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Author |
Brown, E.F. |
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Title |
Work-related back pain among nurses: nurses perceptions of the causative factors |
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Year |
1999 |
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Abbreviated Journal |
Christchurch School of Medicine – University of Ot |
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Abstract |
Work-related back pain among nurses is a problem of significant proportion. Nurses have a high rate of back pain compared to the general population and other occupational groups. There has been little reduction in the rates of nurses back pain and solutions to this complex problem continue to be elusive. Many quantitative studies have been undertaken examining and identifying the risk factors contributing to a high risk of back pain among nurses. Few of these studies focus on the complexities and context of the nurses physical and social environment. An exploration of these factors may assist to explain why interventions have not been successful and why the risk of back pain among nurses remains high.This study, using a qualitative methodology, explores nurses views and perceptions of the factors that they believe contribute to nurses having a high risk for work-related back pain. In-depth interviews were conducted with nurses working in previously identified high risk areas asking them about their perceptions of the risk factors and the activities that lead to risk situations for back pain. The strongest theme to emerge from the participant interviews was that it is the work demands from nursing that create and expose nurses to high levels of risk. Other risk factors identified were environmental hazards, equipment management and the physical work environment. The interview responses were analysed using two theoretical models of risk. The Health Belief Model examines risk behaviour using a cognitive psychological approach and the Social Model of Risk views all behaviour as influenced by the social environment. Both models offer explanations as to why nurses take actions that place them at risk for back pain. This study highlights the main ideas and concerns raised by the participants. It makes recommendations for managing the problem of work-related back pain in the nursing profession, and suggests areas where more research is needed |
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Call Number |
NRSNZNO @ research @ 415 |
Serial |
415 |
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Author |
Crowe, M. |
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Title |
Mad talk: attending to the language of distress |
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Journal Article |
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Year |
1999 |
Publication |
Nursing Inquiry |
Abbreviated Journal |
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March |
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Abstract |
This paper will examine how one woman, Madeleine's narrative can be constructed as symptomatic of the diagnosis of schizophrenia and how it can also be read from other perspectives, particularly a post-structural feminist one. The readings are presented as possibilities for understanding the woman's experiences and the implications of this for mental health nursing practice. A post-structural feminist reading acknowledges the gendered experiences of subjectivity and how those experiences are constructed in language.The purpose of this paper is to identify for mental health nursing practice an approach which recognises the figurative and literal characteristics of language in order to provide nursing care which positions the individual's experience of mental distress as central. This requires an acknowledgment of Madeleine's path into mental distress rather than simply a categorisation of what is observed in a clinical setting. Intervention may need to include a range of strategies: medical and non-medical, psychotherapeutic and social, physical and environmental. It may also require the provision of sanctuary and security while these options are explored |
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Call Number |
NRSNZNO @ research @ 438 |
Serial |
438 |
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Author |
Clendon, J. |
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Title |
The Nurse Practitioner-led Primary Health Care Clinic; A Community Needs Analysis |
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Year |
1999 |
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Abbreviated Journal |
Albany, Auckland |
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Aim: To determine the feasibility of establishing a nurse practitioner-led, family focused, primary health care clinic within a primary school environment as an alternate or complementary way of addressing the health needs of 'at risk' children and families to the services already provided by the public health nurse.Method: Utilising needs analysis method, data was collected from three sources – known demographic data, 17 key informant interviews and two focus group interviews. Questions were asked regarding the health needs of the community, the perceptions of participants regarding the role of the public health nurse in order to determine if a public health nurse would be the most appropriate person to lead a primary health care clinic, and the practicalities of establishing a clinic including services participants would expect a clinic to provide. Analysis was descriptive and exploratory.Results: A wide range of health needs were identified from both the demographic data and from participant interviews. Findings also showed that participant's understanding of the role of the public health nurse was not great and that community expectations were such that for a public health nurse to lead a primary health care clinic further skills would be required. Outcomes from investigating the practicalities of establishing a nurse practitioner-led clinic resulted in the preparation of a community-developed model that would serve to address the health needs of children and families in the area the study was undertaken.Conclusion: Overall findings indicated that the establishment of a nurse practitioner-led, family focused, primary health care clinic in a primary school environment is feasible. While a public health nurse may fulfil the role of the nurse practitioner, it was established that preparation to an advanced level of practice would be required. It is likely that a similar model would also be successful in other communities in New Zealand, however the health needs identified in this study are specific to the community studied. Further community needs assessments would need to be completed to ensure health services target health needs specific to the communities involved. |
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Call Number |
NRSNZNO @ research @ 447 |
Serial |
447 |
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Author |
Spence, D. |
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Title |
Prejudice, paradox and possibility |
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Year |
1999 |
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Abbreviated Journal |
Auckland |
