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Author Ronaldson, A.
Title Coping with body image changes after limb loss Type Journal Article
Year 1999 Publication Abbreviated Journal
Volume 5 Issue 11 Pages 14-16
Keywords People with disabilities; Nursing; Psychology
Abstract The author reviews the literature on the differences in the way people manage the process of coming to terms with amputation. The socio-cultural implications of body image construction are discussed and a new framework for clinical practice is suggested. The implications for nursing are examined and positions nurses as advocates. The importance of language is identified.
Call Number (up) NRSNZNO @ research @ 1042 Serial 1026
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Author Richardson, S.
Title Increasing patient numbers: The implications for New Zealand emergency departments Type Journal Article
Year 1999 Publication Accident & Emergency Nursing Abbreviated Journal
Volume 7 Issue 3 Pages 158-163
Keywords Emergency nursing; Organisational change
Abstract This article examines influences that impact on the work of the Emergency Departments (EDs). EDs are noticing increased attendance of patients with minor or non-urgent conditions. This increase in patient volume, together with on-going fiscal constraints and restructuring, has placed an added strain on the functioning of EDs. New Zealand nurses need to question the role currently given to EDs and identify the issues surrounding the increased use of these departments for primary health care.
Call Number (up) NRSNZNO @ research @ 1108 Serial 1093
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Author Trout, F.
Title Health needs assessment within the ecology of caring Type
Year 1999 Publication Abbreviated Journal Massey University Library
Volume Issue Pages
Keywords Community health nursing
Abstract
Call Number (up) NRSNZNO @ research @ 1137 Serial 1122
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Author Roberts, F.
Title The people the programme & the place: Nurses' perceptions of the Lakeland Health Professional Development Programme Type
Year 1999 Publication Abbreviated Journal NZNO Library, Victoria University of Wellington Library
Volume Issue Pages
Keywords Careers in nursing; Professional development; Registered nurses
Abstract This thesis concerns the Professional Development Programme at Lakeland Health. In New Zealand, such programmes were introduced as a mechanism to openly recognise the clinical expertise of nurses. Clinical Career Pathways were introduced to nursing in North America in the 1970's at a time of nursing shortage. Prior to their inception, nurses wishing to develop their careers had to move to administration, management or education. The programmes recognised and rewarded expertise in practice. A qualitative, descriptive approach (using focus groups) was used with Registered Nurses to gather their perceptions of what helps nurses enroll in the Professional Development Programme. The ideas and insights of nine Registered Nurses were clustered around three main categories: The People (fear; being struck; motivation; feedback; peer support; ways of learning); the Programme (relevance; flexibility; Bachelor's Degrees; implementation; supporting information; fairness); the Place (time; regular and accessible; support from nurse leaders; management). These perceptions are discussed in more detail in the context of nursing at Lakeland Health and of Clinical Career Pathways in New Zealand. The findings are helpful for the evaluation and future development of the Professional Development at Lakeland Health. The research contributes to our understanding of what helps nurses enroll in a Clinical Career Pathway, and emphasises the importance of the People, the Programme and the Place.
Call Number (up) NRSNZNO @ research @ 1150 Serial 1135
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Author Litchfield, M.
Title Practice wisdom Type Journal Article
Year 1999 Publication Advances in Nursing Science Abbreviated Journal
Volume 22 Issue 2 Pages 62-73
Keywords Nursing research; Nursing; Health knowledge
Abstract The paper is the report of two cumulative research projects studying the nature of nursing knowledge and methodology to develop it. They were undertaken as theses for masters and doctoral degrees at the University of Minnesota, USA. Nursing knowledge is depicted as relational: an evolving participatory process of research-as-if-practice of which 'health' (its meaning), dialogue, partnership and pattern recognition are threads inter-related around personal values of vision and community.
Call Number (up) NRSNZNO @ research @ 1186 Serial 1171
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Author Maher, J.M.
