| Records |
| Author |
Dobson, J. |
| Title |
Nurses' experiences of parental informed consent in the neonatal intensive care unit |
Type |
|
| Year |
2004 |
Publication  |
|
Abbreviated Journal |
Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Neonatal nursing; Parents and caregivers |
| Abstract |
The Guthrie Test has become the standard screening test for early detection of congenital metabolic disorders for newborn babies in New Zealand and is an accepted part of neonatal care. In neonatal care, decisions are made on behalf of babies usually by their parents and, for the Guthrie Test there is a requirement that health professionals obtain informed consent. This qualitative research utilised focus group methodology to discover what neonatal nurses in clinical practice consider when obtaining informed consent from parents for newborn screening, the Guthrie Test. The convenience sample consisted of seven registered nurses who volunteered to participate in the study. They all practice in the Neonatal Intensive Care Unit at Dunedin Public Hospital that provides Level 3 intensive care to neonates in the Otago/Southland regions. There are proven benefits of the current newborn screening programme and in the experience of this focus group not many parents choose to refuse. These neonatal nurses identified the rights of parents to have that choice and to make an informed decision. The findings from this research indicate the importance neonatal nurses place on patients' rights and the information provided to ensure that their rights are respected. However, the results indicated that there is a need for clarification of the purpose and process of informed consent for the Guthrie Test in the Neonatal Intensive Care Unit. Therefore providing sufficient, relevant information at an appropriate time and manner is considered necessary. The findings will be used to inform discussion related to the provision of best practice. |
| Call Number |
NRSNZNO @ research @ |
Serial |
921 |
| Permanent link to this record |
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| Author |
Seton, K.M. |
| Title |
Diversity in action: Overseas nurses' perspectives on transition to nursing practice in New Zealand |
Type |
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| Year |
2004 |
Publication |
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Abbreviated Journal |
University of Auckland Library |
| Volume |
|
Issue |
|
Pages |
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| Keywords |
Nursing; Cross-cultural comparison; Education |
| Abstract |
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| Call Number |
NRSNZNO @ research @ |
Serial |
1110 |
| Permanent link to this record |
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| Author |
Davenport, F.A. |
| Title |
Dying to know: A qualitative study exploring nurses' education in caring for the dying |
Type |
|
| Year |
2004 |
Publication |
|
Abbreviated Journal |
Massey University Library |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Nursing; Education; Terminal care |
| Abstract |
|
| Call Number |
NRSNZNO @ research @ |
Serial |
1111 |
| Permanent link to this record |
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| Author |
Doughty, L. |
| Title |
Evaluation of the 2002 Auckland District Health Board: First year of clinical practice programme |
Type |
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| Year |
2004 |
Publication |
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Abbreviated Journal |
University of Auckland Library |
| Volume |
|
Issue |
|
Pages |
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| Keywords |
Clinical supervision; Nursing; Education |
| Abstract |
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| Call Number |
NRSNZNO @ research @ |
Serial |
1113 |
| Permanent link to this record |
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| Author |
Mackay, B. |
| Title |
An analysis of innovative roles in primary health care nursing |
Type |
|
| Year |
2004 |
Publication |
|
Abbreviated Journal |
Northland Polytechnic Library |
| Volume |
|
Issue |
|
Pages |
|
| Keywords |
Nurse practitioners; Primary health care; Maori; Policy; Careers in nursing |
| Abstract |
An analytical tool of Force Field Analysis was used to identify and describe forces influencing the development of innovative roles, including the nurse practitioner role, in primary health care nursing. At the commencement of the study an initial analysis of research, literature and policy identified forces driving or restraining the development of innovative roles. A mixed research method of surveys and focus group interviews with key stakeholders, namely nurses in innovative roles, general practitioners and nurse leaders, was then used to identify factors influencing development within the Northland District Health Board. Descriptive statistics and interpretative methods were used to analyse the data. A final analysis enabled a picture of forces influencing innovative role development to be presented. Driving forces reflected international trends and were strongly influenced by economics and a political imperative to reconfigure health care services towards a primary health focus. The Treaty of Waitangi was also a key influence. Driving forces had greatest impact on the development of new roles. Forces were identified as drives towards cost-effective evidence-based health care (effective services), equity for Maori, response to local needs and workforce reorganisation. The major forces restraining the development of innovative roles were reinforced by attitudes, customs and support systems. These forces were identified as poor professional identity and support, an outdated nursing image, inadequate education and training and slow transition from traditional practices and structures (tradition). These forces had a negative influence on support for innovative roles. Promotion of kaupapa Maori, involvement of the local community, local Maori and nursing in decision-making and promotion of a team culture have the potential to support further development of innovative roles. Political ideology and the Treaty of Waitangi will continue to be major influences directed through policy and the contracting and funding process. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1124 |
