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| Author | McManus, L.M.; Cuthbertson, S.; Streat, S.J. | ||||
| Title | When the lights went out in Auckland | Type | |||
| Year | 1998 | Publication | Abbreviated Journal | DCCM, Private Bag 92024 Auckland | |
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Abstract  |
As the clinical consequences of power failure in intensive care are seldom documented we reviewed the effects of a power failure on patient care, outcomes and the adequacy of our disaster plan. We reviewed clinical records of all ten patients in our department during a 20-minute total hospital power failure, determined the impact of the failure on the therapies being given, and the costs of failed equipment. We assessed the departments disaster plan and identified the causes of the power failure.Nine patients were intubated; six ventilated (one receiving nitric oxide) and three receiving continuous positive airway pressure. Two patients were ventilated by Servo 300,? which continued on batteries, the other four patients were ventilated manually. Six patients were receiving nine inotrope infusions through IMED Gemini,? (battery life 30 minutes). One patient was receiving high volume ultrafiltration using a Gambro? haemodialysis system, which failed. Blood flow to prevent clotting was maintained by turning the roller pump manually. All networked monitoring (SpaceLabs?) failed and three haemodynamically unstable patients were monitored by transport monitors (SpaceLabs Scout?). No patient suffered any ill effect. Failed electronic circuits cost $NZ11,724. The disaster plan was implemented and functioned well. The aged cables supplying Auckland Central failed during an El Nino summer. The hospital generators, supplying power to the city grid, failed to switch over to the hospital. During power failure infusion pumps should be only for inotropes. We now have external 12-volt battery backup. With good pre-planning, safe intensive care continued during a short power failure | ||||
| Call Number | NRSNZNO @ research @ 206 | Serial | 206 | ||
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| Author | Papps, Elaine | ||||
| Title | Knowledge, power, and nursing education in New Zealand: a critical analysis of the construction of the nursing identity | Type | Book Whole | ||
| Year | 1998 | Publication | Abbreviated Journal | ||
| Volume | Issue | Pages | 330 p. | ||
| Keywords | Nursing education; Nursing identity; Michel Foucault; Curriculum; Governmentality | ||||
| Abstract |
Describes and critically analyses the construction of the nursing identity through curriculum and social relations of power. Conducts a critical analysis using Foucault's power/knowledge problematic to unmask power relations positioning the nurse in the discourses of medicine and gender. Analyses the construction of the nursing identity through curriculum and the social relations of power, using the Foucauldian notion of governmentality. | ||||
| Call Number | NRSNZNO @ research @ | Serial | 330 | ||
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| Author | Simpson, J. | ||||
| Title | Hospice nurses responses to patient non-acceptance of treatment or care | Type | |||
| Year | 1998 | Publication | Abbreviated Journal | Massey University Library (later 1999) | |
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| Abstract |
Hospice nurses in New Zealand provide supportive care to patients of settings. In doing so, the hospice nurse and team are likely to have an ideal of a “good death” that guides their practice.A 'good death“ is one where symptons are well controlled without over medicalisation, where there is an acceptance of death by the patient and loved ones and where appropriatepreparation and completion of unfinished business has occurred. The death itself is peaceful and the loved ones are present. However, patients or their families do not always accept the treatment or care that the nurses offer to facilitate the best quality of life and a ”good death“ for the patient. This may leave the nurses involved feeling distressed and confused, as they are confronted with the conflict between the patients' path and the nurses' ideals.This study employs critical incident technique to explore how nurses respond and feel when the patients decline the treatment or care the nurse feels will improve their quality of life and eventually lead to a ”good death“. The findings illustrate a broad range of treatment or care that is declined by either patients or their families in the first instance. This study uncovers a number of action responses nurses use in these situations, which demonstrate acceptance of patient choice but also need to help the patient experience a ”good death". In addition it demonstrates that nurses experience a gamut of emotional responses to such situations, some of which are painful for the nurse and have the potential to cause stress. Recommendations are made which may assist nurses limit the distress they experience when patients of their families decline the treatment or care, and empower nurses with further strategies to use in such situations | ||||
| Call Number | NRSNZNO @ research @ 306 | Serial | 306 | ||
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| Author | Clinical Training Agency, | ||||
| Title | National review of clinical training agency funded advanced mental health nursing programme | Type | |||
| Year | 1998 | Publication | Abbreviated Journal | CTA – HFA – NZNO Library | |
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| Abstract |