Title An exploration of the experience of Critical Incident Stress Debriefing on firefighters within a region of the New Zealand Fire Service Type
Year 1999 Publication Abbreviated Journal ResearchArchive@Victoria
Volume Issue Pages
Keywords Stress; Occupational health and safety; Nursing research; Nursing specialties
Abstract This study originates from the author's practice experience working for the New Zealand Fire Service back in the late 1980's and early 1990's as an Occupational Health Nurse where she piloted a Critical Incident Stress Peer Support programme in the No.4 Region. The author identified work-related stress and related it to Critical Incident Stress (CIS) from firefighters exposure to critical incidents. This study explores four firefighters experience of Critical Incident Stress Debriefing (CISD) within a Region of the New Zealand Fire Service. It explores the application of CISD as one component of Critical Incident Stress Management (CISM), and the Nurse Researcher's philosophy of Clinical Nurse practice in relation to the application of CISD. The knowledge gained from the analysis of the data has the potential to influence professionals understanding of their experience and affect future practice and that of others working in the field of CISM. Much of the literature that supported CISD appeared to offer a rather superficial understanding of the firefighters experience in relation to CISD. A narrative approache was chosed as the methodology, utilising four individual case studies as a method of social inquiry in order to explore the experience of CISD. The narratives were able to creatively capture the complexity and the dynamic practice of CISD. An overall pattern of the formalised process was uncovered through the participants' narratives. Eight dominant themes were highlighted from the narratives which included safe environment; ventilating the stress reaction; similar feelings; getting the whole picture; peer support; bonding and resolution. While these themes were common to all the participants, each participant had a particular theme/s which was unique to their experience.
Call Number (up) NRSNZNO @ research @ 1206 Serial 1191
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Author Jull, A.
Title Oral Pentoxifylline in the treatment of venous leg ulcers: A meta-analysis Type
Year 1999 Publication Abbreviated Journal ResearchArchive@Victoria
Volume Issue Pages
Keywords Pharmacology; Evidence-based medicine; Nursing
Abstract The objective of this meta-analysis was to assess the effectiveness of pentoxifylline as an adjunct to compression bandaging in the treatment of venous leg ulcers. The CENTRAL registers of the Cochrane Peripheral Vascular Diseases and Wounds Groups were searched – each register is routinely updated by extensive searches of electronic databases, handsearching of relevant journals and conference proceedings, and contact with product companies and experts in the field. The drug's manufacturer was contacted and the references of review articles and all obtained trials were scrutinised for further citations. Randomised controlled trials published in any language comparing pentoxifylline and compression with placebo in adult participants with venous ulceration were included. Trials must have reported a meaningful objective outcome (rates of healing, proportions healed, time to healing). Details from eligible trials (independently selected by two reviewers) were extracted and summarised by one reviewer. A second reviewer independently verified extracted data. Eleven clinical trials were identified. Five trials compared pentoxifylline with placebo (compression standard therapy). Six trials were excluded. Pentoxifylline and compression was more effective than placebo and compression (RR 1.30, 95% C1 1.10-1.54) and was robust to sensitivity analyses. The greater number of adverse effects (46 reports) occurred in the pentoxifylline group, although this was not significant (RR 1.12, 95% C1 0.77-1.62); 34 percent of adverse effects were gastro-intestinal. Seven of 21 reported withdrawals were for adverse effects. In conclusion, pentoxifylline appears an effective adjunct to compression bandaging in the treatment of venous ulcers. The absence of cost-effectiveness data suggests it not be employed as a routine adjunct, but it could be considered as for those patients not responding to compression therapy alone. The majority of adverse effects are likely to be tolerated by patients.
Call Number (up) NRSNZNO @ research @ 1244 Serial 1229
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Author Phillips, S.
Title Exploration of the socio-cultural conditions and challenges which may impede nursing development in the twenty-first century and proactive strategies to counter these challenges Type
Year 1999 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages
Keywords History of nursing; Nursing philosophy
Abstract
Call Number (up) NRSNZNO @ research @ 1285 Serial 1270
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Author Neehoff, S.M.
Title Pedagogical possibilities for nursing Type
Year 1999 Publication Abbreviated Journal University of Otago Library
Volume Issue Pages
Keywords Nursing; Nursing philosophy; Feminist critique
Abstract This thesis is about what the author terms the 'invisible bodies of nursing'. The physical body of the nurse, the body of practice, and the body of knowledge. The physical body of the nurse is absent in most nursing literature, it is sometimes inferred but seldom discussed. The contention is that the physical body of the nurse is invisible because it is tacit. Much nursing practice is invisible because it is perceived by many nurses to be inarticulable and is carried out within a private discourse of nursing, silently and secretly. Nursing knowledge is invisible because it is not seen as being valid or authoritative or sanctioned as a legitimate discourse by the dominant discourse. These issues are approach through an evolving 'specular' lens. Luce Irigaray's philosophy of the feminine and her deconstructing and reconstructing of psychoanalytic structures for women inform this work. Michel Foucault's genealogical approach to analysing discourses is utilized, along with Maurice Merleau-Ponty's phenomenology. Nursing's struggle for recognition is ongoing. The author discusses strategies that nurses could use to make themselves more 'visible' in healthcare structures. The exploration of the embodied self of the nurse and through this the embodied knowledge of nursing is nascent.
