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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 Caldwell, S.
Title From “beloved imbecile” to critical thinker: producing the politicized nurse Type
Year 1998 Publication Abbreviated Journal University of Auckland Library
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Call Number NRSNZNO @ research @ 311 Serial 311
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Author Beck, A.
Title Organisational outcomes of burnout among nurses Type
Year 1998 Publication Abbreviated Journal University of Waikato Library
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Call Number NRSNZNO @ research @ 315 Serial 315
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Author Francis, H.
Title Exploring continuity of wound care: a critical approach Type
Year 1998 Publication Abbreviated Journal Deakin University Library, Eastern Institute of Te
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Abstract This study aimed to explore the range of issues that surround the continuity of wound care between hospital and community care settings in a provincial area of New Zealand, from the perspective of the health care professionals providing the wound care. Previous research into continuity of care concentrated predominantly upon purely nursing issues. This means that both the profound implications of the interprofessional relationships of the various health care professionals involved in wound care, and the far-reaching effects of the socio-economic context within which wound care was given were often not considered. A critical ethnographic approach was employed to explore continuity of care in this community. Health professionals were interviewed twice. A first interview discussed some of the unacknowledged power relations and the contextual issues that effect continuity of wound care, as well as offering the opportunity for the participants to reflect on the issues that emerged. Following preliminary analysis of the data from the first interview, a summary of findings was given to each of the participants which served as a focus for the second interview. Following these, the data were analysed, and the main themes that influenced the continuity of wound care for the participants were identified. Analysis of the data revealed all the participants practicing under considerable socio-political constraints which interfered with their ability to provide high quality wound care for their patients: these constraints dictated both who gave the wound care and how they were able to do it. The data also revealed the various relationships between the different professionals as another major area of influence upon continuity of wound care. Medical dominance was identified as having a profound impact upon nurses ability to optimise continuity of wound care. The study concluded there are a number of areas that need to be addressed in order to optimise continuity of wound care, at both local and governmental level. The development of a nurse-led wound clinic is one initiative that would go a long way to address these issues
Call Number NRSNZNO @ research @ 325 Serial 325
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Author Pairman, S.
Title The midwifery partnership: an exploration of the midwife/women relationship Type
Year 1998 Publication Abbreviated Journal Victoria University of Wellington Library
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Call Number NRSNZNO @ research @ 346 Serial 346
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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 Parr, J.E.
Title The stories of colleagues, patients and their partners reflecting on the impact a life threatening cancer has on intimacy and sexual needs Type
Year 1998 Publication Abbreviated Journal Victoria University of Wellington Library
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Call Number NRSNZNO @ research @ 349 Serial 349
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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 O'Brien, A.J.
Title Negotiating the relationship: mental health nurses' perception of their practice Type
Year 1998 Publication Australian & New Zealand Journal of Mental Health Nursing Abbreviated Journal Author
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Abstract This exploratory descriptive study used focus groups to investigate experienced mental health nurses' perceptions of expertise in relation to their practice. Two focus group discussions were conducted, one compiling 4 nurses working in in-patient care, and the other with 5 nurses working in community care. The nurse-patient relationship was the central theme for both groups. Three sub-themes were identified and are discussed. They are: involvement, individualising care & minimising visibility. The significance of these themes for the articulation of mental health nursing practice is discussed
Call Number NRSNZNO @ research @ 362 Serial 362
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Author Skinner, J.
Title The jewel in the crown: a case study of the New Zealand College of Midwives Standards review process in Wellington Type
Year 1998 Publication Abbreviated Journal Victoria University of Wellington Library
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Call Number NRSNZNO @ research @ 369 Serial 369
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Author Smythe, E.
Title Being safe in childbirth: a hermeneutic interpretation of the narratives of women and practitioners Type
Year 1998 Publication Abbreviated Journal Massey University Library
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Call Number NRSNZNO @ research @ 390 Serial 390
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Author Calvert, I.
Title The evaluation of the use of herbal substances in the baths of labouring women: a randomised controlled trial Type
Year 1998 Publication Abbreviated Journal Massey University Library
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Call Number NRSNZNO @ research @ 391 Serial 391
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Author Anderson, M.
Title Universal change – individual responses: women's experience of the menopause and of taking hormone replacement therapy Type
Year 1998 Publication Abbreviated Journal Massey University Library
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Call Number NRSNZNO @ research @ 392 Serial 392
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Author Calvert, S.
Title Making decisions: focusing on my baby's well-being: a grounded theory study exploring the way that decisions were made in the midwife-woman relationship Type
Year 1998 Publication Abbreviated Journal Massey University Library
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Call Number NRSNZNO @ research @ 393 Serial 393
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Author Cooper, M.A.
Title Towards the professionalisation of New Zealand midwifery, 1840-1921 Type
Year 1998 Publication Abbreviated Journal Massey University Library
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Call Number NRSNZNO @ research @ 394 Serial 394
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