In 1997, Advanced Mental Health Nursing Programmes were funded nationally by the Clinical Training Agency using the funds made available subsequent to the 1996 Mason Report. The training leads to an award of either a post graduate certificate or diploma awarded by a tertiary education provider.A review was conducted with the aim to monitor the impact on service provision of advanced mental health nurse practitioner training. This was done by obtaining feedback through using an agreed standard questionnaire from course participants and mental health service providers.In seeking to learn more about the impact of these programmes, the CTA identified the following key issues:- what effect the courses may have had on mental health workforce make-up, skills and retention.- perceptions of programme delivery and content.- the impact on service delivery.Overall findings are shared which highlight that the course was seen as well organised and participants and service providers would recommend it to their colleagues. The greatest effect of the course appeared to be in developing more understanding of clinical supervision. Participating in the course had also led to positive changes in relationships with the clients and colleagues for more than three quarters of the group.The provision of an Advanced Mental Health Nursing Programme in 1997 has had many positive effects. The funding strategy and delivery models that have evolved may provide a useful template for other nursing specialty areas | ||||
| Call Number | NRSNZNO @ research @ 355 | Serial | 355 | ||
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| Author | Neville, S.J. | ||||
| Title | Well-being in the older male: an investigation of mental, social and physical well-being indicators in Wanganui men | Type | |||
| Year | 1998 | Publication | Abbreviated Journal | Massey University Library & Christchurch Polytechn | |
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| Abstract |
New Zealand's older population is gradually increasing. This will men the number of people with problems related to psychological and general well-being will also rise. When compared to women, men do not live as long, are more likely to die from intentional injury and use primary health services less. There is a paucity of research on older men, particularly within a New Zealand context. Because nurses work closely with people in primary, secondary and tertiary care settings they are well placed to undertake research and utilise research findings from studies relating to the older adult to promote health and well -being. The intention of the present study was to gain a greater understanding of those factors which impact on the well-being in older men. Based on Wan, Odell and Lewis's (1992) model of general well-being, mental, social and physical well-being indicators were investigated to examine their relationships to overall psychological well-being and physical health.The data for the present study was collected from a non-probability sample of 217 males (over 65 years) residing in the Wanganui area. Multiple regression analysis reveled that of the mental, social and physical indicators only satisfaction with social supports and number of visits to the doctor in the previous 12 months were significantly related to psychological well-being, and number of medications and illness/disabilities were significantly related to physical health as measured by self ratings of health.Findings are discussed in relation to the literature. It ids clear that nurses, and other health professionals, need to be aware of the relationship between objective health status and subjective well-being, and the distinction between the quality and quantity of support in order to provide effective care to older men. Finally the general limitations and future research implications are discussed | ||||
| Call Number | NRSNZNO @ research @ 215 | Serial | 215 | ||
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| Author | Nelson, C.M. | ||||
| Title | Nursing the stranger you know | Type | |||
| Year | 1998 | Publication | Abbreviated Journal | Victoria University of Wellington, Library – Depar | |
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| Abstract |
Nursing the Stranger You Know demonstrates how combining aspects of nursing theory, the work of Ken Wilber, a leading writer in the field of transpersonal psychology and my own reflections have enhanced how I am able to experience and practice nursing in a primary health care setting.This study acknowledges and values the power of the connections which link us all together. The greatest strength of this work is that it shows, through the use of personal writing, how it is possible to nurse beyond the present and beyond the obvious when clinical, theoretical and self knowledge are all equally respected and incorporated into nursing practice | ||||
| Call Number | NRSNZNO @ research @ 197 | Serial | 197 | ||
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| Author | Sherrard, I.M. | ||||
| Title | Death of a colleague in the workplace | Type | |||
| Year | 1998 | Publication | Human Resources | Abbreviated Journal | Author – UNITEC Institute of Technology P.O.Box 92 |
| Volume | Issue | Pages | 19 | ||
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| Abstract |
Questionnaires were completed by participants who had had a colleague die. Participants reported that some were still having difficulty with the loss of a work collogue. Participants wanted managers to provide both managerial and emotional support during their time of grieving | ||||
| Call Number | NRSNZNO @ research @ 303 | Serial | 303 | ||
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| Author | Sherrard, I.M. | ||||
| Title | Chronic illness: a challenge to manage in the workplace | Type | |||
| Year | 1998 | Publication | Human Resources | Abbreviated Journal | Author – UNITEC of Technology, Private Bag 92025., |
| Volume | Issue | October | Pages | 16 | |
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| Abstract |
Questionnaires were completed in the work place. The participants had all experienced a chronic illness. The results revealed that the manager has the responsibility to deal openly with the staff member who is ill, and for some managers this is difficult to do | ||||
