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Guilliland, K. | ||||
| Title | A demographic profile of independent (self-employed) midwives in New Zealand Aotearoa | Type | |||
| Year | 1998 | Publication | Abbreviated Journal | Victoria University of Wellington | |
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| Call Number | NRSNZNO @ research @ 225 | Serial | 225 | ||
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| Author |
Gully, E.M. | ||||
| Title | A retrospective case study of one wymyns experience of a life threatening/challenging illness | Type | |||
| Year | 1998 | Publication | Abbreviated Journal | Victoria University of Wellington Library | |
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| Call Number | NRSNZNO @ research @ 348 | Serial | 348 | ||
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| Author |
Holloway, K. T. | ||||
| Title | Developing evidence based in clinical teaching (contexually modified replication study) | Type | |||
| Year | 1998 | Publication | Nursing Praxis in New Zealand | Abbreviated Journal | Whitireia Community Polytechnic, Porirua |
| Volume | 14 | Issue | 1 | Pages | 22-32 |
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| Abstract | There is concern over the standards of nursing practice skill acquisition in undergraduate programs. One of the issues relevant to this is which of the multitude of nursing practice skills to include in an undergraduate program. Previous research by Alavi, Loh and Reilly (1991) has been modified and used in clinical settings in the New Zealand context in order to address this concern. Competency level of the most important skills identified by clinicians was also sought in order to aid development of a skill curriculum for Whitireia Community Polytechnic. There is a strong theoretical support for the preparation of student nurses in skills laboratories prior to clinical learning experience in order to maximise learning. Further directions for study are covered with discussion of the implications for teaching from the research findings | ||||
| Call Number | NRSNZNO @ research @ 377 | Serial | 377 | ||
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| Author |
Hopkins, C.J. | ||||
| Title | The presenting symptoms associated with arachnoiditis and the experience of living with them in everyday life | Type | |||
| Year | 1998 | Publication | Abbreviated Journal | Massey University Library | |
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| Call Number | NRSNZNO @ research @ 396 | Serial | 396 | ||
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| Author |
Idour, D.M.G. | ||||
| Title | Stepping beyond the known – the lived experience of returning registered nurse students: an interpretive descriptive study | Type | |||
| Year | 1998 | Publication | Abbreviated Journal | Massey University Library, NZNO Library, UMI Disse | |
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| Abstract | A Heideggerian Hermeneutical Analysis (HHA) approach was used for a study of returning registered nurse students (RRNS) from a nursing/health management context. In essence a descriptive interpretive study the intent has been to unveil the common meanings embedded in the lived experience of RRNS return to formal (advanced) studies. The phenomenon or issue of interest was pursued in the form of a question: What is meaningful and significant for participant RRNS in their everyday world on re-engaging in formal (advanced) nursing studies?Research from the RRNS viewpoint is scarce, so the focus of the study was to understand what RRNS themselves found to be the highlights of the experience. Participants included RRNS coming from a management background and, therefore, very much at the cutting edge of rapid and continuing change in health care provision. In addition to personal and professional reasons for returning to study, what the narratives disclosed was the compelling need experienced by the RRNS to increase understanding of changing requirements in the workplace. They looked for new possibilities to transform management of nursing/health services and for learning experiences favorable to that purpose. A key aspect of their concern related to the interactive nature of their lived experience as a RRNS with the entire context of their everyday world, that is, with the connections and relations between the study-work-homespace.Fourteen RRNS from an established university nursing programme participated in an expended non-structured interviews lasting 60 – 90 minutes. The interviews were held during 1993 in places selected by participants, some in the home but mostly in the work setting. With the consent of the participants interviews were audiotaped and then transcribed. The texts (transcriptions) were analysed hermeneutically using Heideggerian phenomenology, a particular tradition of philosophy whose concern is the meaning of