion transcription revealed three key themes: 1) the 'makeup' of advanced nursing practice, 2) moving forwards: establishing roles, 3) moving sideways: barriers to role development. The themes are critically discussed in relation to selected literature. The thesis includes recommendations that could be used by nurses responsible for planning and implementing advanced practice roles on inpatient units.
Call Number NRSNZNO @ research @ Serial 663
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Author (up) Blockley, C.E.
Title The experience of hospitalization first time for an acute medical illness Type
Year 2000 Publication Abbreviated Journal Massey University Library
Volume Issue Pages
Keywords Hospitals; Patient satisfaction
Abstract
Call Number NRSNZNO @ research @ 811 Serial 795
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