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Author (up) Allen, N.R.
Title Midwifery education in New Zealand Type
Year 1991 Publication Abbreviated Journal NZ College of Midwives
Volume Issue Pages
Keywords
Abstract A review of the current status of midwifery in NZ and potential for its' development
Call Number NRSNZNO @ research @ 381 Serial 381
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Author (up) Bennett, J.; Cooney, C.; Jackson, S.
Title The Ringa Atawhai Model Type
Year 1991 Publication Abbreviated Journal Whangerei Base Hospital Library, Private Bag, Whan
Volume Issue Pages
Keywords
Abstract The Ringa Atawhai Model is based on the principles of Whanau and partnership and founded on the Ottawa Charter and Treaty of Waitangi documents. The research looks at the work carried out by Ringa Atawhai members with both individuals and groups throughout Northland
Call Number NRSNZNO @ research @ 124 Serial 124
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Author (up) Brown, M.B.
Title The Auckland School of Nursing, 1883 – 1990: the rise and fall Type
Year 1991 Publication Abbreviated Journal University of Auckland Library
Volume Issue Pages
Keywords
Abstract
Call Number NRSNZNO @ research @ 312 Serial 312
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Author (up) Clare, D.J.(see also P.)
Title Teaching and learning in nursing education: a critical approach Type
Year 1991 Publication Abbreviated Journal Massey University Library
Volume Issue Pages
Keywords
Abstract
Call Number NRSNZNO @ research @ 232 Serial 232
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Author (up) Enslow, B.A.
Title Bonded caring: health care choices of women with dependent children Type
Year 1991 Publication Abbreviated Journal Massey University Library
Volume Issue Pages
Keywords
Abstract The question for this study arose from the observation that health care often does not match the client's self-determined needs and desires, and hence is wasted care. As a result, the study proposed to discover what elements are involved when women with dependent children make health care choices and what they want in the way of health care.The exploratory study was conducted using strategies of grounded theory. Fourteen in-depth interviews, involving eleven women, were conducted. The selection of participants and of the questions for the interviews was basef on theoretical sampling. Constant comparative analysis and integrative diagramming were used to analyse the data.The theory that emerged from the data was Bonded Caring and its two essential categories; Interconnectedness and Caring. Bonded Caring requires an intimate and ongoing relationship in which there is development of in-depth knowledge of the unique characteristics of the person(s) involved. It is characterised by a strong and enduring effective quality, and by a concern, worry and serious attention to the needs of the person(s) involved. This concern necessitates the gathering of information about the nature of the needs, and making the best possible choices concerning their management.During this research for knowledge and skills needed to carry out health care, women assess their own knowledge and experience; the level(s) of health care needed by each individual; the availability, competence and expected response of the resource person or health care consultant; the perception of risk associated with a health concern; and the family's culture and life style. The women considered these elements within a structural framework of finite material and personal resources. The women juggled the distribution of these resources in a way that allowed them to select the avenues of health care that provided the best degree of safety and protection of development within the context of their circumstances
Call Number NRSNZNO @ research @ 248 Serial 248
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Author (up) Euswas, P.W.
Title The actualized caring moment: a grounded theory of caring in nursing practice Type
Year 1991 Publication Abbreviated Journal Massey University Library
Volume Issue Pages
Keywords
Abstract The purpose of this study was to provide a partial theoretical description of the phenomenon of caring in nursing practice. Three practice settings involving cancer patients were selected: hospital, hospice, and community with thirty patients and thirty-two nurses participating in the study. A research design combining a phenomenological perspective and grounded theory strategies was implemented. Data were collected by interview, participant observation and records. The data were analysed by the method of constant comparative analysis.A number of concepts were developed from the data and the theoretical framework of “The Actualized Caring Moment” was formulated to explain how the actual caring process occurs in nursing practice. This caring moment is the moment at which the nurse and the patient realise their intersubjective connectedness in transforming healing-growing as human beings in a specific-dynamic changing situation. The actualized caring moment is a gestalt configuration of three carting moments. The pre-conditions, The on-going interaction, and The situated context.The Pre-conditions, which consist of the nurse, personally and professionally prepared to care, and the patient, a person with compromised health and wellbeing, are pre-requisites for the occurrence of the caring process. The nurses has the qualities of benevolence, commitment, and clinical competency to be ready to care. The patient is a unique person in a vulnerable state and requires assistance from the nurse to meet personal health needs.The on-going interaction, the actual caring process, is the continuity of the nurse-patient interaction moment by moment which brings together six caring elements: Being there, Being mindfully present, A relationship of trust Participation in meeting needs, Empathetic communication, and Balancing knowledge-energy-time. The Situated Context is the situation and environment where the actual caring process is taking place, and this is comprised of circumstances of the nurse-patient meeting and care-facilitating working conditions.The conceptual framework of “The Actualised Caring Moment” offers nurses an opportunity to understand their practice more fully in providing effective nursing service. Consequently, its implications are valuable for education, research, and the development of knowledge focussed on the discipline of nursing
Call Number NRSNZNO @ research @ 337 Serial 337
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Author (up) Euswas, P.W.
