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Author  |
Bland, M.F. |
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Title |
Challenging the myths: the lived experience of chronic leg ulcers |
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Year |
1994 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
Massey University Library |
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Volume |
2 |
Issue |
3 |
Pages |
13-14 |
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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 |
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Call Number |
NRSNZNO @ research @ 160 |
Serial |
160 |
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Author |
Boyle, S.D. |
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Title |
Nursing education in New Zealand: a case study of experiential learning |
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Year |
1994 |
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Abbreviated Journal |
Victoria University of Wellington Library & Welli |
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Abstract |
This thesis presents a study of a nursing 'practicum' from the perspectives of nursing students and staff 'buddies'. A grounded theory approach was used to interview six nursing students during their transition placement, the final practicum of their Diploma in Nursing programme. Five staff nurse buddies selected by the students were also interviewed. An informal, conversational interview was used and data was analysed from an experiential learning perspective.This study differs from others because it focuses on the clinical experience component of nursing education, 'practicum', and includess practitioners viewpoints. At present there is a re-evaluing of experience within nursing education with a new emphasis on practice-based learning. Experience-based learning is becoming increasingly acceptable within academia as a 'seamless' education system evolves.I identified three learning stages which students' experience during practicum – initiation, exploration and consolidation. The key stage for learning through experience was exploration. Learning during this stage was predominantly buddy-directed which contradicted the self-directed curriculum design. Students and staff nurses however agreed that communication between them during this stage enabled the development of 'competence'.The learning /teaching approach used by the students and staff nurses made it difficult for students to translate their 'all-round' competencies during practicum. It is argued that it is the useof such competencies during practicum which enable nursing students to become autonomous in the attitudinal and epistemological sense. The predominantly 'technical training' approach adopted was understood by students and staff nurses to be reinforced by 'silence' from tutors.Restructuring gives the opportunity for nursing to develop an ';investigative', enquiry-based approach in practice. There will increasingly be an emphasis on practice-based research as a result of the implementation of degree and post-graduate programmes in nursing. This study highlights some aspects of nursing education and it's relationship with practice which can assist the development of such an approach |
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Call Number |
NRSNZNO @ research @ 339 |
Serial |
339 |
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Author |
Fleming, Valerie E M |
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Title |
Partnership, power and politics: feminist perceptions of midwifery practice |
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Book Whole |
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Year |
1994 |
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Abbreviated Journal |
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Pages |
237 p |
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Keywords |
Midwifery; Feminism; Power |
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Abstract |
Provides an interpretative critique of the partnership of a group of independent midwives and their clients in urban NZ. Uses a theoretical basis grounded in the principles of feminism, incorporating aspects of critical social science and post-modernism, to underpin both the methodological approach and the data analysis. Utilises the concepts of subjectivity, power/knowledge and praxis as tools for analysis of data which is collected through semi-structured interviews. |
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Call Number |
NRSNZNO @ research @ |
Serial |
253 |
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Author |
Griffin, H.M. |
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Title |
Home sweet home birth: a qualitative study on the perceptions and experiences of home birth |
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Year |
1994 |
Publication |
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Abbreviated Journal |
Massey University Library |
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Call Number |
NRSNZNO @ research @ 262 |
Serial |
262 |
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Author |
Henderson, A.P. |
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Title |
Nursing a colonial hangover: towards bicultural planning in New Zealand |
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Year |
1994 |
Publication |
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Abbreviated Journal |
University of Otago Library |
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Call Number |
NRSNZNO @ research @ 409 |
Serial |
409 |
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Author |
Jones, S. |
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Title |
Career transition : from professional to manager in the health service |
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Year |
1994 |
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Abbreviated Journal |
Held by NZNO |
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Abstract |
A thesis submitted in partial fulfilment of the requirements for Master of Philosophy in Management Studies and Labour Relations, University of Auckland.
The study addresses the question of career transition from a professional role to a management role within the health service – what changes and adjustments in role content (or tasks), relationships and identity are experienced? What skills, perspectives and values are brought forward from the old role to the new role, and which must be abandoned to accommodate a new identity?
