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Author |
O'Sullivan, M. |
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Title |
Maximising, optimising, empowering: the work of the public health nurse in a college setting |
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1997 |
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Massey University Library |
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NRSNZNO @ research @ 169 |
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169 |
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Author |
Reid, E.A. |
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Title |
Living a divergent experience: the maternal perception of critical illness |
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1997 |
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Massey University Library |
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NRSNZNO @ research @ 175 |
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175 |
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Author |
Parmee, R.-A. |
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Title |
Living and working with asthma: a dynamic interplay |
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Year |
1997 |
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Abbreviated Journal |
Victoria University of Wellington Library, Otago P |
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This action research study explores the experiences of 'patient education' from the perspective of a group comprising two nurses, two people with asthma, and the researcher who is a nurse who has asthma. The method used is emancipatory action research (Grundy, 1990) with critical social theory and feminism as theoretical underpinnings.The focus moves from patient education to a broader view of living and working with asthma. The story of the group is presented in the format of a play. A play within the play tells of living and working with asthma.An action research spiral is formed which reflects the way the group moves through the three modes of action research described by Grundy (1990). The acts of the play represent each of the stages of the action research process. The emphasis moves from power and control through to practice wisdom.The main issues explored are: the nature of patient education by nurses; the implications this has for relationships with patients and nursing education; power and control in the secondary setting; the lived experience of chronic illness and the practice wisdom of nurses and people with asthma. The work concludes with recommendations for change in each of these areas based on the work of the group |
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NRSNZNO @ research @ 183 |
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183 |
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Author |
Woods, M. |
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Title |
Maintaining the nursing ethic: a grounded theory of the moral practice of experienced nurses |
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1997 |
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Abbreviated Journal |
Massey University Library, Palmerston North |
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This thesis presents a study of the every-day moral decision making of experienced nurses. Eight experienced registered nurses participated in the completed research that is based on data gathered through interviews, document audit and literature review. A grounded theory approach was used to analyse the extensive data gathered for the study. This methodology generated a theoretical description involving the antecedents, processes and consequences of nursing moral decision making.Nursing practice has moral content, if not an entirely moral purpose, and moral decision making is the central component of this practice, yet the ethical aspects of nursing practice remain a comparatively recent field of study. It is therefore essential to nurses and their patients that this process is adequately studied and theorised. To date, very few studies have been undertaken in this area in New Zealand. This study aims to at least partially redress this situation by offering insights through conceptualisation and theoretical description of nursing moral decision making.The findings of the study reveal that antecedents such as personal moral development, upbringing and social experiences, contribute to a 'nursing ethic' in the moral decision making of experienced nurses. Furthermore, the study shows that the context and individual and shared perceptions of moral events influence the degree of nursing involvement in ethical situations. Finally, the study maintains that an intrinsic and persistent nursing ethic guides ethical decision making in nursing. This ethic is an undeniable phenomenon of considerable significance to nursing practice and education |
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Call Number |
NRSNZNO @ research @ 187 |
Serial |
187 |
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Author |
Fitzpatrick, A. |
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Title |
Nurse meeting another: cultural safety in nursing practice |
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Year |
1997 |
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Abbreviated Journal |
Victoria University of Wellington Library, Waiarik |
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This research project, a descriptive study using narratives, explored the application of cultural safety theory and philosophy to clinical nursing practice. This application was illustrated through the stories of four experienced Pakeha,Tauiwi registered nurses in Aotearoa/New Zealand, who described their realities of applying cultural safety to daily clinical practice. The incentive for this study had been identified in light of the current political climate, pragmatic realities and in keeping with the current state of knowledge.Cultural safety was first identified by Maori nursing students and subsequently described and articulated by Maori nurses, as being a potential solution to improving Maori health statistics in Aotearoa/New Zealand. Many Maori and Pakeha/Tauiwi in this country accept that the Treaty of Waitangi, a covenant signed between Maori and the Crown in 1840, is the incentive for giving cultural safety status and credibility. While the Nursing Council of New Zealand has supported this concept and made it a requirement for all nursing education, there is little literature written concerning its application to practice from a Pakeha/Tauiwi perspective.The perceptions and insights of these nurses were heard when they were invited to describe how they saw cultural safety as part of their daily clinical practice and recount their struggles, realities, practice and experience. The