| Call Number | NRSNZNO @ research @ 304 | Serial | 304 | ||
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| Author | Irvine, HJ | ||||
| Title | Professional supervision for nurses and midwives | Type | Report | ||
| Year | 1998 | Publication | Abbreviated Journal | NZNO Library | |
| Volume | Issue | Pages | 53 pp | ||
| Keywords | Professional Supervision; Clinical supervision | ||||
| Abstract |
Report to the Winston Churchill Memorial Trust on Professional Supervision for registered Nurses and Midwives, May 1998. Objective of Project: To explore the extent of the development of a model of clinical supervision for nurses in the United Kingdom. Some of the key points that emerged: - Clinical supervision is a strong and accepted part of nursing culture in Britain. While not mandatory and not available to, or accepted by, all nurses, it is nevertheless generally known about and discussed at main nursing forums - The strong support and directives coming from nursing leadership is a major factor in the adoption of clinical supervision as a developmental, support and quality control - The increasing availability of resource material, courses, and in particular the investment made by the Department of Health and the Scottish Home and Health Office in funding a 23 site evaluation project has stimulated implementation of clinical supervision |
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| Call Number | NZNO @ research @ | Serial | 1343 | ||
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| Author | Walker, J. | ||||
| Title | The transition to registered nurse: the experience of a group of New Zealand degree graduates | Type | Journal Article | ||
| Year | 1998 | Publication | Nursing Praxis in New Zealand | Abbreviated Journal | |
| Volume | 13 | Issue | 2 | Pages | 36-43 |
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| Abstract |
Since 1991, nursing profession in New Zealand has primarily been through a three year programme. The purpose of this study was to explore the issues faced by a group of degree graduates in their first year of registered nurse practice and to identify if the degree graduatesoutcomes (such as critical thinking, problem solving, reflection on practice, research, independent learning, and using cultural safety knowledge) had mediated this transposition process. Purpose sampling was used to invite five female graduates to take part in two focusgroups, one held at months and the other at 9 months after starting work. Qualitative data were collected using semi-structured questions and the taped interviews were analysed for themes. Five themes were identified: accepting responsibility, accepting their level of knowledge, becoming a team member, professional standards, and workplace conditions. Graduates were using their cultural safety knowledge but they perceived their knowledge of research was linked to further academic. Their ability to critique their own practice was evident but they found it difficult to challenge their colleagues' practice and the wider agency culture. Implications of the study are discussed in relation to nursing education and preceptor programmes and areas for further research are indicated | ||||
| Call Number | NRSNZNO @ research @ 192 | Serial | 192 | ||
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| Author | Armstrong,S | ||||
| Title | How can the medical librarian contribute to evidence-based nursing practice | Type | |||
| Year | 1998 | Publication | Abbreviated Journal | Held by Lakes DHB LIbrary (ROM) | |
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| Abstract |
Submitted to the School of Communications and Information Management, Victoria University of Wellington, in partial fulfilment of the requirements for the degree of Master of Library and Information studies. | ||||
| Call Number | NZNO @ research @ | Serial | 1361 | ||
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| Author | Watson, P.B. | ||||
| Title | An understanding of family in the context of families facing the diagnosis of childhood cancer | Type | |||
| Year | 1998 | Publication | Abbreviated Journal | Massey University Library, Manawatu Polytechnic Li | |
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| Abstract |
The diagnosis of childhood cancer has a profound impact on the family. How nurses understand family affects their practice with families facing the diagnosis of childhood cancerShaped by Heideggerian phenomenology, van Manens methodology for hermeneutic phenomenology was used to construct an understanding of family from the experiences of family members facing the diagnosis of childhood cancer. Seven family members from two families, one mother, two fathers, two siblings, and two grandparents were interviewed about their experience of facing the diagnosis of childhood cancer.From the participants experience the meaning of family was interpreted as being-with-others, for-the-sake-of-others, who one might not distinguish from oneself. This understanding of family is recognisable, yet different from traditional definitions of family and may help nurses and family members to act more thoughtfully and tactfully with each other | ||||
| Call Number | NRSNZNO @ research @ 153 | Serial | 153 | ||
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| Author | McKillop, A.M. | ||||
| Title | Native health nursing in New Zealand 1911-1930: A new work and a new profession for women | Type | |||
| Year | 1998 | Publication | Abbreviated Journal | Massey University Library, Northland Polytechnic L | |
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| Abstract |
