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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	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	Rochford, N.M.
	Title	As a nurse in the family: Three women's stories of what it means for a female nurse to be caregiver to a family member who is ill, elderly or with an enduring illness		Type
	Year	2004	Publication	Abbreviated Journal	Victoria University of Wellington Library
	Volume		Issue	Pages
	Keywords	Nurse-family relations
	Abstract	In this research, three female registered nurses relived their experiences of being caregiver to a family member who was ill, elderly or had an enduring illness and explored whether they chose, or felt obligated, to assume the role of caregiver because they were nurses. This research was an exploratory descriptive study utilising narrative as inquiry and the method of story-telling. It is women-centered, taking into account the unpaid role of caregiving within families most often fulfilled by women. Four main themes were identified and renamed to highlight research findings – these were the culture of nursing, silence of the nurses, emotional cloudiness, and the natural role of the nurse. Through this study it is hoped that nurses will be more aware of the impact their caregiving roles have had on their lives. The importance in acknowledging the effects of caregiving, relevance of informing employers to promote supportiveness, implications for workforce development and recognising the loss of objectivity in caring when emotions are involved, are identified in this research. The author suggests that further indepth research about these concepts would be a valuable contribution to the nursing profession and ideas for future research have been identified.
	Call Number	NRSNZNO @ research @		Serial	802
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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	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	Maloney-Moni, J.
	Title	Kia Mana: A synergy of wellbeing		Type
	Year	2004	Publication	Abbreviated Journal	University of Auckland Library
	Volume		Issue	Pages
	Keywords	Transcultural nursing; Psychology; Maori
	Abstract
	Call Number	NRSNZNO @ research @ 841		Serial	825
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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	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	Smith, P.A.
	Title	Mad bad or sad: Caring for the mentally disordered offender in the court environment from a nurse's perspective		Type
	Year	2004	Publication	Abbreviated Journal	Victoria University of Wellington Library
	Volume		Issue	Pages
	Keywords	Mental health; Psychiatric Nursing
	Abstract	This paper examines the difficulties health professionals face daily when providing care for the mentally disordered offender in the court environment. The role of the court nurse is to provide care for people with mental health needs in the court and health professionals can find this a restrictive environment to work in. This is mainly due to the court's legal processes which are designed to punish rather than offer therapeutic alternatives. By advocating for the mentally disordered offender, the court nurse ensures the court is aware of an individual's mental health needs, thus reducing the prospect of inappropriate sentencing, and the associated stigmatisation that may occur as a result of a criminal conviction.
	Call Number	NRSNZNO @ research @ 843		Serial	827
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	Author	Morrison-Ngatai, E.
	Title	Mai i muri ka haere whakahaere: Maori woman in mental health nursing		Type
	Year	2004	Publication	Abbreviated Journal	Massey University Library
	Volume		Issue	Pages
	Keywords	Mental health; Maori; Female; Psychiatric Nursing
	Abstract	Contents: Chapter 1 Kupu whakataki – introduction; Chapter 2 Raranga mohiotanga – literature review; Chapter 3 To te wahine mana tuku iho – theoretical framework; Chapter 4 Tahuri ki te rangahau – research methodology; Chapter 5 Whakaaturanga whakaoho – beginnings; Chapter 6 Kia pakari – positioning and contesting; Chapter 7 E ara ki runga wahine toa – standing and enduring; Chapter 8 Kua takoto te whariki.
	Call Number	NRSNZNO @ research @		Serial	828
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	Author	Codlin, K.C.
	Title	Mental health nurses and clinical supervision: A naturalistic comparison study into the effect of group clinical supervision on minor psychological disturbance, job satisfaction and work-related stress		Type
	Year	2004	Publication	Abbreviated Journal	University of Otago Library
	Volume		Issue	Pages
	Keywords	Psychiatric Nursing; Clinical supervision; Stress; Job satisfaction; Mental health
	Abstract
	Call Number	NRSNZNO @ research @ 845		Serial	829
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	Author	Bray, Y.M.
