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Author |
Cleary, H. |
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Title |
Caring and bioethics: Perspectives, predicaments and possibilities |
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Year |
2001 |
Publication  |
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Abbreviated Journal |
ResearchArchive@Victoria |
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Issue |
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Pages |
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Keywords |
Ethics; Feminist critique; Nurse-patient relations |
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Abstract |
This thesis presents an explorative study of the place of caring in bioethics. Through the examination of various sources of literature from the disciplines of nursing, feminist theory and ethics, and bioethics, a case is developed that argues for a valid respected place for caring, as an ethic of care in bioethical decision-making. The case is built by providing evidence to support the fundamental importance of caring to human life, health, relationships, and survival at the broad societal level. This is presented from the feminist and nursing perspectives, along with a critique of the negative aspects of caring practices. The next stage of the case presents a layout of the discipline of bioethics, using an historical perspective to illuminate the influences of bioethics' deep past, as it still affects the discipline in the present. The development of contemporary bioethics' current status is presented along with critiques from bioethicists themselves, and nursing and feminist theory and ethics. In the case at this point, from a bioethical perspective, two major predicaments appear to prevent an ethic of care obtaining a valid place in ethical decision-making in bioethics. These are the justice/care duality, and the conflict between different conceptions of care and autonomy. The bioethical objections and arguments put forward regarding these predicaments are examined and refuted, and the author suggests a case is established for the inclusion of an ethic of care in bioethical decision-making. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1198 |
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Author |
Chenery, K. |
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Title |
'Can mummy come too?' Rhetoric and realities of 'family-centred care' in one New Zealand hospital, 1960-1990 |
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Year |
2001 |
Publication |
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Abbreviated Journal |
ResearchArchive@Victoria |
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Issue |
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Pages |
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Keywords |
Nurse-family relations; Policy; Hospitals; History of nursing; Paediatric nursing |
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Abstract |
This study explores the development of 'family-centred care' in New Zealand as part of an international movement advanced by 'experts' in the 1950s concerned with the psychological effects of mother-child separation. It positions the development of 'family-centred care' within the broader context of ideas and beliefs about mothering and children that emerged in New Zealand society between 1960 and 1980 as a response to these new concerns for children's emotional health. It examines New Zealand nursing, medical and related literature between 1960 and 1990 and considers both professional and public response to these concerns. The experiences of some mothers and nurses caring for children in one New Zealand hospital between 1960 and 1990 illustrate the significance of these responses in the context of one hospital children's ward and the subsequent implications for the practice of 'family-centred care'. This study demonstrates the difference between the professional rhetoric and the parental reality of 'family-centred care' in the context of one hospital children's ward between 1960 and 1990. The practice of 'family-centred care' placed mothers and nurses in contradictory positions within the ward environment. These contradictory positions were historically enduring, although they varied in their enactment. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1206 |
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Author |
Hammond, S. |
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Title |
Parallel journeys: Perceptions of palliative care |
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Year |
2001 |
Publication |
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Abbreviated Journal |
ResearchArchive@Victoria |
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Volume |
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Issue |
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Pages |
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Keywords |
Palliative care; Policy; Geriatric nursing |
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Abstract |
The delivery of palliative care within contemporary New Zealand society is discussed, in the light of the recent publication of The New Zealand Palliative Care Strategy (2001). The viewpoint taken is largely descriptive rather than prescriptive, being based on a literature survey of international research and academic theory, which is also informed by the author's professionally gained knowledge. Four different perspectives, comprising a mix of providers and recipients of care are investigated: those of central government planning; specialist palliative care units; aged-care complexes; and patients, family and whanau. As an area of healthcare which current demographic projections indicate will become increasingly significant, the provision of palliative care to residents of and patients within aged-care complexes receives special attention. A metaphor of “parallel travellers” on “parallel journeys” is used to provide a thematic basis to the paper. The lived experiences and perceptions of each group of “parallel travellers” are explored. Difficulties in defining and evaluating palliative care, the implications of main-streaming, the scope of palliative care provision, the educative role of specialist palliative care providers and the current focus on mechanistic outcome measures are discussed. It is contended that the values and goals, both explicit and implicit, of the four specified groups may not at present be sufficiently congruent to optimise the effective provision of palliative care from the point of view of all concerned. While adequate resourcing and a genuinely collaborative approach among healthcare providers are both acknowledged to be critical, the potential for palliative care nurse practitioners to be appointed to the role of “care co-ordinator” alluded to within The New Zealand Palliative Care Strategy (2001), is also seen as pivotal. Insights from a postmodern perspective are offered as one possible way of achieving greater congruence. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1215 |