Answers to these questions hold relevance for those planning management development and management recruitment in the health service, and also for those planning career development for health professionals. |
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Call Number |
NZNO @ research @ WY 105 JON |
Serial |
1362 |
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Author |
Kerslake, M.T. |
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Title |
The nurse practitioner in the South Pacific region: concerns about this innovation |
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Year |
1994 |
Publication |
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Abbreviated Journal |
University of Auckland Library |
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Call Number |
NRSNZNO @ research @ 302 |
Serial |
302 |
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Author |
Key, R.; Cuthbertson, S.; Streat, S.J. |
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Title |
Feasibility of a nurse-based critical care follow-up clinic |
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Year |
1994 |
Publication |
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Abbreviated Journal |
DCCM, Auckland Hospital Private Bag 92024 Aucklan |
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Abstract |
We are about to implement a nurse-based critical care follow-up service and used a follow-up study of tracheostomy to determine the feasibility of such a service. Nine to 27 months median 14 after intensive care admission we attempted to follow-up 116 of our most severely ill survivors. Twenty six could not be found, 11 declined follow-up. A questionnaire, interview and limited examination were used to determine health status. Ten patients unable to come to a clinic were seen at home. Interview time varied between patients but 79 patients took 100 nurse-hours. Ninety percent of patients co-operated with respiratory function testing. Pulse oximetry identified one with severe chronic respiratory failure. In this highly selected group of patients with on going problems (perceived poor health, dependency, disability, changes in appearance, deterioration in personal relationships, poor sleep, pain, altered diet, unaddressed chronic health problems, poor access to health services, and continuing prescription medication) were common, and addressed to some extent by appropriate referral. Approximately 20% of patients reported improvement in their health and personal relationships after critical illness and half of the smokers had given up. Factors contributing to follow-up difficulty included distance, delay in initial contact, change of address (255 of this group), disability and poverty. A nurse-run critical care follow-up clinic is feasible, time consuming but productive. A register of current addresses and phone numbers is recommended. The optimal time for follow-up will vary with patients conditions but early follow-up with protocol- based lines of referral is recommended to reduce persistent health problems |
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Call Number |
NRSNZNO @ research @ 205 |
Serial |
205 |
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Author |
Key, R.; Habashi, S.; Baber, C.; Cuthbertson, S.; Streat, S.J. |
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Title |
Long-term follow-up after Bjork flap tracheostomy |
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Year |
1994 |
Publication |
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Abbreviated Journal |
DCCM, Private Bag 92024, Auckland |
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Pages |
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Abstract |
Because of concern about long-term complications of bjork flap tracheostomy we followed-up 136 intensive care patients who had Bjork flap tracheotomy in 1992 a median of 117 (range 5-402) hours after intubation. Twenty died in hospital, none as a result of tracheostomy. Twenty- six patients were lost to follow-up and eleven declined. The remaining 79 had measures of health status, a quality of life questionnaire, respiratory function testing and physical examination of the neck and upper airway 9-27 months (median 14) later. Various health status measures deteriorated in 9 to 51 of 77 patients. Forty-two of 77 patients were taking prescription medication and 15/32 smokers had stopped smoking. FEV1, FVC and FEV1/FVC were significantly reduced from predicted normal (n=70, 2.8+ 1.1 vs 3.2 +0.9 p<.0001, 3.7 + 1.3 vs 4.0 + 1.0 p<.0001, 76 +11vs 79 +3 p= 0.035 respectively). Pulse oximetry was normal (>92%) in 73/74 patients tested. The median horizontal scar dimension was 45mm (range 20 to 75 mm). Nine had a median vertical scar dimension 15mm (range 8 to 25mm). Nineteen scars were hypertrophic, 56 were tethered. Two patients had already undergone tracheal scar revision at follow-up and further 13 accepted scar revision. Ten patients had abnormal voice examination, four abnormal cough, two stridor, three vocal cord lesions, three tracheal polyps and fourteen asymptomatic tracheal narrowing from 10-60% (median 25%) of the tracheal luminal diameter. Patients surviving critical illness with bjork flap tracheostomy have reduced quality of life and respiratory function and poor cosmetic result but a low incidence of important airway problems |
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Call Number |
NRSNZNO @ research @ 201 |
Serial |
201 |
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Author |
Lambert, J. |
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Title |
They can't see what we see: voices and standpoint of twelve Plunket Nurses |
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Year |
1994 |
Publication |
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Abbreviated Journal |
Massey University Library |
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Volume |
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Issue |
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Pages |
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Call Number |
NRSNZNO @ research @ 273 |
Serial |
273 |
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Author |
Leamy, J. |
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Title |
The healing journey: survivors of ritual abuse |
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Year |
1994 |
Publication |
