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Author Maloney-Moni, J.
Title Kia Mana: A synergy of wellbeing Type
Year 2004 Publication Abbreviated Journal University of Auckland Library
Volume Issue Pages
Keywords (down) Transcultural nursing; Psychology; Maori
Abstract
Call Number NRSNZNO @ research @ 841 Serial 825
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Author Carter, H.; MacLeod, R.; Brander, P.; McPherson, K.
Title Living with a terminal illness: Patients' priorities Type Journal Article
Year 2004 Publication Journal of Advanced Nursing Abbreviated Journal
Volume 45 Issue 6 Pages 611-620
Keywords (down) Terminal care; Quality of life; Nursing models; Cancer
Abstract The aim of this paper is to report on an exploratory, qualitative study exploring what people living with terminal illness considered were the areas of priority in their lives. Ten people living with terminal cancer were interviewed. Analysis of the interviews incorporated principles of narrative analysis and grounded theory. Over 30 categories were identified and collated into five inter-related themes (personal/intrinsic factors, external/extrinsic factors, future issues, perceptions of normality and taking charge) encompassing the issues of importance to all participants. Each theme focused on 'life and living' in relation to life as it was or would be without illness. Practical issues of daily living and the opportunity to address philosophical issues around the meaning of life emerged as important areas. The central theme, 'taking charge', concerned with people's levels of life engagement, was integrally connected to all other themes. The findings suggest that the way in which health professionals manage patients' involvement in matters such as symptom relief can impact on existential areas of concern. The findings challenge some aspects of traditional 'expert-defined' outcome measures. As this was an exploratory study, further work is needed to test and develop the model presented.
Call Number NRSNZNO @ research @ Serial 1061
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Author Maries, V.J.
Title Chosen moments: A reflective journey illustrating terminally ill patients choosing the moment to die Type
Year 2004 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages
Keywords (down) Terminal care; Palliative care; Nurse-patient relations
Abstract In this project the author reveals how she is observing and thinking as she cares for people who are dying. She records her reflections and insights and reveals that there is life right up to the moment of death, having observed terminally ill patients choosing the precise moment to die. She describes her observations of these moments by using poetry and stories, and explores the implications for her practice as a result. The author presents her reflections using an individualistic, reflective and exploratory perspective which is informed by the work of nursing scholars. This paper is framed using the metaphors of a journey and a window to indicate the reflective process that the author used to journal her observations in practice over time.
Call Number NRSNZNO @ research @ Serial 773
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Author Vallant, S.R.
Title Dialogue and monologue: The relationship between student nurse and nurse clinician: The impact on student learning Type
Year 2004 Publication Abbreviated Journal Massey University Library
Volume Issue Pages
Keywords (down) Students; Nursing; Mentoring
Abstract
Call Number NRSNZNO @ research @ 610 Serial 596
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Author Best, G.A.
Title Being pruned: Student nurses experience of being shaped in clinical practice by lecturers Type
Year 2004 Publication Abbreviated Journal Auckland University of Technology Library
Volume Issue Pages
Keywords (down) Students; Nursing; Education
Abstract
Call Number NRSNZNO @ research @ Serial 599
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Author Daniels, Anne
Title Listening to New Zealand nurses: A survey of intent to leave, job satisfaction, job stress, and burnout Type Book Whole
Year 2004 Publication Abbreviated Journal
Volume Issue Pages
Keywords (down) Stress; Job satisfaction; Nursing
Abstract This study aims to identify work related factors contributing to New Zealand nurses' intent to leave the job. Two hundred and seventy five surveys (response rate = 68.8%) from a random sample of 400 nurses employed in one district health board were used to explore intent to leave the job. Three research questions directed the description of levels of job satisfaction, job stress, and burnout found in nurse participants, correlations between the three variables, and the identification of variables predicting intent to leave the job through regression analyses. The survey found levels of job satisfaction were high, job stress was low, and burnout was average. Specifically, lack of opportunity to participate in organisational decision making, control over work conditions, control over what goes on in the work setting (key Magnet Hospital characteristics) were not evident, and with pay rates, were the main sources of job dissatisfaction. Workload was the most frequently experienced source of stress by nurse participants. Twenty-five per cent of nurse participants reported high levels of intent to leave the job. Correlations suggested that reductions in job satisfaction influenced increases in job stress and burnout. Job stress was associated with increases in emotional exhaustion. Emotional exhaustion was influenced by eight job satisfaction, job stress, and burnout subscales. Five subscales (professional opportunities, praise and recognition, interaction opportunities, extrinsic rewards, lack of support) explained 26.2% of the variance in nurse participant's intent to leave. The author concludes that issues of power and control were associated with job dissatisfaction, job stress and burnout in nursing practice. However, predictors of intent to leave the job suggest a growing realisation by nurse participants that postgraduate education and nursing research may provide the tools to create positive change in the health care environment and make nursing visible, valued and appropriately rewarded.
Call Number NRSNZNO @ research @ Serial 826
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Author Brinkman, A.; Caughley, B.
