Records |
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 |
NRSNZNO @ research @ 1042 |
Serial |
1026 |
Permanent link to this record |
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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 |
NRSNZNO @ research @ 1108 |
Serial |
1093 |
Permanent link to this record |
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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 |
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Call Number |
NRSNZNO @ research @ 1137 |
Serial |
1122 |
Permanent link to this record |
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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 |
NRSNZNO @ research @ 1150 |
Serial |
1135 |
Permanent link to this record |
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Author |
Litchfield, M. |
Title |
Practice wisdom |
Type |
Journal Article |
Year |
1999 |
Publication |
Advances in Nursing Science |
Abbreviated Journal |
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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 |
NRSNZNO @ research @ 1186 |
Serial |
1171 |
Permanent link to this record |
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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 |
NRSNZNO @ research @ 1206 |
Serial |
1191 |
Permanent link to this record |
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Author |
Jull, A. |
Title |
Oral Pentoxifylline in the treatment of venous leg ulcers: A meta-analysis |
Type |
|
Year |
1999 |
Publication |
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Abbreviated Journal |
ResearchArchive@Victoria |
Volume |
|
Issue |
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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 |
NRSNZNO @ research @ 1244 |
Serial |
1229 |
Permanent link to this record |
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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 |
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Pages |
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Keywords |
History of nursing; Nursing philosophy |
Abstract |
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Call Number |
NRSNZNO @ research @ 1285 |
Serial |
1270 |
Permanent link to this record |
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Author |
Neehoff, S.M. |
Title |
Pedagogical possibilities for nursing |
Type |
|
Year |
1999 |
Publication |
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Abbreviated Journal |
University of Otago Library |
Volume |
|
Issue |
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Pages |
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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 |
NRSNZNO @ research @ 1287 |
Serial |
1272 |
Permanent link to this record |
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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 |
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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 |
NRSNZNO @ research @ 1288 |
Serial |
1273 |
Permanent link to this record |
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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 |
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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 |
NRSNZNO @ research @ 1289 |
Serial |
1274 |
Permanent link to this record |
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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 |
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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 |
NRSNZNO @ research @ 1301 |
Serial |
1286 |
Permanent link to this record |
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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 |
NRSNZNO @ research @ 1302 |
Serial |
1287 |
Permanent link to this record |
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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 |
NRSNZNO @ research @ 1303 |
Serial |
1288 |
Permanent link to this record |
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Author |
Gunn, D. |
Title |
Caring for the dying adolescent: The lived experience of four mothers |
Type |
|
Year |
1999 |
Publication |
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Abbreviated Journal |
Victoria University of Technology Library, NZNO Li |
Volume |
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Issue |
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Pages |
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Keywords |
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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 |
NRSNZNO @ research @ 163 |
Serial |
163 |
Permanent link to this record |