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Abbreviated Journal |
Massey University Library |
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Volume |
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Issue |
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Pages |
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Call Number |
NRSNZNO @ research @ 274 |
Serial |
274 |
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Author |
Litchfield, M. |
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Title |
Viewpoint: Telling nursing stories |
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Journal Article |
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Year |
1994 |
Publication |
Kai Tiaki: Nursing New Zealand |
Abbreviated Journal |
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Volume |
2 |
Issue |
4 |
Pages |
28 |
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Keywords |
Nursing research; Ethics; Patient rights |
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Abstract |
A brief critique and comment on the ethical implications of nurse researchers using methodology that involves soliciting personal experiences of patients and subsequently publishing them as stories. |
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Call Number |
NZNO @ research @ |
Serial |
1321 |
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Author |
Litchfield, M.; Connor, M.; Eathorne, T.; Laws, M.; McCombie, M.-L.; Smith, S. |
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Title |
Family nurse practice in a nurse management scheme: a pilot service study for the health reforms |
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Year |
1994 |
Publication |
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Abbreviated Journal |
Centre for Initiative in Nursing & Health Care, P. |
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Abstract |
The independently funded 10 month pilot project demonstrated the autonomy of nursing practice for a new role family nurse. The findings were presented as the health experience of families in strife with complex health circumstances, a description of a beginning model for the nursing practice that addressed the needs of these families as their circumstances changed over time, and its cost-effectiveness. A caseload of nineteen families was found to be optimum. The evaluation research continued throughout as a form of praxis expressed as health patterning, a methodology developed in previous research (Litchfield, 1993). The family nurse'spractice demonstrated qualities common to all nurses: the caring relationship and fiscal responsibility. The unique practice was characterised by a professional partnership of limited duration: the families referred to the service in a predicament of strife, trapped in the immediate present, gained a view to a future, moved towards assuming control over health circumstances, seeking and using services with discernment, and increasing community as family/group members and citizens. Cost containment was achieved through: a) development of a co-operative approach amongst family members, between families and professionals, and amongst all health workers, and b) the families discerning use of services by anticipating a future. Through one family case, cost of saving over the 7 months with the family nurse was estimated as $4000, a possible saving of $16000 over 13 months if the family nurse had been involved earlier, and projected savings in the long term of over a million dollars. The satisfaction of clients, nurses and professionals was shown. The service was positioned within the new health system of health reforms |
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Call Number |
NRSNZNO @ research @ 389 |
Serial |
389 |
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Author |
Litchfield, M.; McCombie, M.-L. |
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Title |
The introduction of an advanced nurse practitioner role in mental health: report of the evaluation research undertaken for the Mental Health Service of Capital Coast Health Ltd |
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Year |
1994 |
Publication |
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Abbreviated Journal |
Chief Nurse Advisor, Ministry of Health, PO Box 50 |
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Abstract |
The study was commissioned to define the role of Advanced Nurses Practitioner to inform the establishment of a clinical career pathway. Four new, loosely defined ANP positions were created and the role evolution over three months was described. The impact on the multidisciplinary team functioning was to be given particular attention. The research design was developed in collaboration with the ANP Project Team of the service. Data were derived from surveys of nurses in the units and other staff before and at the end of the 3 months period; interviews with the ANPs and official client advocates; daily journals and weekly logs kept by the ANPs; statistical records of patient loads and staffing. The findings presented the role as the interface of unit management and direct client care, with the ANPs orchestrating the activities of the unit. The ANPs developed the role differently according to quite distinct conceptualisations of nursing which influenced whether direct client care was pivotal or peripheral to the role. This had an effect on whether the strains of the service were seen as inhibitory of focal to the development of the ANP practice. There was little change in unit staff satisfaction. Attempts to incorporate client advocacy to determine change in client satisfaction were unsuccessful. The ANPs used the research as a process of role development |
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Call Number |
NRSNZNO @ research @ 386 |
Serial |
386 |
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Author |
Maclean, B.L. |
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Title |
Caring for at-risk infants: the experiences of parents with infants on home apnoea monitors |
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Year |
1994 |
Publication |
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Abbreviated Journal |
Massey University Library |
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Volume |
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Call Number |
NRSNZNO @ research @ 276 |
Serial |
276 |
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