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Author |
Watson, S. |
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Title |
Humane caring: Quality of life issues for those elderly people wanting to remain in their own environment |
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Year |
2001 |
Publication |
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Abbreviated Journal |
ResearchArchive@Victoria |
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Volume |
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Issue |
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Pages |
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Keywords |
Geriatric nursing; Older people; Home care |
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Abstract |
This thesis explores the issues surrounding the elderly remaining in their own environment and why remaining 'at home' becomes so essential for them. There are many elderly people who have moved to residential care settings on the advice of others. The author explores the implications of such moves through the stories of several elderly persons, and her own experiences as a nurse working with the elderly in institutional care. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1217 |
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Author |
Mitchell, K. |
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Title |
Childbirth: A momentous occasion. Muslim women's childbirth experiences |
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Year |
2001 |
Publication |
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Abbreviated Journal |
ResearchArchive@Victoria |
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Volume |
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Issue |
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Pages |
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Keywords |
Childbirth; Cultural safety; Nurse-patient relations |
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Abstract |
This thesis explores three Muslim women's experience of childbirth, in a setting surrounded by health professionals who largely have little understanding of their culture. Various forms of narrative such as a letter, excerpts from conversations, and interviews, have been used in presenting this research. The women's stories reveal that giving birth in a cross-cultural setting is stressful. The women had to adjust to an environment which challenged their beliefs and values, in one case with no extended family or cultural support. This stress is long lasting as evidenced in the women's stories. Given the opportunity to tell their story, all the women highlighted both the positive and negative aspects of their birth experiences. This thesis identifies situations that heightened the vulnerability of the women, and highlights the uniqueness of each woman. It concludes by identifying recommendations and reading material for nurses and midwives in education or practice. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1223 |
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Author |
Esera, F.I. |
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Title |
If a client is operating from a Samoan world view how can s/he be holistically and appropriately treated under the western medical model? |
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Year |
2001 |
Publication |
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Abbreviated Journal |
ResearchArchive@Victoria |
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Volume |
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Issue |
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Pages |
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Keywords |
Mental health; Psychiatric Nursing; Cultural safety; Cross-cultural comparison; Pacific peoples |
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Abstract |
This paper is an analysis of the cultural and traditional factors that the author presents as essential considerations in the treatment of Samoan people who have been diagnosed with a mental illness. Just as important to any clinical diagnosis, is the spiritual nature of Samoan culture and traditions, which inform belief systems. A full understanding of these will explain how the traditional beliefs and cultural values of Samoan people have an impact on their perception of mental illness, its causes and cures. The thesis places emphasis on 'ma'i -aitu', the Samoan term for most ailments pertaining to the mind or psyche. The focus is on defining 'ma'i -aitu' as part of a Samoan world view and likewise a description of a similar type of manifestation in the Papalagi (western) context of a psychiatric disorder and how treatment and management is usually undertaken. The issues addressed in this paper aim to highlight the Samoan client's world view from a Samoan perspective of mental illness which then poses the question of how they can be managed holistically and appropriately under the Papalagi medical system. Furthermore, it questions if the traditional belief system of Samoans run deeper than originally thought and can the replacement thereof by a foreign culture be responsible for the increased mental problems in Samoans living in New Zealand? This paper emphasises the importance of integrating the western medical model and Samoan health models, for appropriate mental health service delivery to Samoan people. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1231 |
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Author |
Wilson, L.J. |
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Title |
Futurist planning, not a shortage stopgap: Recruitment and retention of registered nurses in New Zealand |
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Year |
2001 |
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 |
Recruitment and retention; Registered nurses; Policy; Careers in nursing |