| Permanent link to this record |
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| Author |
McLaughlin, K. |
| Title |
Nephrology nursing: Early intervention in chronic kidney disease |
Type |
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| Year |
2004 |
Publication |
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Abbreviated Journal |
ResearchArchive@Victoria |
| Volume |
|
Issue |
|
Pages |
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| Keywords |
Nursing specialties; Diseases; Advanced nursing practice; Kidney disease |
| Abstract |
This study explored the potential for extending the contribution nurses make in managing patients with chronic kidney disease as they progress to end stage kidney failure. In the context of a shortage of nephrologists and an escalating patient population suffering from kidney disease, the potential to include advanced nephrology nursing in early disease management was postulated. The literature was reviewed with regard to initiatives to reduce the progression of kidney failure and the prevention of associated complications. Local and international literature on advanced nursing practice and the nurse practitioner role was examined in relation to the management of chronic kidney disease. The introduction of the nurse practitioner in New Zealand could provide an ideal framework for independent nephrology nursing. Well-established nursing practice in dialysis, transplantation and pre-dialysis provide distinct scopes of practice in these areas for independent nursing in the future. It seems likely that these sub-specialties in nephrology nursing will be the first to experience the value of the nurse practitioner. The creation of early interventionalist nurse practitioners in nephrology health care would allow nurses to step outside these well-established sub-specialties, and provide new resources to help manage chronic kidney disease. A model of care was proposed that outlines how a nephrology nurse practitioner could work collaboratively with community health providers and the local nephrology health care team to manage the early stages of kidney disease. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1150 |
| Permanent link to this record |
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| Author |
Joyce, M. |
| Title |
The Strengths Perspective: Relevance and application to mental health nursing and crisis resolution work |
Type |
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| Year |
2004 |
Publication |
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Abbreviated Journal |
ResearchArchive@Victoria |
| Volume |
|
Issue |
|
Pages |
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| Keywords |
Psychiatric Nursing; Nursing models; Evidence-based medicine |
| Abstract |
This research paper aims to explore the contribution of the Strengths Perspective to mental health nursing practice. The Strengths Perspective emerged from the area of social work and is primarily concerned with emphasising the strengths and resources of the person, as they define them. The premise is that if a person is able to identify and call on those strengths then he or she is able to improve the quality of their life. The paper outlines the historical, philosophical and moral foundations of the Strengths Perspective and discusses the humanistic approach to mental health nursing. The aim is to demonstrate that the Strengths Perspective and mental health nursing have a strong alignment, particularly with regard to a person-centred approach to care. The influence and constraints of the biomedical model on both mental health nursing and strengths based practice is a theme of the paper. The contention is that the biomedical or pathological approach to care can often disable, not enable consumers of health care, whereas an approach that centres on a person and their strengths is more likely to empower and liberate. The paper concludes with a discussion of themes that emerged from reflection on the literature and propositions are then made about how mental health nurses might orientate their thinking and practice to utilise the Strengths Perspective to augment their clinical work. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1185 |
| Permanent link to this record |
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| Author |
Ryder-Lewis, M. |
| Title |
Reliability study of the Sedation-Agitation Scale in an intensive care unit |
Type |
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| Year |
2004 |
Publication |
|
Abbreviated Journal |
ResearchArchive@Victoria |
| Volume |
|
Issue |
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Pages |
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| Keywords |
Intensive care nursing; Interprofessional relations |
| Abstract |
