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Author |
Neville, S.J. |
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Title  |
Delirium in the older adult: A critical gerontological approach |
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Abbreviated Journal |
Massey University Library |
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Keywords |
Geriatric nursing; Older people |
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Abstract |
The purpose of this thesis has been to explore the discursive production of delirium in people over the age of 65 years. The philosophical approaches underpinning the study were derived from the field of critical gerontology, postmodernism and the utilisation of a Foucauldian understanding of discourse and power/knowledge. Data sources included published documents on delirium, interviews with people over the age of 65 years who had been delirious (as well as their clinical notes), family members, registered nurses and a doctor. Textual analysis revealed the presence of two contesting and contradictory discourses that impacted on being an older person who had delirium. These were identified as the discourse of delirium as a syndrome and a personal discourse of delirium. The discourse of delirium as a syndrome is underpinned by the biomedicalisation of the ageing process. This process utilises scientific methods as the foundation from which to understand, research and provide a health service to older people with delirium. Any personal perspectives on delirium are rendered unimportant and relegated to marginalised positions. Nursing through its vicarious relationship to medicine is interpellated into deploying the discourse of delirium as a syndrome and has largely ignored the personal dimensions associated with this phenomenon. Consequently, the older delirious 'body' is known and inscribed as unruly, problematic, physically unwell, cognitively impaired and at risk. Conversely, a personal discourse of delirium privileges the individual narratives of people who have been delirious and provides a different perspective of delirium. The deployment of a personal discourse of delirium offers another position that views this group of older people as bringing to the health care setting a rich tapestry of life experiences that are more than a cluster of signs and symptoms. It is these varied life experiences that need to be included as a legitimate source of knowledge about delirium. This thesis demonstrates how nursing needs to espouse a critical gerontological position when working with older people who have delirium. Critical gerontology provides nurses with the theoretical tools to challenge the status quo and uncover the multiple, varied, contradictory and complex representations of delirium in older people. |
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Call Number |
NRSNZNO @ research @ 598 |
Serial |
584 |
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Author |
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Title |
Dementia care: A literature review |
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Journal Article |
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Year |
2001 |
Publication |
Vision: A Journal of Nursing |
Abbreviated Journal |
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Volume |
7 |
Issue |
13 |
Pages |
33-36 |
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Keywords |
Dementia; Nurse-patient relations; Quality of health care; Nursing; Education |
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Abstract |
This article defines dementia, and explores recent trends in relation to why it is such a misunderstood condition in the health care setting. Within a theoretical framework of literature development, nurse client relationships, and quality of care and attitudes are analysed. Gaps, inconsistencies and consistencies are outlined, with the implications for nursing practice and education explored. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1279 |
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Author |
Kyle, W. |
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Title |
Dementia specific nursing in New Zealand: History and practice today |
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Journal Article |
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Year |
2002 |
Publication |
Vision: A Journal of Nursing |
Abbreviated Journal |
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Volume |
8 |
Issue |
14 |
Pages |
3-9 |
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Keywords |
Dementia; Nursing specialties |
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Abstract |
The author examines influences on contemporary dementia specific nursing practice. She addresses the current situation and future developments in this area. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1079 |
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Author |
Clendon, J. |
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Title |
Demonstrating outcomes in a nurse-led clinic: How primary health care nurses make a difference to children and their families |
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Journal Article |
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Year |
2004 |
Publication |
Contemporary Nurse |
Abbreviated Journal |
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Volume |
18 |
Issue |
1-2 |
Pages |
164-176 |
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Keywords |
Primary health care; School nursing; Nurse managers |
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Abstract |
The study outlined here explored outcomes from the provision of primary health care to children aged 5-13 years in a nurse-led clinic based in a primary school in Auckland. This multi-faceted study collected both qualitative and quantitative data, however it is the results of the quantitative arm of the study that are presented here. Data were collected from a variety of sources concerning conditions seen, age and ethnicity of users, types of services provided and impact on hospital usage. Findings demonstrate that the provision of comprehensive primary health care by the nurse at the clinic impacts positively on hospital visitation by children from the area where the clinic is located. |