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Abstract |
This literature review critically examines contributing factors to the current nursing shortage in New Zealand, centering on recruitment and retention of registered nurses. There is a dramatic widening between the supply of registered nurses and the demand for their services. All regions in New Zealand are reporting difficulty in hiring experienced and specialty nurses, and recruiting time is lengthening. This report suggests that the shortage is closely linked to factors in the nursing care environment. As a result of multiple factors during the centralising, cost-containing, acuity-increasing decade of the 1990s, the care environment has driven practising nurses out of acute care settings and discouraged new students from entering the profession. The availability of numerous alternative career opportunities has heightened the effect. Continuing causes to the non-selection of nursing as a profession are the influences of wage compression and limited career progression over the lifetime of the nurse, and insufficient orientation and mentoring of new nurses. Recent changes in the health care system have gone unevaluated and without oversight by nursing regulatory agencies – a situation not in the best interests of patients or nurses. A number of both literature-supported and resourceful approaches, including recommendations towards addressing the nursing shortage are proposed in this review. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1258 |
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Author |
Rummel, L. |
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Title |
Safeguarding the practices of nursing: The lived experience of being-as preceptor to undergraduate student nurses in acute care settings |
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Year |
2001 |
Publication |
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Abbreviated Journal |
Massey University, Albany, Library |
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Volume |
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Issue |
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Pages |
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Keywords |
Preceptorship; Nursing; Education; Identity; Intensive care nursing |
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Abstract |
This thesis used a Heideggerian Hermeneutic approach to explore the experiences of registered nurses who act as preceptors to undergraduate student nurses. The researcher interviewed fifteen volunteer registered nurses twice as preceptors to investigate their experience. The data generated was audio-taped and analysed. Four dominant themes emerged. The first, 'Becoming attuned – the call', related to registered nurses responding to the call to be preceptors to students in their clinical placement. The second, “The emerging identity of being-as preceptor: keeping the student in mind”, related to preceptors cultivating their own identity as preceptors as they worked with students in the world of nursing practice. The third, 'Assessing where the student is at: the preceptor and preceptee working and growing together', related to a constant evaluation by preceptors of students' knowledge, readiness to learn, and the provision of learning opportunities. The fourth, 'Preceptors as builders of nursing practice through teaching reality nursing', facilitated the preceptee's experience of the real world of nursing practice. An overall constitutive theme: 'Preceptors as the safeguarders of the practices of nursing', emerged as the essence of the experience. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1263 |
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Author |
Kiro,C. |
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Title |
Maori health policy and practice = Kimihia hauora Maori : Ngapuhi, Ngati-Hine, NgatiTe Rangiwewehe |
Type |
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Year |
2001 |
Publication |
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Abbreviated Journal |
Held by Lakes DHB Library (ROM) |
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Volume |
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Issue |
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Pages |
441 pp |
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Keywords |
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Abstract |
A thesis submitted in fulfilment of the requirements for the degree of Doctor of Philosophy, Massey University, Albany. |
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Call Number |
NZNO @ research @ |
Serial |
1363 |
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Author |
Henry, Pamela |
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Title |
'Coming home safely : a successful transition from hospital to home' : Margaret May Blackwell Study Fellowship for Nurses of Young Children, Nursing Education Research Foundation |
Type |
Report |
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Year |
2001 |
Publication |
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Abbreviated Journal |
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Volume |
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Issue |
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Pages |
38 |
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Keywords |
Infants; Hospital care; Home care services; Community health care; Reports |
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Abstract |
Investigates programmes to facilitate the transition to home for babies who have had lengthy admission to Neonatal Intensive Care Units. Provides an overview of the transition services at four sites visited in the US and Canada. Highlights the common elements among all four programmes and identifies the components of quality transition services. Evaluates their clinical effectiveness. Part of the Margaret May Blackwell Scholarship Reports series. |
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Call Number |
NZNO @ research @ |
Serial |
1426 |
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Author |
Walker, J.; Bailey, S.; Brasell-Brian, R.; Gould, S. |
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Title |
Evaluating a problem based learning course: An action research study |
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Journal Article |
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Year |
2001 |
Publication |
Contemporary Nurse |
Abbreviated Journal |