	Title	A migrant family's experience of palliative nursing care		Type
	Year	2004	Publication	Abbreviated Journal	Victoria University of Wellington Library
	Volume		Issue	Pages
	Keywords	Palliative care; Cultural safety; Asian peoples; Nurse-patient relations
	Abstract	The focus of this research was to explore the migrant family's experience in palliative care. In writing this thesis, the author notes that it became evident that cultural safety was a connection that warranted further study in relation to end-of-life nursing care as was illustrated by the intergenerational case study of this migrant family in New Zealand. The use of the case study method of qualitative research enabled the voice of the migrant to be heard and the story of the migrant family's experience to be showcased. The uniqueness of this family's palliative care experience was around the religious and cultural needs and migration as a process of transition from a previous society to a new one. Palliative care was defined by the family approach with strong community support and empowered by culturally safe and appropriate nursing practice. End-of-life illness is a time when cultural perspectives are challenged for patients and their families and religious and cultural practices take on a new priority, regardless of how they have lived life previously. As a migrant nurse living and working in the New Zealand context, the author identifies as an important factor, the nurse-patient interaction as an encounter between two cultural perspectives, the patient's and the nurse as bearer of her own culture. Acknowledging this factor is an important step in developing a culturally safe approach to practice, an approach that proved to be a major ingredient in planning and caring for this patient and his family in end-of-life illness. This study and thesis explores the underpinnings of culturally safe palliative nursing care and identified 'reflexive bracketing' as a useful practice in the process.
	Call Number	NRSNZNO @ research @ 846		Serial	830
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	Author	Bailey, A.M.
	Title	The New Zealand practice nurse in the primary health environment of the 21st century		Type
	Year	2004	Publication	Abbreviated Journal	Victoria University of Wellington Library
	Volume		Issue	Pages
	Keywords	Policy; Practice nurses; Primary health care
	Abstract	This paper is a culmination of the author's inquiry, reflection and critical thinking on the transitional phase that practice nursing is currently undergoing as part of the New Zealand Primary Health Strategy. The paper utilises both reflection-in-action and reflection-on-action as well as reflection-before-action, as a process. The author's starting point for this inquiry was attending the New Zealand Nurses Organisation Primary Health Conference in Wellington and reading a report from the Expert Advisory Group on Primary Health Care Nursing. Knowing that practice nurses are the majority of nurses working in primary health, she was concerned that changes to primary health were being driven with little reference or participation by them. The paper explores how practice nursing evolved in New Zealand and the developments that have occurred in the 30 plus years since its inception. It describes the role and current work of practice nursing in general practice, and highlights the constraints that have held back development and continue to do so. The 2002 New Zealand Primary Health Strategy is shown to provide an opportunity for development and enhancement, if some of the constraints are removed. As part of looking to the future the possibilities for practice nurses to lead the way in primary health development are explored.
	Call Number	NRSNZNO @ research @		Serial	831
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	Author	Seccombe, J.
	Title	Nursing students and people with disabilities: Changing curriculum, changing attitudes?		Type
	Year	2004	Publication	Abbreviated Journal	Massey University Library
	Volume		Issue	Pages
	Keywords	Nursing; Education; Students; People with disabilities
	Abstract
	Call Number	NRSNZNO @ research @		Serial	832
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	Author	Arcus, K.J.
