| Records |
| Author |
Idour, D.M.G. |
| Title |
Stepping beyond the known – the lived experience of returning registered nurse students: an interpretive descriptive study |
Type |
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| Year |
1998 |
Publication |
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Abbreviated Journal |
Massey University Library, NZNO Library, UMI Disse |
| Volume |
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Issue  |
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Pages |
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| Keywords |
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| Abstract |
A Heideggerian Hermeneutical Analysis (HHA) approach was used for a study of returning registered nurse students (RRNS) from a nursing/health management context. In essence a descriptive interpretive study the intent has been to unveil the common meanings embedded in the lived experience of RRNS return to formal (advanced) studies. The phenomenon or issue of interest was pursued in the form of a question: What is meaningful and significant for participant RRNS in their everyday world on re-engaging in formal (advanced) nursing studies?Research from the RRNS viewpoint is scarce, so the focus of the study was to understand what RRNS themselves found to be the highlights of the experience. Participants included RRNS coming from a management background and, therefore, very much at the cutting edge of rapid and continuing change in health care provision. In addition to personal and professional reasons for returning to study, what the narratives disclosed was the compelling need experienced by the RRNS to increase understanding of changing requirements in the workplace. They looked for new possibilities to transform management of nursing/health services and for learning experiences favorable to that purpose. A key aspect of their concern related to the interactive nature of their lived experience as a RRNS with the entire context of their everyday world, that is, with the connections and relations between the study-work-homespace.Fourteen RRNS from an established university nursing programme participated in an expended non-structured interviews lasting 60 – 90 minutes. The interviews were held during 1993 in places selected by participants, some in the home but mostly in the work setting. With the consent of the participants interviews were audiotaped and then transcribed. The texts (transcriptions) were analysed hermeneutically using Heideggerian phenomenology, a particular tradition of philosophy whose concern is the meaning of Being. The concern is to make visible participants' experience of their 'world'. In this instance, it was the everyday 'world' of the participant RRNS and the lived meanings of what they experienced on return to formal (advanced) studies. Hence everyday lived experience is the focus of attention in Heiedeggerian phenomenology. In this research approach what is sought is understanding not explanation. It is a premise of phenemenology that, in general, an understanding of the meaning and significance of the lived experience can be required from the 'things' (the phenomena under study) themselves. Approaching a participant as an expert by virtue of directly experiencing the phenomenon, is basic to phenomenology. Hermeneutic analysis of the texts of the participant RRNS affirmed the authenticity of those assumptions.The study revealed several common or major themes, two relational themes and one constitutive pattern were identified through the process of textual interpretation. The constitutive pattern expressing the full complexity of the relations and connections between the themes, was found to be present in all fourteen texts; the nature of a constitutive pattern being 'that it's always there'. The constitutive pattern 'Nursing is Dwelling in Thoughtful Concern as Context Calls Forth', emerged as the major finding of the study. This pattern witnesses to the pragmatism that is inherent in nursing and commonly found in nurses' responses to the challenges presented by continuing and rapid change. For the participant RRNS nursing had become a way of engaging their energies in the workplace as appropriate to a given place, time and culture. The two relational themes accent particular aspects of the constitutive pattern. 'Nursing' is a whole pile of things'; and 'Curriculum: Reflective Openness' reveal the inherent meanings of the constitutive pattern. Firstly, that nursing is diverse in practice and has many dimensions; and,, secondly, that a curriculum befitting the diversity of nursing requires us to constantly challenge ad test the learning experiences we provide for RRNS.The fourteen participants traversed diverse pathways to acquire the understanding and skills required for altered health care structures. Adopting new relationships and 'leaping-ahead' (Heidegger, 1962), to be able to see the whole picture of what was being experienced in nursing/health care, reveals the RRNS becoming-as interpreters for both colleagues and clients. Leaping-ahead is reflective of thoughtful concern as the pattern of responding to presenting need. This way of living a life transforms work. The participant RRNS disclose that, dwelling in such a way in nursing/health work opens up a future of possibilities which brings all the presenting needs into focus. Sharing the story of their lifeworld as RRNS, the participants have exemplified the ' reflective openness' Senge(1990) advocates, as being a pre-requisite for 'learning organisations'. Contemporary oganisations require us to challenge our own thinking as well as being free to speak our minds ('participant openness'). Since, however much we value our daily life practices and understandings, they need to be 'always subject to test and improvement'. In effect, what the participants have bestowed on us is that, within the framework of a curriculum for RRNS and the content learning of a given course, we must generate a process of learning amenable to both individual and group requirements |
| Call Number |
NRSNZNO @ research @ 208 |
Serial |
208 |
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| Author |
Corbett, A. |
| Title |
The use of breast milk and the re-establishment of the Human Breast Milk Bank in the Neonatal Unit in Waikato Hospital |
Type |
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| Year |
1992 |
Publication |
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Abbreviated Journal |
Neonatal Unit, Waikato Hospital |
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Issue |
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Pages |
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| Keywords |
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| Abstract |