The focus of this thesis is the practice of the nurses employed in the Native Health Nursing Scheme in New Zealand from 1911 to 1930. These nurses were a vanguard movement for change in community nursing services as they established a new role and developed innovative ways of practicing nursing while claiming greater autonomy and accountability for nurses who worked in community settings. Consequently they contributed to an increase in status for nurses in New Zealand.The Native Health Nursing Scheme was established by the Health Department to replace the Maori Health Nursing Scheme, an initiative by Maori leaders for Maori nurses to provide nursing care for their own people. The original scheme had foundered amid under-resourcing, a lack of support from hospital boards and administrative chaos. Government policy for Maori health was openly assimilationist and the mainly non-Maori Native Health nurses carried out this policy, yet paradoxically adapting their practice in order to be culturally acceptable to Maori.Their work with the Maori people placed the Native Health nurses in a unique position to claim professional territory in a new area of practice. As they took up the opportunities for an expanded nursing role, they practiced in a manner which would develop the scope and status of nursing. The geographical isolation of their practice setting provided the nurses with the challenge of practicing in an environment of minimal administrative and professional support, while also offering them the opportunity for independence and relative autonomy. Obedience, duty and virtue, qualities highly valued in women of the day, were expected especially in nurses. These expectations were in direct contrast to the qualities necessary to perform the duties of the Native Health nurse. The conditions under which these nurses worked and lived, the decisions they were required to make, and the partnerships they needed to establish to be effective in the communities in which they worked, required courage, strength, organizational ability and commitment | ||||
| Call Number | NRSNZNO @ research @ 14 | Serial | 14 | ||
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| Author | Trim, S.P. | ||||
| Title | Report on the pilot NZNO practice nurse accreditation programme March 1995 – April 1998 | Type | |||
| Year | 1998 | Publication | Kai Tiaki: Nursing New Zealand | Abbreviated Journal | NZNO Library |
| Volume | 4 | Issue | 7 | Pages | 26 |
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| Abstract |
The New Zealand Nurses organsation agreed to become the accrediting body for nurses in NZ in 1994 and Susanne Trim, NZNO Professional Nursing Adviser, worked with the National Practice Nurse Section to develop and pilot a model for accreditation.A consultative process was used to develop a framework and process during 1995 and this was unanimously endorsed in the April 1996 National Practice Nurse Section AGM.Implementation occurred from May 1996 to March 1998 with a comprehensive evaluation of the model collection of data from practice nurse applicants, non-applicants, the Practice Nurse Accreditation Board, National PN Sections and the project co-ordinator.The number of applications received exceeded expectations 212 (14% NZNO practice nurse members). There was a high level of satisfaction expressed by applicants.A number of content issues were identified during the pilot as needing review, clarification and amendment. These were of a minor nature rather than recommended changes to the structure itself.The accreditation Board processes were modified part way through the implementation to improve efficiencies and were found to be satisfactory. The training model and timing were appropriate.Administrative support and central co-ordination through designated NZNO staff member proved to be time consuming but vital.Practice Nurses embraced accreditation however as a group they have some minor unique characteristics. This should caution NZNO to proceed gradually with accreditation of other Section Nurses and monitor progress closely | ||||
| Call Number | NRSNZNO @ research @ 340 | Serial | 340 | ||
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| Author | McKinlay, E.M. | ||||
| Title | Within the circle of care: the patient's lived experience of receiving palliative care | Type | |||
| Year | 1998 | Publication | Abbreviated Journal | Mary Potter Hospice Library, Wellington | |
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| Abstract |
The objective of this research was to determine aspects of hospice based palliative care which patients described as being important and valued. This research is to be the basis of future work on the development of consumer generated quality indicators. Palliative care managers could use these to evaluate hospice based care, and provide output measures for health providers. The methodology used by the researcher was qualitative descriptive informed by phenomenology. Six recently discharged hospice patients who had at least two episodes of palliative care were interviewed about their experience of care. The resulting data, after reflection, formed a representation; the circle of care. This included aspects of valued care generated by actions of the interdisciplinary staff, and other aspects of care generated within the palliative care environment which the patient perceived as being meaningful and important. In conclusion, the reality of people receiving palliative care is characterised by a number of supportive traditional and non-traditional aspects of caring. Although some characteristics have been described within general health and the palliative care literature, some appear to have been generated by these particular participants as part their reality. The researcher believes that the resulting representation of care requires further research in other palliative care settings. The process of interviewing terminally ill people although not without concern to the interviewer, and inherently difficult for the patients, appeared to allow the patient to tell the story of both their illness and care | ||||
| Call Number | NRSNZNO @ research @ 211 | Serial | 211 | ||
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