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Author |
Watson, P.B. |
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Title |
A study of cardiac inpatient participation in Canterbury Health's cardiac rehabilitation programme |
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Year |
1994 |
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A telephone survey was conducted with 61 randomly selected patients who had been admitted to the cardiology service with an Myocardial infarction but did not attend the cardiac rehabilitation programme. Findings show that many patients who would benefit from cardiac rehabilitation are denied access because it is only open to patients who have Myocardial Infarctions. Only a small percentage of MI admissions attend rehabilitation the main reason being patients are not informed the service is available. Women are under represented among rehabilitation participants and lack of transport is a major factor inhibiting women from attending. Improvements in referral systems and follow up are recommended |
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NRSNZNO @ research @ 155 |
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155 |
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Author |
O'Connell, M..P. |
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Title |
Perspectives on caring in the patient/nurse relationship |
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Year |
1994 |
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Manawatu (UCOL) Library. |
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The caring experiences of patients and nurses, within the context of that relationship, within a mental health setting, were examined. A phenomenological approach was used to discover the meanings beyond the respondents descriptions and expressions of what it meant to be to be cared for, or to provide care |
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NRSNZNO @ research @ 165 |
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165 |
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Author |
Rodgers, J.A. |
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Title |
A paradox of power and marginality: New Zealand nurses' professional campaign during war, 1900 – 1920 |
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Year |
1994 |
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Massey University Library |
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NRSNZNO @ research @ 176 |
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176 |
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Author |
Woods, M. |
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Title |
Nursing ethics education and contemporary concerns: a reflective report |
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Year |
1994 |
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Manawatu Polytechnic Library; Massey University Li |
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This report builds upon previous research undertaken in 1992 entitled 'the ethical preparation and practice of nurses: a pilot research project'. The overall aim was to compare new data with the results and tentative conclusions of the earlier research. Following two years of data gathering and analysis and discussions with diverse groups of experienced nurses, the conclusions of the earlier study were re-appraised in light of the contemporary developments in nursing ethics. The main conclusion of the research was that several nurses already possessed an ethic that was appropriate for their practice, but that it was unrecognised by other health professionals |
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NRSNZNO @ research @ 186 |
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186 |
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Author |
Walker, J. |
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Title |
Learning psychomotor skills: Is Kolb's experiential learning cycle effective? |
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Year |
1994 |
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Marjorie Manthei, Academic Division Manager, Chris |
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The move to nursing degrees has encouraged educators to use student centredteaching methods which develop problem solving skills, critical thinking andreflection. Kola's Experiential learning cycle is proposed as one method to developsome of these skills. The study compared the effectiveness of three differentmethods of teaching the instillation of eye drops and application of an eye pad. Asample of 73 volunteers from a Diploma of Nursing programme were systematicallyassigned to one of three groups. The modified experimental design consisted of acontrol group (tutor demonstration and student practice), Kolb's group (teachingusing the experiential cycle) and the SDL group (self directed learning using writteninformation with no tutor instruction or feedback). Participants rated their confidence,competence and the amount of thinking, analysis, guidance and problem solvingbefore and after each method.Results for instilling eye drops indicated that there were no significant differences onthe pre-test ratings and a marginally significant difference (p=0.06) on the post testratings across the teaching methods. Results for the eye pad showed no significantdifferences on pre-test or post-test ratings across the methods. Students learnt by allmethods and the differences, if there were any, were not large enough to bedetected in this study. There was a significant difference in problem solving and tutorguidance across the methods due to the low ratings of the SDL group. There was nosignificant difference in thinking, analysis or partner guidance across the methods |
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NRSNZNO @ research @ 195 |
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195 |
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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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1994 |
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DCCM, Private Bag 92024, Auckland |
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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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NRSNZNO @ research @ 201 |
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201 |
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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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1994 |
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DCCM, Auckland Hospital Private Bag 92024 Aucklan |
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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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NRSNZNO @ research @ 205 |
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205 |
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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 |
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Abbreviated Journal |
Massey University Library |
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NRSNZNO @ research @ 262 |
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262 |
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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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1994 |
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Massey University Library |
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NRSNZNO @ research @ 273 |
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273 |
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Author |
Leamy, J. |
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Title |
The healing journey: survivors of ritual abuse |
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1994 |
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Massey University Library |
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NRSNZNO @ research @ 274 |
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274 |
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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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1994 |
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Massey University Library |
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NRSNZNO @ research @ 276 |
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276 |
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Author |
Morrison, M. |
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Title |
Body-guarded: the social aesthetics of critical care |
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1994 |
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University of Auckland Library |
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NRSNZNO @ research @ 297 |
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297 |
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Author |
MacManus, M. |
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Title |
Reflective practice: teaching the practice of nursing |
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1994 |
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University of Auckland Library |
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NRSNZNO @ research @ 299 |
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299 |
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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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1994 |
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University of Auckland Library |
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NRSNZNO @ research @ 302 |
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302 |
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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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1994 |
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Victoria University of Wellington Library & Welli |
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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 |
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339 |
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