Being. The concern is to make visible participants' experience of their 'world'. In this instance, it was the everyday 'world' of the participant RRNS and the lived meanings of what they experienced on return to formal (advanced) studies. Hence everyday lived experience is the focus of attention in Heiedeggerian phenomenology. In this research approach what is sought is understanding not explanation. It is a premise of phenemenology that, in general, an understanding of the meaning and significance of the lived experience can be required from the 'things' (the phenomena under study) themselves. Approaching a participant as an expert by virtue of directly experiencing the phenomenon, is basic to phenomenology. Hermeneutic analysis of the texts of the participant RRNS affirmed the authenticity of those assumptions.The study revealed several common or major themes, two relational themes and one constitutive pattern were identified through the process of textual interpretation. The constitutive pattern expressing the full complexity of the relations and connections between the themes, was found to be present in all fourteen texts; the nature of a constitutive pattern being 'that it's always there'. The constitutive pattern 'Nursing is Dwelling in Thoughtful Concern as Context Calls Forth', emerged as the major finding of the study. This pattern witnesses to the pragmatism that is inherent in nursing and commonly found in nurses' responses to the challenges presented by continuing and rapid change. For the participant RRNS nursing had become a way of engaging their energies in the workplace as appropriate to a given place, time and culture. The two relational themes accent particular aspects of the constitutive pattern. 'Nursing' is a whole pile of things'; and 'Curriculum: Reflective Openness' reveal the inherent meanings of the constitutive pattern. Firstly, that nursing is diverse in practice and has many dimensions; and,, secondly, that a curriculum befitting the diversity of nursing requires us to constantly challenge ad test the learning experiences we provide for RRNS.The fourteen participants traversed diverse pathways to acquire the understanding and skills required for altered health care structures. Adopting new relationships and 'leaping-ahead' (Heidegger, 1962), to be able to see the whole picture of what was being experienced in nursing/health care, reveals the RRNS becoming-as interpreters for both colleagues and clients. Leaping-ahead is reflective of thoughtful concern as the pattern of responding to presenting need. This way of living a life transforms work. The participant RRNS disclose that, dwelling in such a way in nursing/health work opens up a future of possibilities which brings all the presenting needs into focus. Sharing the story of their lifeworld as RRNS, the participants have exemplified the ' reflective openness' Senge(1990) advocates, as being a pre-requisite for 'learning organisations'. Contemporary oganisations require us to challenge our own thinking as well as being free to speak our minds ('participant openness'). Since, however much we value our daily life practices and understandings, they need to be 'always subject to test and improvement'. In effect, what the participants have bestowed on us is that, within the framework of a curriculum for RRNS and the content learning of a given course, we must generate a process of learning amenable to both individual and group requirements | ||||
| Call Number | NRSNZNO @ research @ 208 | Serial | 208 | ||
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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 |
Lakeman, R.M. | ||||
| Title | Psychiatric – mental health nurses on the internet | Type | Journal Article | ||
| Year | 1998 | Publication | Computers in Nursing | Abbreviated Journal | |
| Volume | 16 | Issue | 2 | Pages | 87-89 |
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| Abstract | This research began in 1995 with an e-mail survey of psychiatric / mental health (PMH) nurses who belonged to an e-mail discussion group. The original aims were to describe how PMH used and learned to use the internet, the benefits to their work, and how they saw the internet affecting their work in future. Data were analysed using content analysis techniques and findings published in a number of forums. In 1999 another survey using the same e-mail list was undertaken to explore how things had changed in terms of internet use and peoples visions of how the internet is likely to impact on nursing in the future. These data are the subject of continuing analysis | ||||
| Call Number | NRSNZNO @ research @ 191 | Serial | 191 | ||
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| Author |
Litchfield, M. | ||||
| Title | Professional development: Developing a new model of integrated care | Type | Journal Article | ||
| Year | 1998 | Publication | Kai Tiaki: Nursing New Zealand | Abbreviated Journal | |