Title Professional nurses' view of caring in nursing practice: two preliminary studies in New Zealand Type
Year 1991 Publication Nursing Praxis in New Zealand Abbreviated Journal Massey University Library
Volume 5 Issue 3 Pages 42
Keywords
Abstract Two convenience samples of 90 NZ registered nurses responded to two structured questionnaires designed to explore nurses views of caring in nursing practice.The studies demonstrate that nurses see caring as a central concept in their practice. From the response the meaning of caring was found to be multi dimensional, consisting of six components: value, expressive, action, relationship, knowledge and purpose. The value dimension includes areas such as humanistic value and professional value. The expressive component consists of empathy, compassion, trust, concern, sharing and willingness. Action components are helping, comforting, being there, empowering, advocacy, nurturing, advising, touching and performing nursing procedures. The major relationship component is partnership. An important part of the knowledge component is clinical expertise and the purposive component of caring consists of meeting health needs and promoting healing and welfare. The meaning of caring begins to emerge from these studies. However, they do not provide full understanding of caring phenomena. A further in-depth study of actual nursing practice is still in progress
Call Number NRSNZNO @ research @ 9 Serial 9
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Author (up) Fleming, V.E.M.
Title Towards nursing advocacy: a socio-political process Type
Year 1991 Publication Abbreviated Journal Massey University Library, Palmerston North
Volume Issue Pages
Keywords
Abstract This thesis provides a reflexive critique of the power structures which constrain nursing actions in the practice setting, an abortion clinic, of the registered nurses who participated in this study. The development of abortion services, like other health services for women, has been based on a medical ideology of health which has created many ethical dilemmas for nurses. One of the most complex of these is the extent to which nurses should fulfil the role of client advocate. While the literature on nursing advocacy has been prolific, published research in this area is scant.The theoretical assumptions of critical social science, provide the basis for the methodological approach of action research adapted in this study. In depth, unstructured interviews involving exchange of dialogue amongst the participants with the researcher focused on the participants' experiences of their own nursing practice, with a view to uncoveing and removing restrasints, which had prevented them fulfililng an advocacy role. Diaries were also kept and used as supplementary research tools.The analysis of the data demonstrates the ways in which nurses interpret their own practice world as a system independent of their own actions. It shows how the shared understandings of the participants were 'ideologically frozen' and power relations inherent in the health care system are deep rooted and subtle, coming to be treated as natural by the nurses, and so denying them their own ability to make changes.It is suggested that opportunities for nurses coming together and engaging in such critically reflexive dialogue may provide a basis for future emancipation from traditional power structures. In this way effective and satisfying nursing practice dependent on emancipatory knowledge and a reinterpretation of power structures may result in an advocacy role for nurses
Call Number NRSNZNO @ research @ 140 Serial 140
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Author (up) Hale, J.E.
Title Back injuries among nursing staff: an exploratory study Type
Year 1991 Publication Abbreviated Journal University of Canterbury Library
Volume Issue Pages
Keywords
Abstract
Call Number NRSNZNO @ research @ 309 Serial 309
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Author (up) Hay, J.
Title A needs assessment of and for people with head injuries in the greater Auckland area Type
Year 1991 Publication Abbreviated Journal University of Auckland Library
Volume Issue Pages
Keywords
Abstract
Call Number NRSNZNO @ research @ 308 Serial 308
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Author (up) Kavet, M.A.