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Call Number |
NRSNZNO @ research @ |
Serial |
947 |
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Author |
Pearce, L.; Cuthbertson, S.; Streat, S.J.; Hay, D. |
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Title |
Dental hygiene in the critically ill: a randomised controlled trial of three methods |
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Year |
1996 |
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Abbreviated Journal |
DCCM, Auckland Hospital, Private Bag 92024, Auck |
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Abstract |
Introduction Critically ill patients cannot clean their own teeth. A variety of methods are used but as the best method is unknown we performed a prospective randomised double-blind controlled trial of three methods.Method Of 359 consecutive admissions to the Department of Critical Care Medicine between 31/01/97 and 25/05/97, 222 were excluded (62 edentulous, 6 unexaminable, 142 transferred alive and 12 dead or dying at 24 hours). The remaining 137 patients had quantitative (picture-linked, ordinal score) assessment of caries, peridontal status and plaque (in 12 segments of teeth) before randomisation (to the use of either toothbrush, jumbo swab or sonic toothbrush) by pre-assigned sealed envelopes. All teeth were cleaned (prescribed four hourly) with 0.2% chlorhexidine solution. Daily plaque scores were obtained (by an assessor (SC) blind to treatment allocation) until withdrawal, death or transfer.Results Toothbrush Jumboswab SonicPatients assigned 50 48 39Withdrawn within 24hrs. 9 3 5Patients remaining 41 45 34Percentage of teeth segments thatare pristine: pre treatment 45 50 51 after 2 days 74 57 90 F(2.63) = 5.00 p = 0.0097 More withdrawals for patient noncompliance after randomisation occurred in the sonic group (5/34 versus 3/86). Conclusion. By the second day the sonic toothbrush was the most effective in plaque removal with the toothbrush the next most effective method |
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Call Number |
NRSNZNO @ research @ 203 |
Serial |
203 |
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Author |
Mortensen, A. |
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Title |
Destigmatisation: A grounded theory of the work of sexual health nurses |
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Year |
2000 |
Publication |
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Abbreviated Journal |
Massey University Library |
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Pages |
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Keywords |
Sexual and reproductive health; Prejudice; Nurse-patient relations; Attitude to health |
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Abstract |
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Call Number |
NRSNZNO @ research @ 809 |
Serial |
793 |
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Author |
Mathias, L. |
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Title |
Determination on patient participation in the assessment phase of the nursing process |
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Year |
1984 |
Publication |
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Abbreviated Journal |
North Shore Hospital, Takapuna |
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Abstract |
A pilot study to determine the effectiveness of the assessment tool as a data collection device was crucial to the effectiveness of the major study. The pilot sample consisted of 10 patients who participated in the assessment phase of the Nursing process. Patients complied with therapeutic objectives to control urinary incontinence when they participated in the assessment phase and when 24 hour Nursing support is available. The removal of this support ( within the Hospital environment) may be integral to long term compliance |
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Call Number |
NRSNZNO @ research @ 45 |
Serial |
45 |
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Author |
Garlick, A. |
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Title |
Determined to make a difference: A study of public health nursing practice with vulnerable families |
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Year |
2006 |
Publication |
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Abbreviated Journal |
Massey University Library, NZNO Library |
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Issue |
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Pages |
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Keywords |
Public health; Children; Nurse-family relations |
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Abstract |
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Call Number |
NRSNZNO @ research @ 737 |
Serial |
723 |
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Author |
Anderson, P.R. |
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Title |
Determining competency for entry to nursing practice: A grounded theory study |
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Year |
2008 |
Publication |
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Abbreviated Journal |
ResearchArchive@Victoria |
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Keywords |
Professional competence; Clinical supervision; Nursing; Education |
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Abstract |
Critical Comparative Nursing Assessment (CCNA) is a theory about how the competence of completing Bachelor of Nursing students in New Zealand is determined. Semi-structured, audio-taped interviews and field notes were used to collect data from twenty-seven nurses with experience in undertaking competency assessment. A Glaserian grounded theory approach was used to guide the data collection and analysis. This utilised the processes of constant comparative analysis, theoretical sampling and saturation to generate a middle range substantive grounded theory. This is presented as a model consisting of four emergent categories that explain how nurses formulate professional judgements about competence. These are a) gathering, which describes the processes used to collect evidence of practice to inform decisions; b) weighing up, which explains how evidence is analysed using the processes of benchmarking and comparative analysis; c) judging brings into focus the tensions inherent in making professional judgements about competence and how nurses formulated these, and d) moderating, which describes the processes nurses use to validate decisions and ensure that professional responsibilities and public safety are upheld. The basic social psychological process of comparing integrates these categories to explain how nurses resolve the tensions associated with making decisions about competence. This research presents a new way of viewing and understanding how nurses assess competence. It identifies where the challengers and tensions related to the assessment of competence lie and suggests strategies that if implemented, the author suggests could further enhance the validity and reliability of assessment outcomes. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1182 |