	Title	Often wearisome, sometimes saddening, but always interesting: A hundred years of district nursing in Wellington, 1903-2003		Type
	Year	2004	Publication	Abbreviated Journal	Victoria University of Wellington Library
	Volume		Issue	Pages
	Keywords	District nursing; History
	Abstract	October 2003 marked the centenary of Wellington district nursing. Annie Holgate, a 'trained, professional' nurse, was employed to care for the sick poor in 1903. The Wellington St John Ambulance District Nursing Guild funded district nursing for over fifty years. The first president, Sarah Ann Rhodes, left a legacy of a solid financial and administrative base for the whole of the Guild's existence. From 1945 the Wellington Hospital Board assumed responsibility for district nursing and expanded the service to the greater Wellington region. In 1974 the Community Health Services were formed, with Pauline MacInnes as the nurse leader. Expansion of healthcare in the community ensued, with district nurses pivotal to client-centred, community-based, collaborative healthcare. This service was dismantled in the wake of health sector restructuring in 1989. The philosophy and operation of the Community Health Service of this period bears a striking resemblance to the current concept of Primary Health Care. Primary sources from Wellington St John, Kai Tiaki and data from official publications were used to compile this history. Emergent themes are the autonomy of district nurses' practice, the invisibility of district nursing and the impact of visionary leadership. All have implications for the future of district nursing. District nursing, initially dependent on philanthropy, has been publicly funded in New Zealand since 1944. District nursing is now an essential component of health care.
	Call Number	NRSNZNO @ research @ 851		Serial	835
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	Author	Lynes, H.
	Title	Partnership or collaboration? Exploring professional relationships between public health nurses and school staff in Otago, New Zealand		Type
	Year	2004	Publication	Abbreviated Journal	Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz
	Volume		Issue	Pages
	Keywords	Public health; Nursing; Nurse-family relations; School nursing
	Abstract	School staff are a conduit by which children and families can access the public health nursing service and the public health nurses can access children and their families. The author notes that, to benefit children, public health nurses need more than knowledge of health issues; they need to understand how to work well with staff from the education sector. A good professional relationship between public health nurses and school staff will therefore ultimately result in a benefit to children's health. This thesis reviews the literature using an interpretive lens to examine the position of public health nurses and schools. It argues that public health nurses need to access expertise from other sources besides nursing in order to develop and sustain the skills of relating professionally to staff from the education sector. It proposes collaboration as a model of public health nursing practice with school staff but recognises that further research on inter-sectorial collaboration is necessary.
	Call Number	NRSNZNO @ research @		Serial	836
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	Author	Baur, P.
	Title	Patients who present to the emergency department but do not wait: An exploratory study		Type
	Year	2004	Publication	Abbreviated Journal	Massey University Library
	Volume		Issue	Pages
	Keywords	Emergency nursing; Hospitals
	Abstract
	Call Number	NRSNZNO @ research @		Serial	849
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	Author	Beaton, T.
	Title	Postnatal depression: Four women's experiences of care from a nurse		Type
	Year	2004	Publication	Abbreviated Journal	Victoria University of Wellington Library
	Volume		Issue	Pages
	Keywords	Female; Mental health; Nurse-patient relations; Feminist critique
	Abstract	Postnatal depression is a term used loosely to describe disorders of mood and distressing symptoms for women in the postpartum, yet it has its own distinct symptoms. It is thought to affect between 10 and 20 percent of new mothers in New Zealand. In order to deliver effective nursing care that has a positive impact on the health of women who experience postnatal depression, nurses need knowledge and theory to underpin practice. This study explores the experience of four women who experienced postnatal depression and the care they received from a nurse. A postmodern feminist position informed the research project. Women became actively involved in a focus group to explore their experiences. A thematic analysis of the focus group transcripts revealed the women's experiences of care from nurses and health professionals as not always helpful. The themes that arose from the analysis were knowledge, perception, care and self. Knowledge examined the women's and significant others' knowledge of postnatal depression as well as women's own knowledge of themselves. Perception identified the women's beliefs of and views on mental illness, as well as their expectations of motherhood. Care as a concept was examined as to how it was provided by nurses. This encompassed a lack of care and, in contrast, supportive care as impacting on the women's individual experiences. Self described the experiences of a loss of self as women experienced their distress in the postpartum, and that a regaining of self was identified by women as difficult, and this is where they required support. The themes are discussed and critiqued with literature that identifies the nursing role with women who experience postnatal depression. There are recommendations for ongoing research and development of the nursing role in order to promote the health and wellbeing of women in the postpartum.
	Call Number	NRSNZNO @ research @		Serial	850
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