Title Measuring on-the-job stress accurately Type Journal Article
Year 2004 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 18 Issue 8 Pages 12-15
Keywords (down) Stress; Evaluation research; Workplace; Occupational health and safety
Abstract The authors discuss the usefulness of a generic tool to measure job stress in New Zealand workplaces, and report on a study using one such generic tool. The study involved sending questionnaires to all staff (193) who had worked at a regional women's health service for a minimum of six months. The mailed package contained the Job Stress Survey (JSS), the General Health Questionnaire (GHQ-12), demographic questions (including cultural safety), shift work questions, and a blank page for “qualitative comment”. Over 12,000 pieces of data were collected from the study but this article focuses only on the results of the JSS. The JSS can be used to determine a “job stress index” and can also be used to measure “job pressure” and “lack of organisational support”. For this study, job stress index scores were calculated and organised by occupational groupings. Midwives, nurses and doctors all cited inadequate or poor quality equipment, excessive paperwork, insufficient personal time, and frequent interruptions, as their top stressors. Three of these four stressors fall within the job pressure index. The results of the survey prompted organisational changes, including: extensive discussions; equipment being updated; management being made aware of the depth of concern felt by staff; the creation of a place for staff to have personal time; and coping intervention strategies were initiated. The authors suggest that no generic measure of job stress can fully evaluate stressors unique to a particular work setting. They support additional items being constructed and administered to assess stressors that are idiosyncratic to a particular occupational group.
Call Number NRSNZNO @ research @ 1003 Serial 987
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Author Harding, T.S.
Title Male nurses: The struggle for acceptance Type Journal Article
Year 2004 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal
Volume 9 Issue 4 Pages 17-19
Keywords (down) Sex discrimination; Male nurses; History of nursing; Law and legislation
Abstract This article describes the role of men in the nursing profession in New Zealand from colonial times to the 1970s. It considers attitudes towards male nurses, the provision of training for men and the various laws and regulations dealing with the issue.
Call Number NRSNZNO @ research @ Serial 999
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Author Campbell, K.
Title Intertwining the role of partner and caregiver: A phenomenological study of the experiences of four New Zealand rural women who have cared for their terminally ill partners Type
Year 2004 Publication Abbreviated Journal Victoria University of Wellington Library
Volume Issue Pages
Keywords (down) Rural nursing; Terminal care; Palliative care; Home care; Nurse-family relations
Abstract The stories of the women who live and work in rural settings in New Zealand have begun to reveal unique contributions that they have made to their families and community. This research study evolved from a trend the researcher observed as a district nurse providing community palliative care in rural New Zealand; that the majority of carers of those who are terminally in home-settings are in fact women. This qualitative study aimed to explore through guided conversational interviews the experiences of four women who have cared for their terminally ill partners who have subsequently died. The study investigated if these women's experiences were comparable to that of other women in existing palliative care literature. This research project focused particularly on elucidating the women's experience of intertwining the role of partner and caregiver. Heidegger's hermeneutic philosophy informed the methodology because he focused on what it meant to 'be' rather than 'how we know what we know'. The project focused on the meanings the women made of this dual role in their lives. Women already in the role of partner were now faced with the added responsibility of caregiver to meet the complex needs of their loved one. Usually they had no training to prepare them for this experience. The study reveals ways in which the visiting palliative care nurse becomes very important to them. The women's own voices reveal the high level of respect for their partners and address the harsh realities, revealing poignant and striking concerns in their lives. These stories are shared with the intent of enriching nurses' and other health professionals' understanding of the women's experiences. The author notes that understanding these women's experience is not only a way of honouring these remarkable women but more widely it will inform and possibly transform practice through guideline and policy refinement.
Call Number NRSNZNO @ research @ Serial 822
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Author Thompson, R.
Title Red Band nursing: From swannies to stethoscopes Type
Year 2004 Publication Abbreviated Journal Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz
Volume Issue Pages
Keywords (down) Rural nursing; Community health nursing; Public health
Abstract The author notes that many registered nurses undertake a role in the community which may or may not be recognised for what it really is – one of these roles may be that of the unpaid health care provider. The nurse may be called on by family, friends, neighbours, or the wider community to provide a voluntary health service at any time of the day or night according to the need of the person wanting the information or assistance. This is the story of one such nurse. Four themes have been uncovered from a nursing practice that has spanned three decades of providing an on-call basic first aid service to a community of about two hundred households in a rural community. These experiences are used to shape the stories within the story of this voluntary role, and provide a framework to discuss the implications for the future of voluntary practice.The themes are: Maintaining personal and professional boundaries; Maintaining values and a high standard of care; Commitment to ongoing education; Accepting accountability for one's actions. The confidence and competence that such practice demands is explained from a personal perspective, along with an attempt to answer a question that is often asked – “Who will or indeed does anyone want to replace me when I retire or shift away from the district?” This question is addressed in the context that this story is written, the changes that the healthcare system is experiencing at present, and the impact that these changes may have for the future.