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This study explores the the experience of nursing a person, or people, form cultures other than one's own. Informed by the tradition of philosophical hermeneutics, and drawing specifically on some of the notions articulated by Hans-Georg Gadamer and Charles Taylor, it seeks to understand everyday nursing practices within their cultural and historical context.Against a background of Maori resurgence, nurses in New Zealand have been challenged in Aotearoa-New Zealand to recognise and address racism in their practice. Meeting the health needs of all people has long been important in nursing yet the curricular changes implemented in the early 1990s to enhance nursing's contribution to a more equitable health service created uncertainty and tension both within nursing, and between nursing and the wider community.In this study, I have interpreted the experiences of seventeen nurses practising in an increasingly ethnically diverse region. Personal understandings and those from relevant literature have been used to illuminate further the nature of cross-cultural experience from a nurse's perspective. The thesis asserts that the notions of prejudice, paradox and possibility can be used to describe the experience of nursing a person from another culture. Prejudice refers to the prior understandings that influence nursing action in both a positive and a negative sense. Paradox relates to the coexistence and necessary interplay of contradictory meanings and positions, while possibility points to the potential for new understandings to surface from the fusion of past with present, and between different interpretations. As New Zealand nurses negotiate the conflicts essential for ongoing development of their practice, the play of prejudice, paradox and possibility is evident at intra-personal and interpersonal levels as well as in relation to professional and other social discourses. This thesis challenges nurses to persist in working with the tensions inherent in cross-cultural practice. It encourages continuation of their efforts to understand and move beyond the prejudices that otherwise preclude the exploration of new possibilities. |
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Call Number |
NRSNZNO @ research @ 448 |
Serial |
448 |
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Author |
Woodward, J. |
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Title |
Nurse case management: A review of the literature |
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Year |
1999 |
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Abbreviated Journal |
Victoria University of Wellington Library |
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Keywords |
Nursing; Nursing specialties; Surgery; Care plans |
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This literature review is an exploration of nurse case management and it will provide the background for the introduction of a nursing case management model in the acute surgical environment at Western Bay Health. Case management is a collaborative process which assesses, plans, implements, co-ordinates, monitors and evaluates options and services to meet an individual's health needs through communication and available resources to promote quality, cost-effective outcomes (Newell, 1996:.3). In undertaking this review it was the author's intention to include the findings as background to a business case seeking the introduction of a surgical nurse case management model within the surgical service. |
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Call Number |
NRSNZNO @ research @ 483 |
Serial |
470 |
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Author |
Mitchell, D.F. |
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Title |
Is it possible to care for the “difficult” male? A study exploring the interface between gender issues, nursing practice and men's health |
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Year |
1999 |
Publication |
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Abbreviated Journal |
Victoria University of Wellington Library |
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Keywords |
Male; Nurse-patient relations; Gender |
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This thesis is about caring for males, especially those males who could be considered “difficult” to care for through their use of behaviours such as silence, anger or defensive humour. This thesis is positioned in the view that these behaviours are often expressions of distress, which typically distance males from those who attempt to care for them. The author suggests that the word “distress” more accurately reflects the theme of the thesis, and it is used throughout the work. This thesis explores the interface between gender issues, nursing practice and caring for males. It is informed by a review of relevant literature and data gathered from a focus group of nine registered nurses. The analysis is framed by questions that are developed from a series of reflections on my personal and professional life. Critical social theory, with its emphases on dominant dialogue, power and emancipation is used to inform and guide this analysis. What is most obvious is the contrast between themes arising from the literature and those arising from the focus group. It appears that the literature, in the main, is critical of males in regard to concepts of masculinity, issues related to gender, and men's health. Males are portrayed as arbitrators of their own misfortune, as deliberately choosing a lifestyle that reflects poorly on their health, their self-expression, and communication with others. Concepts such as power and control over others, both at a societal and individual level, often feature. Conversely, the literature is noticeably lacking in regard to information about the health related experiences of males and about caring for males. In contrast, the participants of the focus group frame their discussion in the positive. For example, they suggest that males are interested in their health but require an environment that supports this expression of interest. They support this by identifying a range of behaviours they believe are effective in caring for males. The participants also suggest that it is the registered nurse rather than the male who manages issues to do with power and control. The thesis concludes that creating and sustaining an environment supportive of, and sensitive to the needs of males, is an activity that requires considerable thought, skill and experience. These areas are not adequately addressed in academic dialogue, research activity, or in the education of registered nurses. The thesis suggests that this situation is inconsistent with an ethic of care and that nursing should make a priority of broadening its research and knowledge base to better understand and care for males. |
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Call Number |
NRSNZNO @ research @ 503 |
Serial |
489 |
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Author |
Wassner, A. |
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Title |
Labour of love: Childbirth at Dunedin Hospital, 1862-1972 |
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Book Whole |
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Year |
1999 |
Publication |
Dissector |
Abbreviated Journal |
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Hospitals; History of nursing; Maternity care; Registered nurses; Nursing; Education |