Title User and provider perceptions of service quality: an exploratory study of a professional service Type
Year 1991 Publication Abbreviated Journal Massey University Library
Volume Issue Pages
Keywords
Abstract
Call Number NRSNZNO @ research @ 271 Serial 271
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Author (up) Litchfield, M.
Title Nursing education: Direction with purpose Type Journal Article
Year 1991 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 84 Issue 7 Pages 22-24
Keywords Nursing education
Abstract
Call Number NZNO @ research @ Serial 1316
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Author (up) Madjar, D.I.
Title Pain as embodied experience: a phenomenological study of clinically inflicted pain in adult patients Type
Year 1991 Publication Abbreviated Journal Massey University Library
Volume Issue Pages
Keywords
Abstract This phenomenological study describes the lived experience of pain inflicted in the context of medically prescribed treatment, explores the meanings of such pain for patients who endured it and for nurses whose actions contributed to its generation, and presents a thematic description of the phenomenon of clinically inflicted pain. The study is informed by phenomenology, both in terms of its premises and orientation, and its research design and method.The participants in the study were 14 adult patients, admitted to hospital following burn injuries, or receiving intravenous chemotherapy upon diagnosis of cancer, and 20 nurses involved in their care. Data collection took place over a period of five months and included participant observation and compilation of field notes, and a total of 89 tape-recorded interviews (48 with patients and 41 with nurses). Through the process of hermeneutic interpretation a number of themes were identified and used to describe the phenomenon of clinically inflicted pain and the structure or the lived experience of the patients and the nurses concerned.The phenomenon of clinically inflicted pain is described in terms of four isolated themes: (1) the hurt and painfulness of inflicted pain; (2) handing one's body over to others; (3) the expectation and experience of being wounded, and (4) restraining the body and the voice. These themes point to the embodied nature of pain experience and the extent to which the person is involved not only in the enduring of pain but also in its generation. The broader lifeworld of clinically inflicted pain, often as punishment and almost always a something avoidable, and in turn being constituted by their experiences in terms of losing and seeking to regain a sense of embodied self and of personal situation, and by changed experiences of lived space and lived time.Nurses who themselves helped to generate pain, frequently overlooked the patient's lived experience and thus the essential nature of inflicted pain as painful, wounding, and demanding cooperation and composure from the patient. Instead, the pain frequently become invisible to nurses involved in its infliction, or when it could not be overlooked or ignored, it was perceived inevitable , non-harmful and even as beneficial to patients' recovery. The strategic responses that nurses adopted to pain infliction included detachment from the perceived impact and consequences of their own actions and objectification of the person in pain as a body-object on whom certain tasks had to be performed. An alternative to the strategy of detachment and objectification was involvement in a therapeutic partnership between the nurse and the patient, where shared control over pain infliction and relief helped to sustain trust in the relationship and preserve personal integrity of the patient and the nurse.The study points to dangers for both patients and nurses when clinically pain is ignored, overlooked or treated with detachment. It also points a way toward nursing practice, that is guided by thoughtfulness and sensitivity to patients' lived experience, and awareness of freedom and responsibility inherent in nursing actions, including those involved in inflicting and relieving pain. The study raises questions about nurses' knowledge, attitudes, and actions in relation to clinically inflicted pain, and highlights the need for nursing education and practice to consider the contribution of a phenomenological perspective to the understanding of human experience of pain, and the nursing role in its generation, prevention and relief
Call Number NRSNZNO @ research @ 279 Serial 279
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Author (up) McKegg, A.H.
Title Ministering angels: the government backblock nursing service and the Maori health nurses, 1909 -1939 Type
Year 1991 Publication Abbreviated Journal University of Auckland Library
Volume Issue Pages
Keywords
Abstract
Call Number NRSNZNO @ research @ 278 Serial 278
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Author (up) Ramsden, I.
Title Kawa Whakaruruhau: cultural safety in nursing education in Aotearoa (New Zealand) Type
Year 1991 Publication Nursing Praxis in New Zealand Abbreviated Journal Libraries A2 -
Volume 8 Issue 3 Pages 4-10
Keywords
Abstract
Call Number NRSNZNO @ research @ 440 Serial 440
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