Call Number (up) NRSNZNO @ research @ 1287 Serial 1272
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Author Peach, J.; Hall, B.
Title Professional boundaries: Being in relationship 'with' yet remaining separate Type Journal Article
Year 1999 Publication Professional Leader Abbreviated Journal
Volume 5 Issue 1 Pages 16-18
Keywords Nurse-patient relations; Professional competence
Abstract This article describes the management of the therapeutic relationship, that is set up between nurses or midwives and those in their care. It reviews the responsibilities of the health practitioner, and looks at issues around boundaries, confidentiality and accountability. It also looks at the role senior colleagues can play in ensuring this intentional relationship is managed professionally.
Call Number (up) NRSNZNO @ research @ 1288 Serial 1273
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Author Peach, J.
Title The Professional Development Programme: Achievements and outcomes Type Journal Article
Year 1999 Publication Professional Leader Abbreviated Journal
Volume 5 Issue 1 Pages 6-9
Keywords Professional development; Evaluation; Nursing
Abstract This article backgrounds the professional development programme instigated at Auckland Hospital in 1988, and reviews the achievements of the past 10 years. It describes PDP and distinguishes it from a clinical career pathway. Specific indicators were used to assess the achievement of the programme, and these are presented. Overall the programme achieved it's outcomes and at a reasonable cost.
Call Number (up) NRSNZNO @ research @ 1289 Serial 1274
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Author McDonald, R.
Title Leadership and motivation in nursing practice Type Journal Article
Year 1999 Publication Vision: A Journal of Nursing Abbreviated Journal
Volume 5 Issue 9 Pages 42-44
Keywords Motivation; Quality assurance; Leadership; Nursing
Abstract This article explores the role of leadership in improving motivation and workplace behaviour. Strategies and tools for managing motivational issues are presented, such as organisational culture, rewards systems and quality assurance.
Call Number (up) NRSNZNO @ research @ 1301 Serial 1286
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Author Dredge, A.
Title An insider's view of professional nursing and care management of the critically ill patient Type Journal Article
Year 1999 Publication Vision: A Journal of Nursing Abbreviated Journal
Volume 5 Issue 8 Pages 13-16
Keywords Intensive care nursing; Interprofessional relations; Registered nurses
Abstract This article explores the role of the registered nurse (RN) in the critical care environment. It presents the Intensive Care Unit (ICU) as a unique environment, with a specific relationship to technology, and a history that mirrors scientific development. It explores the tensions for a caring profession with a distinct culture practising in a highly medicalised, acute environment, and affirms the value of quality human care.
Call Number (up) NRSNZNO @ research @ 1302 Serial 1287
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Author Bee, S.
Title Post traumatic stress disorder: The role of critical incident stress management Type Journal Article
Year 1999 Publication Vision: A Journal of Nursing Abbreviated Journal
Volume 5 Issue 8 Pages 20-23
Keywords Trauma; Psychology; Workplace; Nursing
Abstract The author defines and describes PTSD, and looks at how it may apply to nurses. Primarily affected by delayed PTSD, nurses may experience it as burn-out, after exposure to trauma over time. The Critical Incident Stress Management programme instigated at Healthcare Hawkes Bay is outlined.
Call Number (up) NRSNZNO @ research @ 1303 Serial 1288
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Author Gunn, D.
Title Caring for the dying adolescent: The lived experience of four mothers Type
Year 1999 Publication Abbreviated Journal Victoria University of Technology Library, NZNO Li
Volume Issue Pages
Keywords
Abstract The aim of this thesis is to present a phenomenological exploration of the experiences of four woman who have had an adolescent child die of cancer. Using the method of hermeneutic phenomenology, as described by van Mann (1984,1990) the study drew on the stories of four woman. From their stories eight emerging themes became apparent.The analysis of the themes is described under the following headings:- wanting to protect; wanting to be with; maintaining normality; feeling positive and hopeful; facing finality; realizing that death was imminent; coping with the common reality; and interacting with health professionals.Further interpretation of the emerging themes revealed “hope expectations” as the phenomenon of concern that captures these mothers' experiences. The hope expectation phenomenon reveals how the mothers coped with adversity, differing hope expectations in the common reality, oscillating hope expectations throughout the journey and hope expectations inspired by the health professionals.The outcome of this work is to provide professional, especially nurses, with insight and knowledge of the maternal experience of caring for the dying adolescent. It is hoped this research will contribute to the body of nursing knowledge and influence the care of parents who experience the trauma of caring for their dying adolescent child
Call Number (up) NRSNZNO @ research @ 163 Serial 163
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