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This book covers obstetrical care from a nursing perspective at the Dunedin Hospital's Maternity Units. The researcher found little information on the two lying-in (maternity) wards of the first two Dunedin Hospitals. The book presents historical records outlining obstetric nursing procedures and maternity culture at the Dunedin Hospitals, The Benevolent Institution, The Batchelor Maternity Hospital, and Queen Mary Hospital. It covers cultural, social and legislative changes over the period, and examines conditions and pay for nursing staff across this time. A chapter on the evolution of baby care looks at changes in acceptable practices around nursery care, breast and bottle feeding, and medical procedures. The book has an extensive list of appendices, including staff lists, training notes for staff, duty lists, and interviews with staff and patients. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1049 |
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Author |
Trout, F. |
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Title |
Health needs assessment within the ecology of caring |
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Year |
1999 |
Publication |
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Abbreviated Journal |
Massey University Library |
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Keywords |
Community health nursing |
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Call Number |
NRSNZNO @ research @ 1137 |
Serial |
1122 |
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Author |
Roberts, F. |
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Title |
The people the programme & the place: Nurses' perceptions of the Lakeland Health Professional Development Programme |
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Year |
1999 |
Publication |
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Abbreviated Journal |
NZNO Library, Victoria University of Wellington Library |
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Keywords |
Careers in nursing; Professional development; Registered nurses |
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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. |
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Call Number |
NRSNZNO @ research @ 1150 |
Serial |
1135 |
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Author |
Litchfield, M.; Laws, M. |
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Title |
Achieving family health and cost-containment outcomes: Innovation in the New Zealand Health Sector Reforms |
Type |
Book Chapter |
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Year |
1999 |
Publication |
Cohen,E. & De Back,V. (Eds.), The outcomes mandate: New roles, rules and relationships. Case management in health care today (pp. 306-316) |
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Advanced nursing practice; Nurse managers; Teamwork; Nurse-family relations; Leadership; Health reforms |
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The chapter presents the research findings of the 1992-1993 Wellington Nurse Case Management Scheme Project as a distinct model of nurse case management, which introduced a role and form of practice of a family nurse and a diagram of the service delivery structure required for support and relevant for the New Zealand health system reforms. |
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NRSNZNO @ research @ |
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1169 |
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Author |
Maher, J.M. |
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Title |
An exploration of the experience of Critical Incident Stress Debriefing on firefighters within a region of the New Zealand Fire Service |
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Year |
1999 |
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Abbreviated Journal |
ResearchArchive@Victoria |
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Keywords |
Stress; Occupational health and safety; Nursing research; Nursing specialties |
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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. |
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Call Number |
NRSNZNO @ research @ 1206 |
Serial |
1191 |
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Author |
Jull, A. |
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Title |
Oral Pentoxifylline in the treatment of venous leg ulcers: A meta-analysis |
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Year |
1999 |
Publication |
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Abbreviated Journal |
ResearchArchive@Victoria |
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Keywords |
Pharmacology; Evidence-based medicine; Nursing |
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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. |
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Call Number |
NRSNZNO @ research @ 1244 |
Serial |
1229 |
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Author |
Burtenshaw, M.K. |
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Title |
Characteristics and expectations of beginning Bachelor of Nursing students |
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Year |
1999 |
Publication |
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Abbreviated Journal |
Victoria University of Wellington Library |
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Pages |
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Keywords |
Students; Nursing; Education |
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Abstract |
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Call Number |
NRSNZNO @ research @ |
Serial |
1269 |
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Author |
Phillips, S. |
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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 |
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Year |
1999 |
Publication |
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Abbreviated Journal |
Victoria University of Wellington Library |
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Volume |
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Issue |
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Pages |
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Keywords |
History of nursing; Nursing philosophy |
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Call Number |
NRSNZNO @ research @ 1285 |
Serial |
1270 |
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Author |
Delugar, A. |
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Title |
An historical inquiry to identify the contribution Beatrice Salmon's writings made to nursing education in New Zealand, 1969-1972 |
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Year |
1999 |
Publication |
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Abbreviated Journal |
Victoria University of Wellington Library |
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Volume |
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Issue |
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Pages |
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Keywords |
History of nursing; Nursing; Education |
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Abstract |
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Call Number |
NRSNZNO @ research @ |
Serial |
1271 |
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