This study is an extension of a previous study by Riker, Picard and Fraser (1999) to determine whether doctors and nurses rate patients similarly using the Sedation-Agitation Scale (SAS) in a natural Intensive Care Units (ICU) setting. The author notes that it is essential to establish whether these different professionals provide consistent scores and have a mutual understanding of the SAS and its constituent levels. This will help ensure that clinical decisions relating to sedation-needs can be made appropriately and consistently. This quasi-experimental reliability study was set in a 12-bed tertiary general ICU in New Zealand. The SAS had recently been introduced into this unit and a convenience sample of 42 nursing and medical staff performed paired ratings on 69 randomly selected adult ICU patients over an eight week time frame. The mean patient age was 58 years, and 79% of patients were on continuous infusions of Propofol. Intubated patients made up 91% of the sample. 74% of patients were given the same SAS score by the doctor-nurse pair. The weighted kappa score for inter-rater agreement was 0.82 indicating very good agreement. Of the 26% of scores where there was a difference, the two readings were only one score apart. Most of the difference occurred around SAS scores of 1-2 and 3-4. Further analysis found no staff or patient variables to be statistically significant in impacting on the ratings. The SAS was found to be a reliable sedation-scoring tool in a general ICU when used by nurses and doctors of varying experience. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1203 |
| Permanent link to this record |
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| Author |
Brown, J.A. |
| Title |
“Let my spirit always sing”: A descriptive study of how four elderly rest home residents view spirituality and spiritual care at the end of life |
Type |
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| Year |
2004 |
Publication |
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Abbreviated Journal |
ResearchArchive@Victoria |
| Volume |
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Issue |
|
Pages |
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| Keywords |
Older people; Rest homes; Spirituality; Nursing |
| Abstract |
This descriptive, qualitative study, believed to be the first of its kind conducted in a New Zealand setting, focuses on spirituality issues of a spiritually vulnerable group of people, older people in residential care. Four rest home residents were recruited, to talk about their spirituality, spiritual needs and how their spirits were nurtured, the role of care staff in providing spiritual care, and their satisfaction with the spiritual care they were being offered. They were also asked to predict their spiritual needs as they were dying, their wishes for spiritual care in the perideath period, whether they had communicated these wishes to anyone, their views on advance planning to ensure these wishes would be met, and their comfort with the research process. The research data was collected from semi-structured, audiotaped interviews that were later transcribed. The spirituality of all participants had a strongly Christian focus that was revealed in the ten themes to emerge from a modified application of Colaizzi's analysis technique. The first themes to emerge were God as the focus of spirituality, God in control, the importance of relationship, and the purpose in life: serving God. Changes in spirituality with age, spirituality and residential care, and spiritual care: whose responsibility? were also identified as themes, as were end of life spirituality, planning for spiritual care, and the participants' satisfaction with the research process. All were able to articulate their spirituality, were generally satisfied with the spiritual care they were receiving, and had views on the spiritual care they wished to receive in the perideath period. Moreover, the participants trusted their families and the care staff to ensure that these wishes would be honoured. Recommendations are made for improving the spiritual dimension of care, and for further research. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1228 |
| Permanent link to this record |
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| Author |
Wilson, J. |
| Title |
Walking the line: Managing type 2 diabetes: A grounded theory study of part-Europeans from Fiji |
Type |
|
| Year |
2004 |
Publication |
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Abbreviated Journal |
ScholarlyCommons@AUT |
| Volume |
|
Issue |
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Pages |
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| Keywords |
Diabetes Type 2; Culture; Pacific peoples; Research |
| Abstract |
This study examines the experience of managing Type 2 diabetes from the perspective of part-European people from Fiji who have this disorder. A qualitative approach was used, and the methodology was grounded theory based on the theoretical perspective of symbolic interactionism. Data was collected from the in-depth interviews of nine participants who have been living with Type 2 diabetes. Text from the interview transcripts was analysed using the version of grounded theory advocated by Strauss and Corbin (1998). This process facilitated the discovery of 'Carrying On With Life And Living' as the main concern shared by part-Europeans managing Type 2 diabetes. It also identified the substantive theory of 'Walking The Line' as the core category and the basic social and psychological process by which part-Europeans resolve their main concern of 'Carrying On With Life And Living'. This was a three-stage process involving firstly 'Carrying on Regardless', secondly 'Attempting Balance in Time and Motion and Control', and thirdly 'Balancing, Unbalancing, and Recovering Balance'. The results of this study reveal that the social and historical contexts of part-European culture, such as heavy drinking, carrying on with life and living in the face of adversity, and taking traditional medicine impact significantly throughout their managing process. Findings of this study may contribute to development of some culturally aware strategies that could assist healthcare services to provide appropriate support, intervention, and education for part-Europeans with Type 2 diabetes. This study also addresses the lack of studies concerned with the management of Type 2 diabetes in Pacific peoples and serves to inform research initiatives and priorities set by the Health Research Council of New Zealand. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1233 |