The suitability of human breast milk for the nurturing and development of the human species is proven over hundreds of thousands of years. Human milk is without peer in containing all the nutrients required for the growth and development of the human infant.Over and above the nutrient factors, human milk has significant immunological, anti-infective, and anti-allergy properties that should be foremost in deliberations of neonatal nurses and doctors, before one considers calorie counts and weight gain. Lucas and Cole ( 1990) have shown the terrible consequences of using formula in preterm babies over those fed only human milk, The NZ Cot Death Studies' first year results have shown the significance of breast feeding in reducing the incidence of cot death., giving an oblique reference to the effects of neonatal staff attitude on mothers milk of at risk babies.A ready supply of human breast milk used to be available to neonatal staff from the milk bank. All but a very few of these banks were closed down all over the world due to AIDS phobia rather than by any scientific fact. Sufficient time has gone by for science and nationality to govern the use of human breast milk, and a case is made for the reopening of the Milk Banks |
| Call Number |
NRSNZNO @ research @ 209 |
Serial |
209 |
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| Author |
Berry, R. |
| Title |
Psychiatric comorbidity and childhood adversity in women seeking treatment for alcohol and/or drug dependence |
Type |
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| Year |
1999 |
Publication |
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Abbreviated Journal |
University of Otago Library, Dunedin |
| Volume |
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Issue |
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Pages |
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| Keywords |
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| Abstract |
Eighty alcohol and/or drug dependent women who were consecutive admissions to an outpatient alcohol and drug service were interviewed with the aim of gathering information regarding childhood adversity, psychiatric comorbidity and alcohol and drug history, including extent of treatment and alcohol and drug related criminality. A secondary aim of the study was to investigate associations between both the multiplicity of alcohol and drug dependence diagnosis and the presence of psychiatric comorbidity in relation to exposure to childhood adversity, including sexual, physical and emotional abuse.The data demonstrate that the study sample was a relatively severe group of alcohol and drug dependent women. A sizeable percentage came from backgrounds characterised by parental separation, conflict and alcohol and drug problems. Many were regularly exposed to physical abuse perpetrated by both parents or main parental figures and over two-thirds were exposed to some form of sexual abuse within their first 15 years. Sixty percent had been dependent on more than one psychoactive substance, with half having undergone previous alcohol and drug treatment. The women also presented with substantial histories of criminal convictions, with a quarter having served a prison sentence. The results indicate the presence of extensive psychiatric comorbidity in the sample. Two-thirds of the women met current DSM-IV criteria forat least one of the following Axis I disorders: major depressive syndrome, social phobia or bulimia nervosa, while nearly half had antisocial personality disorder. More importantly, significant associations were found regarding the presence of psychiatric comorbidity in relation to four measures of severe childhood adversity, i.e. childhood sexual, physical and emotional abuse and parental problems. Multiplicity of alcohol and drug dependence diagnosis was associated with severe emotional abuse, severe parental problems andpsychiatric comorbidity. Emotional abuse during childhood was the most pervasive indicator of comorbidity and multiplicity of alcohol and/or drug dependence. The main implication for clinical practice arising from the results of this study is the need for the development of a broader approach to alcohol and drug service provision. In order to achieve positive treatment outcomes, alcohol and drug service may need to routinely screen and plan treatment for unresolved childhood trauma, psychiatric disorder and other problems related to alcohol and drug use in all clients presenting for alcohol and drug treatment |
| Call Number |
NRSNZNO @ research @ 210 |
Serial |
210 |
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| Author |
McKinlay, E.M. |
| Title |
Within the circle of care: the patient's lived experience of receiving palliative care |
Type |
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| Year |
1998 |
Publication |
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Abbreviated Journal |
Mary Potter Hospice Library, Wellington |
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Issue |
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Pages |
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| Keywords |
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| Abstract |
The objective of this research was to determine aspects of hospice based palliative care which patients described as being important and valued. This research is to be the basis of future work on the development of consumer generated quality indicators. Palliative care managers could use these to evaluate hospice based care, and provide output measures for health providers. The methodology used by the researcher was qualitative descriptive informed by phenomenology. Six recently discharged hospice patients who had at least two episodes of palliative care were interviewed about their experience of care. The resulting data, after reflection, formed a representation; the circle of care. This included aspects of valued care generated by actions of the interdisciplinary staff, and other aspects of care generated within the palliative care environment which the patient perceived as being meaningful and important. In conclusion, the reality of people receiving palliative care is characterised by a number of supportive traditional and non-traditional aspects of caring. Although some characteristics have been described within general health and the palliative care literature, some appear to have been generated by these particular participants as part their reality. The researcher believes that the resulting representation of care requires further research in other palliative care settings. The process of interviewing terminally ill people although not without concern to the interviewer, and inherently difficult for the patients, appeared to allow the patient to tell the story of both their illness and care |