literature review supported the use of narratives as an appropriate method for this study. The philosophy and assumptions of narrative appear to match the oral tradition of nursing and thus it was considered possible to contemplate the fit of narrative to nursing research.The stories of these nurses, gave examples of best nursing practice in which cultural safety was integral to practice, and provided exemplars of possible beginnings and possible endings. The depiction of cultural safety in practice surfaced as the weaving of four themes which were consistent in all the stories – themes of reflection, reverencing, the environment, and hidden blessings and healing. The research evidence suggested that cultural safety was visible in practice in many diverse ways; it emphasised the complexity of the concept; accented its evolving status; and identified a relative consistency in defining cultural safety despite the varied contexts of practice.Although this study was limited by the small sample, the findings indicated that there were potential implications for nursing education, research, nurses and nursing practice as well as for other health care providers working in the current health care system. They suggested that actions from nurse educators, nurse managers, health care managers and clinical nurses themselves, would be needed to ensure that cultural safety continued to be part of nursing practice and contribute to the improvement of all health statistics in this country as well as to encourage an increased development in the focus on Maori health issues.Further nursing research suggested by the findings include studies to appraise cultural safety from a patient's perspective, and consideration given to the evaluation and assessment of nurses and their culturally safe practice. In addition, exploration and research could ascertain the benefits and rewards of culturally safe practice and identify ongoing educational needs as well as examining the views of other members of the multi-discipline team |
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NRSNZNO @ research @ 204 |
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204 |
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Author |
Adamson, M.J. |
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Action research: the journey from enrolled nurse to registration and beyond. Discovering a process to promote self-efficacy and professional development |
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1997 |
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Victoria University of Wellington |
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NRSNZNO @ research @ 219 |
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219 |
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Author |
Mc Drury, J. |
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Title |
Self assessment and reflective practice: exploring the meaning of self assessment and developing tools to facilitate reflective practice in nursing using a socio-cultural perspective |
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1997 |
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Abbreviated Journal |
University of Otago |
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NRSNZNO @ research @ 228 |
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228 |
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Author |
Giddings, D.L.S. |
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Title |
In/visibility in nursing: stories from the margins (United States, New Zealand, Diversity) |
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Year |
1997 |
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Abbreviated Journal |
University of Colorado University Library |
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Using the life history approach this study investigates the consequences of difference within the context of nursing. Life story interviews were conducted with 26 women nurses of varying racial, cultural and sexual identity backgrounds in the USA and New Zealand.The questions framing the interviews focused on the women's experience of difference and fairness in their lives and specifically within nursing.The creation of life story 'snippets' in the first level of analysis reflected the unique aspects of each woman's story and became the first step in the process of creating a thematic analysis or meta-story. The meta-story that emerged from the juxtaposition of the women's stories was “not fitting in to nursing”.The findings of this study suggest that in spite of the change in location of nursing education and its recent attention to the implications of client diversity, the continued imposition of traditional definitions of 'the nurse' by nursing institutions, renders difference amongst nurses invisible. This limits the ability of nurses to be authentic in their practice and also limits the extent to which they can implement the new policies recognizing difference amongst their client populations |
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NRSNZNO @ research @ 236 |
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236 |
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Author |
Adams, S. |
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Title |
Nursing people with dual diagnosis in the community setting |
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1997 |
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Abbreviated Journal |
Massey University Library |
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NRSNZNO @ research @ 238 |
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238 |
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Author |
Carryer, J.B. |
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Title |
A feminist appraisal of the experience of embodied largeness: A challenge for nursing |
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1997 |
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Abbreviated Journal |
Massey University Research Online |
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NRSNZNO @ research @ 243 |
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243 |
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Author |
Fowlie, L.G. |
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Title |
Gastric tube placement in neonates |
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Year |
1997 |
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Abbreviated Journal |
Massey University Library |
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NRSNZNO @ research @ 255 |
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255 |
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Author |
Gallaher, L. |
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Title |
Expert public health nursing practice: a complex tapestry |