| Volume | 4 | Issue | 9 | Pages | 23-25 |
| Keywords | Nursing models; Nurse practitioners; Policy; Nurse-family relations | ||||
| Abstract | An overview of the model of nursing practice and nurse roles derived through a programme of nursing research in the context of the policy and strategies directing developments in the New Zealand health system. The emphsis was on the health service configuration model presented diagrammatically to show the position of a new role of family nurse with a distinct form of practice forming the hub. | ||||
| Call Number | NZNO @ research @ | Serial | 1324 | ||
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| Author |
Litchfield, M. | ||||
| Title | Case management and nurses | Type | Journal Article | ||
| Year | 1998 | Publication | Nursing Praxis in New Zealand | Abbreviated Journal | |
| Volume | 13 | Issue | 2 | Pages | 26-35 |
| Keywords | Nursing; Care plans | ||||
| Abstract | The report of an exploratory study of current approaches to case management by nurses as requested by the College of Nurses Aotearoa New Zealand. It revealed different interpretations of nurse case management around New Zealand and in the US, UK and Australia. They differed according to the conceptualisation of health service design and delivery in the respective country. Case management in New Zealand in general presented nurse care management roles as an interface between the mangement of health service delivery and the peculiarities of the healthcare people received, holding the potential for achieving tailored, patient-centred care outcomes. | ||||
| Call Number | NZNO @ research @ | Serial | 1323 | ||
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| Author |
Litchfield, M. | ||||
| Title | The scope of advancing nursing practice | Type | Journal Article | ||
| Year | 1998 | Publication | Nursing Praxis in New Zealand | Abbreviated Journal | |
| Volume | 13 | Issue | 3 | Pages | 13-24 |
| Keywords | Nursing specialties; Nursing | ||||
| Abstract | An overview of the model of nursing practice and nurse roles derived through a programme of nursing research in the context of the changing New Zealand health system. The emphasis is on the complementary nature of the practice of family nurses taking a generic integrative service delivery hub role and the practice of other nurses advancing in specialist roles. Nursing care is presented as a professional, collective practice of registered nurses spread across all health service sectors and employment settings. Nurse roles are differentiated according to the interplay of two factors influencing the extent of practice autonomy the nurses assume (educationally supported) in responding to health need. A diagram depicts the interrelationship of competency and scope for the inclusive three different career trajectories of nurses advancing in practice. NOTE: This paper was published with an error in the title of the article (stated correctly on the journal contents page). An apology from the journal editor with an explanation of the importance of the use of the term ?advancing? and not ?advanced? was published in the subsequent issue (Nursing Praxis in NZ,14(1)). | ||||
| Call Number | NZNO @ research @ | Serial | 1325 | ||
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| Author |
Litchfield, M. | ||||
| Title | What is nursing research? | Type | Journal Article | ||
| Year | 1998 | Publication | P. Watson & M.Woods (Eds.), Waiora: Nursing research in Aotearoa/New Zealand, evolving a shared sense of our future. Proceedings of the Nursing Research Section/Te Runanga O Aotearoa (New Zealand Nurses' Organisation) conference, Wellington 26-27 March. | Abbreviated Journal | |
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| Keywords | Nursing research; Nursing | ||||
| Abstract | This conference paper outlines the nature of nursing research developing the distinct knowledge for nursing practice. It is presented as a cumulative process of knowledge development about health, practice and service delivery. Nursing research is illustrated by tracing a personal trajectory of research over 25 years that addressed questions relating to and derived from the practice of nursing. | ||||
| Call Number | NZNO @ research @ | Serial | 1326 | ||
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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 |
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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| 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 |
McRae, B.H.T.K. | ||||
| Title | Peer review: organisational learning for nurses | Type | |||
| Year | 1998 | Publication | Abbreviated Journal | Massey University Library | |
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| Call Number | NRSNZNO @ research @ 190 | Serial | 190 | ||
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