| Call Number |
NRSNZNO @ research @ 211 |
Serial |
211 |
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| Author |
White, E. L. |
| Title |
A co-operative approach to nursing manpower planning |
Type |
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| Year |
1980 |
Publication |
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Abbreviated Journal |
author |
| Volume |
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Issue |
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Pages |
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| Keywords |
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| Abstract |
The paper reviews, as a case history, the progress (to 1980) of the development of a Nursing Manpower Plan for Wellington Hospital Board.The main features of protocol are delineated.The prime requirement for the development of a manpower plan are perceived of as having available, reliable, quantifiable and comparable data.Discussion indicates the methods of collection, analysis and use (actual and potential) of quantifiable data.The use of quantifiable data indicated the potential, for the use of “nursing hours per patient per day” |
| Call Number |
NRSNZNO @ research @ 212 |
Serial |
212 |
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| Author |
Stokes, C. |
| Title |
The role of student self-assessment in a Bachelor of Nursing Degree programme |
Type |
Journal Article |
| Year |
1997 |
Publication |
Beginning Journeys: A Collection of Work |
Abbreviated Journal |
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| Volume |
3 |
Issue |
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Pages |
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| Keywords |
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| Abstract |
The purpose of this study was to determine if there was commonality amongst teachers, in perceptions of the role of student self-assessment in the nursing programme. Four nurse educators, who were teaching and supervising students undertaking self-assessment in clinical practice, participated in a semi-structured interview. Three focus questions guided the interviews and addressed the individual teachers perception of self-assessment, what the teacher considered the benefits of self-assessment to be, and how the teacher used student's self-assessment's in their role as clinical supervisor. The taped interviews were transcribed, and coded and general themes identified. The findings revealed a high degree of consensus amongst the teachers in regard to the co-operative nature of self-assessment, and the teacher's role as a facilitator. The need for students to develop skills of analysis and reflection on their performance as well as the need to furnish students with clear guidelines on what to self-assess, were highlighted |
| Call Number |
NRSNZNO @ research @ 213 |
Serial |
213 |
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| Author |
Stokes, C. |
| Title |
Nursing students experience of journalling |
Type |
Miscellaneous |
| Year |
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Publication |
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Abbreviated Journal |
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| Volume |
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Issue |
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Pages |
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| Abstract |
The aim of this study was to identify some nursing students' perceptions of how the process of journalling helps them to learn about nursing. The study sample were three students enrolled full time in a Bachelor of Nursing programme and at the end of their first year. Each student volunteer participated in a semi-structured audio-taped interview, guided by the opening question “What is journalling like for you?” The tapes were transcribed, coded and analysed for general themes. Each participant received a copy of her transcript and was invited to alter, add or delete any information. The findings highlighted the difficulties of beginning to journal, learning how to journal, personal growth through journalling, the journal as a critical document of oneself, a love-hate relationship with journalling, and what journalling is like now |
| Call Number |
NRSNZNO @ research @ 214 |
Serial |
214 |
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| Author |
Neville, S.J. |
| Title |
Well-being in the older male: an investigation of mental, social and physical well-being indicators in Wanganui men |
Type |
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| Year |
1998 |
Publication |
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Abbreviated Journal |
Massey University Library & Christchurch Polytechn |
| Volume |
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Issue |
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Pages |
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| Keywords |
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| Abstract |
New Zealand's older population is gradually increasing. This will men the number of people with problems related to psychological and general well-being will also rise. When compared to women, men do not live as long, are more likely to die from intentional injury and use primary health services less. There is a paucity of research on older men, particularly within a New Zealand context. Because nurses work closely with people in primary, secondary and tertiary care settings they are well placed to undertake research and utilise research findings from studies relating to the older adult to promote health and well -being. The intention of the present study was to gain a greater understanding of those factors which impact on the well-being in older men. Based on Wan, Odell and Lewis's (1992) model of general well-being, mental, social and physical well-being indicators were investigated to examine their relationships to overall psychological well-being and physical health.The data for the present study was collected from a non-probability sample of 217 males (over 65 years) residing in the Wanganui area. Multiple regression analysis reveled that of the mental, social and physical indicators only satisfaction with social supports and number of visits to the doctor in the previous 12 months were significantly related to psychological well-being, and number of medications and illness/disabilities were significantly related to physical health as measured by self ratings of health.Findings are discussed in relation to the literature. It ids clear that nurses, and other health professionals, need to be aware of the relationship between objective health status and subjective well-being, and the distinction between the quality and quantity of support in order to provide effective care to older men. Finally the general limitations and future research implications are discussed |