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Author |
Te Whata, Tracy Deborah |
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Title |
Determining the value of Maori nurses in Aotearoa |
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Book Whole |
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Year |
2020 |
Publication |
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Abbreviated Journal |
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Volume |
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Issue |
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Pages |
236 p. |
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Keywords |
Maori nurses; Kaupapa Maori; Tikanga; Nursing discourse; Discrimination; Cultural safety |
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Abstract |
Offers an understanding of how nursing discourse is embedded within legislation, regulatory bodies, and nursing practice and its direct impact on the health and well-being of Maori nurses. Argues that nursing discourse marginalises and undervalues tikanga. Explores the experiences of Maori registered nurses (RN) using a kaupapa Maori, mixed-method approach. Surveys over 300 Maori RNs about career and professional development, use of tikanga, cultural identity, and racism/discrimination at work. |
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Call Number |
NZNO @ research @ |
Serial |
1799 |
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Author |
Eappen, Seena |
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Title |
Developing a clinical referral pathway for the management of difficult venous access for ward nurses at North Shore Hospital |
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Book Whole |
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Year |
2022 |
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Abbreviated Journal |
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Issue |
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Pages |
83 p. |
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Keywords |
Cannulation; Difficult Venous Access (DVA); Clinical Referral Pathway; Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) Model |
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Abstract |
Aims to streamline a clinical referral pathway (flow chart) for difficult venous access (DVA). Conducts a review of current literature to provide a theoretical basis to support the project. Uses the Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) Model to develop the project, collecting a six-month sample of referral data to identify trends. Identifies four key themes during daa analysis: patient clinical condition; difficult access; staff education and training; and urgency for treatment |
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Call Number |
NZNO @ research @ |
Serial |
1751 |
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Author |
Andrews, C.M. |
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Title |
Developing a nursing speciality: Plunket Nursing 1905 – 1920 |
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Year |
2001 |
Publication |
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Abbreviated Journal |
ResearchArchive@Victoria |
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Issue |
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Pages |
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Keywords |
Plunket; History of nursing; Nursing specialties; Paediatric nursing |
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Abstract |
This paper focuses on the history of Plunket nursing and Truby King's ideology and other dominant ideologies, during the years 1905 – 1920. To provide a context, the paper explores the development of a new nursing speciality – Plunket nursing, that became part of the backbone of a fledgling health system and the New Zealand nursing profession. Correspondingly, Truby King presented the country with a vision for improving infant welfare underpinned by his eugenics view of the world and his experimentation with infant feeding. The author argues that nurses were drawn to the work of the newly created Plunket Society and that the Society had lasting influence on the development of nursing in New Zealand. |
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Call Number |
NRSNZNO @ research @ 1167 |
Serial |
1152 |
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Author |
Surtees, R. |
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Title |
Developing a therapeutic alliance in an eating disorders unit |
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Journal Article |
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Year |
2007 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
13 |
Issue |
10 |
Pages |
14-16 |
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Keywords |
Nursing specialties; Multidisciplinary care teams; Psychiatric Nursing; Nurse-patient relations; Anorexia nervosa |
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Abstract |