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Year |
1997 |
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Abbreviated Journal |
Massey University Library |
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Call Number |
NRSNZNO @ research @ 258 |
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258 |
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Author |
Owen - Mills, V.I. |
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Title |
An exploratory study of postmenopausal women's views of health maintenance |
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1997 |
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Abbreviated Journal |
Victoria University of Wellington |
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This research aims to illuminate the reality of health and health maintenance as four postmenopausal women understand and experience it. The research employs feminist methodology, informed by postmodern feminist writers, in order to allow maximum flexibility and to be congruent with supporting the exploratory nature of the research. The women in the study self-nominated as postmenopausal, and functioned equally as co-researchers with the researcher in a focus group which met twice for one-hour audiotaped interviews. The resultant combined statement on health was produced after thematic analysis of the data and individual reflection, and represents the values these women hold, that health is largely attitudinal.“Health is not what happens to you physically, emotionally or mentally, but how you deal with it.”It is notable that the women did not mention nurses as having a role in their health maintenance, nor were other health professionals considered to be essential. As well, hormone replacement therapy – a common theme in women's conversation and lay women's literature – was not mentioned as being an integral to the women's health maintenance. The methodological approach means that the research in non-generalisable. However the findings may add to existing knowledge about prevailing health concerns of postmenopausal women, may enhance the discourse, and may identify the need for further research |
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NRSNZNO @ research @ 275 |
Serial |
275 |
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Author |
Murphy, M. |
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Title |
Maintaining a loving vigil: parents' lived experience of having a baby in a neonatal unit |
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Year |
1997 |
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Abbreviated Journal |
Massey University Library |
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Call Number |
NRSNZNO @ research @ 282 |
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282 |
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Author |
Douche, J.R. |
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Title |
Urban women's choice of birthplace and locus of control |
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Year |
1997 |
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Abbreviated Journal |
Victoria University of Wellington |
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Discourse about women assuming greater control over their childbirth experience has received much attention in contemporary childbirth and womens' studies publications. Research in the domain of childbirth has shown that a sense of control over one's birth experience is related to childbirth satisfaction. More specifically, studies have used Locus of Control measures and have found a significant relationship exists between expectations for control and choice of birth place. Choice of birth place features in some articles as a factor that determines the degree to which control can be exercised. Home, as a place of birth, is considered a setting in which a woman can have optimum control over her experience. Many women are discouraged from taking up this option, based on fears about safety. Reflection on why women continue to pursue a home birth against the wishes of their care giver rekindled and interest in Locus of Control. This study was undertaken to explore the relationship between urban women's choice of birth place setting and their scores on two different measures of Locus of Control (LOC). The aims of the study were: to test whether LOC scores predict choice of birth place for women who chose hospital, home or a birthing centre as their place of birth; to test which of the two LOC scales (Levenson's generalised measure or Wallston et al's more specific scale) is the most useful in predicting the influence of LOC and choice of birth place and to explore the relationship between choice of birth place LOC, demographic and contextual factors surrounding pregnancy. The method used in the study was a descriptive correlational design. One hundred and ninety four pregnant urban women who accessed a range of maternity care providers in the greater Auckland , Wellington , Christchurch and Dunedin cities responded to a “Birth Choice Survey” between April and June 1996. Tests of significance found significant differences for powerful others and chance Locus of Control among the three groups of women who chose hospital, home or a birthing center as a place of birth. Differences were significant at p = 0.05. No significant differences were ffound in the scores for internal Locus of Control for women in the three groups. Limitations in the sample sixe prevented linear discrimination being successful in predicting the influence and choice of LOC variables and choice of birth place for both scales. A classification tree was employed to identify key variables which might affect choice of birth place and indicated that women who were extremely happy with their birth place choice were more likely to be those who chose home birth. Locus of Control measures are interesting, and if used specifically, may be helpful in relation to understanding a women's choice of birth place. However general assessment of the contextual factors appears just as relevant. Implications of this study are the while women may differ in how they perceive their outcomes are determined, an overwhelming majority of women who participated in this study value their ability to make choices about their birth location. Identifying consumer perceptions about control and the contextual factors that influence women's choice of their birth place has the potential to clarify women's preferences for responsibility in their birth experience. Limitations of the study were addressed and included suggestions to improve response rates and thus generalizability of findings. Implications for further research were also considered |
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Call Number |
NRSNZNO @ research @ 287 |
Serial |
287 |
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