Call Number NRSNZNO @ research @ Serial 607
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Author Litchfield, M.
Title Achieving health in a rural community: A case study of nurse – community partnership Type Book Whole
Year 2004 Publication Abbreviated Journal University and Polytechnic Libraries, NZNO Library
Volume Issue Pages
Keywords (down) Rural health services; Nursing models; Advanced nursing practice; Health promotion; Organisational change
Abstract This study describes rural, nurse-led health services provided by the Takapau Health Centre (Central Hawkes Bay) and its outreach, Norsewood & District Health Centre. The study looks at its model of service delivery through to 2002. It examines the establishment, development, funding and management of the service, along with the nursing practice and the healthcare people received. The book is a snapshot of nursing initiative and survival through a decade of change in health policy and service funding and delivery. The information was subsequently used to move the health centre service into the new paradigm of primary health care launched in the New Zealand Health Strategy.
Call Number NRSNZNO @ research @ 1183 Serial 1168
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Author Drake, M.; Stokes, G.
Title Managing pre-registration student risk: A professional and legislative minefield Type Journal Article
Year 2004 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 20 Issue 1 Pages 15-27
Keywords (down) Risk management; Education; Law and legislation; Nursing
Abstract This article reports data from 15 schools of nursing, surveyed to identify difficulties experienced by nurse educators with respect to entry, progression and programme completion of undergraduate nursing students. Risk assessment, along with a lack of clear policy and procedures were found to be the main problem areas. Difficulties were exacerbated for educators when there were challenges to their professional judgement, either from the Nursing Council of New Zealand or from within their own institution. The authors argue for more recognition of the dual role of nurse educators, and greater clarification of the Nursing Council of New Zealand role in regulating the student's programme entry and progression, and ultimate admission to the Register. It is suggested that the recently passed Health Practitioners Competence Assurance Act (2003) provides nursing with an opportunity to address some of these issues.
Call Number NRSNZNO @ research @ Serial 546
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Author Bland, M.F.
Title All the comforts of home? A critical ethnography of residential aged care in New Zealand Type
Year 2004 Publication Abbreviated Journal NZNO Library
Volume Issue Pages
Keywords (down) Rest homes; Older people; Patient satisfaction
Abstract
Call Number NRSNZNO @ research @ 1141 Serial 1126
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Author McClelland, B.
Title Critical factors that influence staff retention in an acute perioperative environment Type
Year 2004 Publication Abbreviated Journal AUT University Library
Volume Issue Pages
Keywords (down) Recruitment and retention; Nursing
Abstract There are a number of factors recognised as significant for nursing staff retention. These include, a lack of organisational care, bullying (commonly referred to as horizontal violence), and high workload acuity. However, there does not appear to be any indication that these factors influence the retention of nurses within the speciality of acute perioperative nursing. A descriptive study using postpositivist methodology and triangulation of methods was designed to answer the question: What are the critical factors that influence staff retention in an acute perioperative environment? Forty-eight perioperative nurses answered a questionnaire in relation to individual needs, provision of nursing care and administration and management. Four nurses subsequently participated in a focus group interview that explored in more depth, the survey data related to the following characteristics: Educational opportunities; Level of workload acuity; Rostering flexibility; Management; Established policies/Quality assurance; Graduate orientation programs and Professional relationships in an acute perioperative setting. Data analysis revealed that > 90% of respondents agreed that these characteristics are important for job satisfaction and influence staff retention in an acute perioperative environment. A sense of belonging appears to be the most important theme that emerged from the qualitative data. Job satisfaction and staff retention are attained when nurses have a sense of belonging in the workplace. To achieve this nurses need to identify barriers, develop their communication and leadership skills and determine the ideal professional practice model. The author suggests that the themes “Finding time” and increased “sick leave”, in relation to workload acuity are new findings that provide a platform for future research.
Call Number NRSNZNO @ research @ Serial 894
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Author Paton, B.; Martin, S.; McClunie-Trust, P.; Weir, N.
Title Doing phenomenological research collaboratively Type Journal Article
Year 2004 Publication Journal of Continuing Education in Nursing Abbreviated Journal Wintec Research Archive
Volume 35 Issue 4 Pages 176-181
Keywords (down) Qualiltative research; Nursing research; New graduate nurses
Abstract The purpose of this article is twofold. The first is to clarify some of the challenges experienced while conducting collaborative research and describe the steps taken to ensure consistency between the purpose of the research and the phenomenological research design used to explore the learning that nursing students acquire in their final clinical practicum. Second, it was thought that by illuminating this learning, registered nurses working as preceptors and those supporting new graduates could gain insight into the complexities of learning the skills of safe and competent practice from the student's perspective. This insight is essential in creating a strategy between education and practice to minimise the duplication of learning opportunities and lessen the cost of supporting newly registered nurses, which may be at the expense of investment in the professional development of experienced registered nurses.
Call Number NRSNZNO @ research @ Serial 1202
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