The author presents the approach of a nursing team at Christchurch's Princess Margaret Hospital, in the regional specialist service for people with anorexia nervosa. This unit provides the only specialist inpatient unit in the country, consisting of a six or seven-bed facility that shares a unit with a mother and baby unit. A multidisciplinary team of psychiatric nurses, dietitians, occupational therapists, psychiatrists, psychologists and social workers all make significant contributions. The Christchurch unit uses a cognitive-behavioural therapy model (CBT) across the disciplines, a multidimensional approach incorporating psychotherapeutic, psychoeducational, biomedical and behaviourist paradigms. This occurs within a “lenient flexible approach”. Within the Unit, the eight nurses constitute what could be seen as an “intra”-disciplinary team within the wider “inter”-disciplinary or MDT team. They apply an evidence-based nursing approach with a commitment to partnership and advocacy with their patients. They use collaborative techniques for defining shared goals, and the careful management of the introduction of food. As one of the team members, the author envisages that the job of specialised nurses is to form a therapeutic alliance with patients, which takes account of the dynamic ways that patients may negotiate their own complex understandings of health, care, and recovery. |
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Call Number |
NRSNZNO @ research @ |
Serial |
982 |
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Author |
Holloway, K. T. |
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Title |
Developing an evidence base for teaching nursing practice skills in an undergraduate nursing program |
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Journal Article |
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Year |
1999 |
Publication |
Nursing Praxis in New Zealand |
Abbreviated Journal |
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Volume |
14 |
Issue |
1 |
Pages |
22-32 |
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Keywords |
Nursing; Education; Curriculum; New graduate nurses; Evaluation |
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Abstract |
This research seeks to determine an evidence basis for selecting content for the clinical skills curriculum in an undergraduate programme. Thirty-three senior nurse clinicians from medical-surgical areas in 2 large hospitals offering student placements were asked to rate the frequency of performance of 77 skills for the beginning registered nurse. Those skills frequently used and rated over 65% were considers for inclusion in the undergraduate programme. Clinicians were asked to list the 10 most important skills and related level of competence expected from the newly-registered nurse. |
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Call Number |
NRSNZNO @ research @ |
Serial |
640 |
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Author |
Mearns, G. |
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Title |
Developing autonomous ownership: A grounded theory study of how registered nurses working in aged care are advancing their nursing practice |
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Year |
2005 |
Publication |
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Abbreviated Journal |
Auckland University of Technology Library |
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Volume |
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Issue |
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Pages |
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Keywords |
Nurse practitioners; Geriatric nursing; Older people; Registered nurses |
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Abstract |
The introduction of nurse practitioner registration into New Zealand in 2001 was heralded as a move that would open up a wealth of opportunities for registered nurses to extend their practice into more independent roles and to provide a client-centred health service. It was also seen as a way to retain experienced registered nurses in the clinical practice area by providing a credible clinical career pathway. If nurse practitioner's are to meet these expectations, then, the author suggests, it is important to understand the processes that encourage or discourage nurses from advancing their practice. One of the early scopes of practice to be introduced was nurse practitioner with an endorsement in aged care scope of practice. Grounded theory was the method used to generate an explanation of how registered nurses working in aged care were preparing for the introduction of nurse practitioner roles. An analysis of early data highlighted codes around registered nurses in aged care extending and advancing their practice rather than preparing specifically for the nurse practitioner role. The research question for this study was: 'How are registered nurses in aged care advancing their nursing practice?' Semi-structured interviews were used to collect data from ten experienced registered nurses working in aged care clinical practice settings ranging from secondary hospital facilities, to community settings and residential care villages. Dimensional analysis of the data eventually generated three major conceptual categories: 'ownership of nursing', 'extending practice', and 'moving out of a comfort zone'. Of these, 'ownership of nursing' was identified as the core construct that linked the other categories together. The substantive theory that explains how registered nurses in aged care advance their clinical practice is 'developing autonomous ownership'. Nurses who develop autonomous ownership of nursing are more likely than other nurses to move out of a current comfort zone and advance their practice into more independent roles that suit their autonomous ownership of nursing. This study identified important contextual factors and conditions that support the development of an autonomous ownership of nursing and that subsequently facilitate advancing nursing practice. These include creating supportive environments, organisational commitment to advanced nursing practice roles, visible nursing leadership, congruence between organisational and nursing philosophies, interdisciplinary collaboration and participating in postgraduate education. The author suggests that the significance of this study is that it generated a theory about the processes that encourage or discourage nurses from preparing for, and progressing into, advanced nursing practice roles such as nurse practitioner. |
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Call Number |
NRSNZNO @ research @ |
Serial |
585 |
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