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Volume |
10 |
Issue |
1/2 |
Pages |
30-38 |
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Keywords |
Nursing; Education; Teaching methods |
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Abstract |
The purpose of this study was to evaluate how the New Zealand style of problem based learning was developing students' understanding and integration of knowledge. The 'pure' problem based learning process has been adapted to move students gradually from teacher direction to taking responsibility for their learning. Two cycles of an action research method were used, involving 4 lecturers and 17 students. Data was collected both quantitatively and qualitatively over a 16-week period. Findings indicated the importance of: explaining the purpose and process of problem based learning; communicating in detail the role of both students and lecturers; keeping communication lines open; addressing timetabling issues and valuing this method of learning for nursing practice. Implications for nursing education are addressed. |
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Call Number |
NRSNZNO @ research @ |
Serial |
695 |
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Author |
Milligan, K.; Neville, S.J. |
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Title |
Health assessment and its relationship to nursing practice in New Zealand |
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Journal Article |
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Year |
2001 |
Publication |
Contemporary Nurse |
Abbreviated Journal |
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Volume |
10 |
Issue |
1/2 |
Pages |
7-11 |
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Keywords |
Nursing; Education; Professional competence; Nurse practitioners; Cross-cultural comparison |
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Abstract |
This article draws on Australian experience to gain insight to three specific areas of health assessment that are topical in New Zealand, which has recently introduced the concept into nursing training. The issues are annual registration based on evidence of competence to practice, a review of undergraduate curricula, and the development of nurse practitioner/advanced nurse practitioner roles. The meaning of the concept 'health assessment' is also clarified in order to provide consistency as new initiatives in nursing are currently being developed. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1090 |
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Author |
Hall, L. |
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Title |
Burnout: Results of an empirical study of New Zealand nurses |
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Journal Article |
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Year |
2001 |
Publication |
Contemporary Nurse |
Abbreviated Journal |
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Volume |
11 |
Issue |
1 |
Pages |
71-83 |
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Keywords |
Occupational health and safety; Stress; Nursing |
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Abstract |
This is the first New Zealand study to use the Maslach Burnout Inventory (MBI) and the Phase Model of Burnout to determine the extent and severity of burnout in a population of 1134 nurses. Burnout is conceptualised as a syndrome consisting of three components-emotional exhaustion, reduced personal accomplishment and depersonalisation of clients or patients that occurs in individuals who work in the human service professions, particularly nursing. It has been observed that nurses are at a high risk of burnout and burnout has been described as the 'professional cancer' of nursing. Results revealed an overall 'low to average' level of burnout, suggesting that New Zealand nurses, apart from those in the 41-45 age group, are doing better than expected insofar as they are managing to avoid or not progress to the advanced phases of burnout. Possible explanations and directions for future research are presented. |
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Call Number |
NRSNZNO @ research @ 1117 |
Serial |
1102 |
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Author |
Rameka, M. |
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Title |
Perioperative nursing practice & cultural safety |
Type |
Journal Article |
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Year |
2001 |
Publication |
Dissector |
Abbreviated Journal |
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Volume |
29 |
Issue |
3 |
Pages |
21-23 |
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Keywords |
Nursing specialties; Surgery; Cultural safety |
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Abstract |
This article is from a conference paper presented to the 12th World Conference on Surgical Patient Care. It presents cultural safety, as differentiated from transcultural nursing, and investigates how it relates to perioperative nursing. Examples are presented of how nurses can adhere to medical requirements, and address the cultural needs of Maori patients. |
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Call Number |
NRSNZNO @ research @ |
Serial |
1084 |
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Author |
Ross, J. |
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Title |
Perspectives on developing the advanced role of rural nursing in New Zealand |
Type |
Journal Article |
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Year |
2001 |
Publication |
Health Manager |
Abbreviated Journal |
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Volume |
8 |
Issue |
1 |
Pages |
19-21 |
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Keywords |
Rural nursing; Advanced nursing practice; School nursing; Professional competence |
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Abstract |
The author traces the development of rural nursing, which began as an assistant role for general practitioners, to the present role which incorporates advanced nursing practice. She reports the results of two surveys of nurses' roles and skills, from 1996 and 1999-2000. Specific rural competencies are identified, in managing isolation, professionalism in a small community, nurse/patient relationships in a small community, and independence. |
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Call Number |
NRSNZNO @ research @ 1313 |
Serial |
1297 |
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