| Call Number |
NRSNZNO @ research @ 215 |
Serial |
215 |
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| Author |
Bird, A. |
| Title |
Social withdrawal among early patients in a long-stay psychiatric ward |
Type |
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| Year |
1979 |
Publication |
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Abbreviated Journal |
Massey University Library |
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Issue |
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Pages |
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| Call Number |
NRSNZNO @ research @ 216 |
Serial |
216 |
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| Author |
Eopapong-Thongkajai, E. |
| Title |
Effects of structured pre-operative teaching upon post-operative physical recovery and psychological welfare |
Type |
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| Year |
1980 |
Publication |
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Abbreviated Journal |
Massey University Library |
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Issue |
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Pages |
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| Call Number |
NRSNZNO @ research @ 217 |
Serial |
217 |
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| Author |
White, E. L.; Whiteman, E.J. |
| Title |
One approach to nursing manpower planning: a regional perspective |
Type |
Miscellaneous |
| Year |
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Publication |
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Abbreviated Journal |
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| Volume |
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Issue |
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Pages |
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| Abstract |
A dual presentation. This abstract gives only the research section of the presentation.A description of the data base components for Wellington Hospital Board Nursing Manpower Planning, which includes;Patients-: population based, bed based, best estimate, average daily bed occupancy andcategories.Nurses-: categories, whole time equivalents, attrition, nursing hours available, nursing hours lost.Finance.Assumptions for patient and nursing staff projections to 1986 are given.Financial constraints and the “buying” of nurses.A proportion of nursing positions are fixed by establishments and policy. The degree of flexibility remaining to “buy” differing categories of nursing staff |
| Call Number |
NRSNZNO @ research @ 218 |
Serial |
218 |
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| Author |
Adamson, M.J. |
| Title |
Action research: the journey from enrolled nurse to registration and beyond. Discovering a process to promote self-efficacy and professional development |
Type |
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| Year |
1997 |
Publication |
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Abbreviated Journal |
Victoria University of Wellington |
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Issue |
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Pages |
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| Call Number |
NRSNZNO @ research @ 219 |
Serial |
219 |
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| Author |
Tangamonsiri, D. |
| Title |
Teaching coping behaviour to psychiatric patients |
Type |
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| Year |
1978 |
Publication |
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Abbreviated Journal |
Massey University Library |
| Volume |
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Issue |
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Pages |
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| Call Number |
NRSNZNO @ research @ 220 |
Serial |
220 |
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| Author |
Alessi, L. |
| Title |
The role of quality assurance strategies in the evaluation of New Zealand nursing services |
Type |
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| Year |
1990 |
Publication |
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Abbreviated Journal |
Victoria University of Wellington Library |
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Issue |
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Pages |
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| Call Number |
NRSNZNO @ research @ 221 |
Serial |
221 |
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| Author |
Bassett-Smith, J.L. |
| Title |
Midwifery practice: authenticating the experience of childbirth |
Type |
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| Year |
1988 |
Publication |
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Abbreviated Journal |
Massey University Library |
| Volume |
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Issue |
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Pages |
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| Abstract |
The purpose of this grounded theory study was to identify, describe and provide a conceptual explanation of the process of care offered by midwives and the effects of that care on women's experiences of childbirth on hospital. Ten couple participants and their attendant midwives provided the major source of data. The primary data collection methods used in this study were participant observation during each couple's experience of labour and birthing, antenatal, hospital and postnatal interviews with couples along with formal and informal interviews with midwives.Constant comparative analysis of data eventuated in the identification, in the context of this study denotes a process that is engaged in by both midwives and birthing women in order to establish practice, and the experience of giving birth, as being individually genuine and valid.Authenticating is multifaceted and is seen to include the intertwined and simultaneously occurring phases of 'making sense', 'reframing', 'balancing' an 'mutually engaging'.The process of authenticating is proposed as a possible conceptual framework for midwifery practice. It identifies the unique contribution the midwife can make to a couple's experience of childbirth and serves in a conceptual way to unite the technical and interpersonal expertness of the midwife. The conceptual framework of authenticating legitimizes 'being with' women in childbirth and facilitates a women-centred approach to care with consequent implications for practice, education and research |
| Call Number |
NRSNZNO @ research @ 222 |
Serial |
222 |
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