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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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Abbreviated Journal |
Massey University Library |
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NRSNZNO @ research @ 176 |
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176 |
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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 |
Morrison, M. |
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Title |
Body-guarded: the social aesthetics of critical care |
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Year |
1994 |
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Abbreviated Journal |
University of Auckland Library |
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NRSNZNO @ research @ 297 |
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297 |
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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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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 |
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 |
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Abbreviated Journal |
Massey University Library |
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Call Number |
NRSNZNO @ research @ 276 |
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276 |
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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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NRSNZNO @ research @ 160 |
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160 |
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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 |
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Abbreviated Journal |
Centre for Initiative in Nursing & Health Care, P. |
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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 |
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 |
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Abbreviated Journal |
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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Call Number |
NRSNZNO @ research @ 205 |
Serial |
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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Call Number |
NRSNZNO @ research @ 262 |
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262 |
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Author |
Stevenson, A.F. |
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Title |
In search of New Zealand nursing history: a literature review |
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Year |
1994 |
Publication |
Occasional Paper |
Abbreviated Journal |
Author, Wellington Polytechnic Library, |
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This paper examines some of the contributions to nursing history up to 1993, and also surveys published social and women's history in New Zealand for references to nursing work |
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Call Number |
NRSNZNO @ research @ 117 |
Serial |
117 |
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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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Abbreviated Journal |
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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Call Number |
NRSNZNO @ research @ 195 |
Serial |
195 |
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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 |
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Abbreviated Journal |
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 |
Serial |
201 |
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Author |
van Wissen, K.A.; Woodman, K. |
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Title |
Nurses' attitudes and concerns to HIV/AIDS: a focus group approach |
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Journal Article |
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Year |
1994 |
Publication |
Journal of Advanced Nursing |
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Volume |
20 |
Issue |
6 |
Pages |
1141-1147 |
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An exploratory qualitative study was investigated to further identify nurses'' attitudes to the care of people with human immunodeficiency virus (HIV) and acquired immunodefiency syndrome (AIDS). This follows as a sequel to a study using questionnaire. Data collected from nine focus groups attended by a total of 29 nurses at a hospital within a new Zealand regional health authority. The principal findings suggest that nurses' attitudes to this patient group are varied and depend on social influences, personal experiences and the extent of knowledge regarding HIV/AIDS. Other concerns raised included nurses' rights to choose to care for HIV-positive patients and the issue of universal precautions. Theses findings may have implications for further educational initiatives and information of hospital policy |
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NRSNZNO @ research @ 356 |
Serial |
356 |
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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 |
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Abbreviated Journal |
University of Otago Library |
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Call Number |
NRSNZNO @ research @ 409 |
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409 |
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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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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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