| Permanent link to this record |
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| Author |
Ihimaera, L.V. |
| Title |
He ara ki te ao marama : a pathway to understanding the facilitation of taha wairua in mental health services |
Type |
Journal Article |
| Year |
2004 |
Publication |
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Abbreviated Journal |
Held by Lakes DHB Library (ROM) |
| Volume |
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Issue |
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Pages |
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| Keywords |
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| Abstract |
A thesis submitted in partial fulfilment of the requirements for a Masters of Arts, Massey University, Palmerston North, New Zealand. |
| Call Number |
NZNO @ research @ |
Serial |
1366 |
| Permanent link to this record |
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| Author |
Heese, Norma |
| Title |
Report: Margaret May Blackwell Travel Fellowship 2004 |
Type |
Report |
| Year |
2004 |
Publication |
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Abbreviated Journal |
|
| Volume |
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Issue |
|
Pages |
45p. |
| Keywords |
Primary health care; Child health services; Reports |
| Abstract |
Covers the placements the author visited and the topics learned whilst undertaking travel in the UK after being awarded the 2003 Margaret May Blackwell Travel Study Fellowship. Of specific interest was Well Child Care in Primary Health. Part of the Margaret May Blackwell Scholarship Reports series. |
| Call Number |
NZNO @ research @ |
Serial |
1412 |
| Permanent link to this record |
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| Author |
Hardcastle, J. |
| Title |
The meaning of effective education for critical care nursing practice: A thematic analysis |
Type |
Journal Article |
| Year |
2004 |
Publication |
Australian Critical Care |
Abbreviated Journal |
|
| Volume |
17 |
Issue |
3 |
Pages |
114, 116-2 |
| Keywords |
Hospitals; Nursing; Education; Nursing specialties |
| Abstract |
Using thematic analysis, this study explored the phenomenon of effective education for critical care nursing practice by asking: What does effective education for critical care nursing practice mean to nurses currently practising in the specialty? Eighty eight critical care nurses from the South Island provided written descriptions of what effective education for critical care nursing practice meant to them. Descriptive statements were analysed to reveal constituents, themes and essences of meaning. Four core themes of personal quality, practice quality, the learning process and learning needs emerged. Appropriateness or relevance for individual learning needs is further identified as an essential theme within the meaning of effective education for critical care nursing practice. Shared experiences of the phenomenon are made explicit and discussed with reference to education and practice development in the specialty. The study results lend support to education that focuses on individual learning needs, and identifies work based learning as a potential strategy for learning and practice development in critical care nursing. |
| Call Number |
NRSNZNO @ research @ |
Serial |
873 |
| Permanent link to this record |
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| Author |
Drake, M. |
| Title |
The sonata form of musical composition as a framework for thesis writing |
Type |
Journal Article |
| Year |
2004 |
Publication |
Contemporary Nurse |
Abbreviated Journal |
|
| Volume |
16 |
Issue |
3 |
Pages |
252-258 |
| Keywords |
Nursing research; Nursing; Education |
| Abstract |
This article introduces an innovation in writing master's level research and suggests that other structures may offer new and different frameworks for reporting nursing research. This is exemplified by reference to an example of nursing research which adopted the sonata form of musical composition as the framework for presentation of the thesis. |
| Call Number |
NRSNZNO @ research @ |
Serial |
876 |
| Permanent link to this record |
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| Author |
McKey, A.; Huntington, A.D. |
| Title |
Obesity in pre-school children: Issues and challenges for community based child health nurses |
Type |
Journal Article |
| Year |
2004 |
Publication |
Contemporary Nurse |
Abbreviated Journal |
|
| Volume |
18 |
Issue |
1-2 |
Pages |
145-151 |
| Keywords |
Obesity; Children; Community health nursing; Parents and caregivers |
| Abstract |
In this paper, literature related to childhood obesity in New Zealand and internationally is explored to identify current issues, and the implications for nurses in community based child health practice are discussed. Themes that emerged from the literature relate to the measurement of obesity, links between childhood and adult obesity and issues for families. Studies that investigated maternal perceptions of childhood obesity found that mothers identified their child as being overweight or obese only when it imposed limitations on physical activity or when the children were teased rather than by referring to individual growth graphs. The implications for nursing in the area of child health practice are discussed. Understanding of the complex and emotive issues surrounding childhood obesity is required when devising health promotion strategies. |
| Call Number |
NRSNZNO @ research @ |
Serial |
946 |
| Permanent link to this record |
