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| Author | Ross, M.E. | ||||
| Title | A study into the effects of the New Zealand health reforms of the 1990's on the role of the nurse manager | Type | |||
| Year | 2005 | Publication | Abbreviated Journal  |
University of Otago Library | |
| Volume | Issue | Pages | |||
| Keywords | Nurse managers; History; Policy | ||||
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| Call Number | NRSNZNO @ research @ 687 | Serial | 673 | ||
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| Author | Neehoff, S.M. | ||||
| Title | The invisible bodies of nursing | Type | |||
| Year | 2005 | Publication | Abbreviated Journal |
University of Otago Library | |
| Volume | Issue | Pages | |||
| Keywords | Nursing philosophy | ||||
| Abstract | In this thesis, the author explores what she terms 'invisible bodies of nursing', which are the physical body of the nurse, the body of practice, and the body of knowledge. She argues that the physical body of the nurse is absent in most nursing literature. Her contention is that the physical body of the nurse is invisible because it is tacit and much nursing practice is invisible because it is perceived by many nurses to be inarticulable and is carried out within a private discourse of nursing, silently and secretly. Nursing knowledge is invisible because it is not seen as being valid or authoritative or sanctioned as a legitimate discourse by the dominant discourse. This analysis is informed by Luce Irigaray's philosophy of the feminine, Michel Foucault's genealogical approach to analysing, and Maurice Merleau-Ponty's phenomenology. The author discusses strategies that nurses could use to make themselves more 'visible' in healthcare structures. | ||||
| Call Number | NRSNZNO @ research @ 1124 | Serial | 1109 | ||
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| Author | Cleaver, H | ||||
| Title | Reflections on knowing, not knowing and being in palliative care nursing | Type | |||
| Year | 2005 | Publication | A research paper submitted to the Victoria University of Wellington in partial fulfilment of the requirements for the degree of Master of Arts (Applied) in nursing | Abbreviated Journal |
Victoria University of Wellington |
| Volume | Issue | Pages | 57 | ||
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| Abstract | Responses to questions from dying people and their families are as individual as each nurse, patient, family member or situation. This is well recognised and an unspoken truth in palliative care practice This paper explores the subjective nature of knowledge in palliative care generated through capturing moments of practice and subsequent reflections. This demonstrates how the author uses her model of care to open a space that enables the person and their family to find meaning from their experience and articulate what they need at the time. The author identifies her interest in the paradoxical reality of knowing and not knowing and describes how that paradox contributes to her role in supporting individual?s needs within their realities |
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| Call Number | NZNO @ research @ | Serial | 1378 | ||
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| Author | Gallocher-Shearer, S. | ||||
| Title | Exploring the archetypal dimension in nursing | Type | |||
| Year | 2005 | Publication | Abbreviated Journal |
Victoria University of Wellington Library | |
| Volume | Issue | Pages | |||
| Keywords | Methodology; Relationships; Nursing; Psychology | ||||
| Abstract | This study explores the archetypal dimension of nursing reality in nurses' stories through a window of nurse-nurse relations. The thesis argues the existence of the unconscious psyche and its importance for nursing, and the study unfolds a methodology that attends to unconscious processes and is congruent with analytical psychology and its practice. It is a two strand inquiry informed by general hermeneutics and Jungian thought engaging a synthetic interpretive methodology using interweaving intellectual and imaginistic processes. In the first strand of the inquiry five female registered nurses share their individual stories which become the text for a nursing narrative that reveals the what-is of nursing reality in essences of Story and Kinship, and a Lifeworld undermined by high levels of Stress. In the second strand of the inquiry the researcher engages imaginistic process to access the archetypal dimension of the nursing narrative, resulting in a sub text from which archetypal images emerge to reveal the more-than of nursing reality. The emergent images are amplified to reveal their symbolic meanings, and their connection to the nursing narrative is explored. An interpretation that is consistent with analytical psychology is offered in a synthesis of the material arising from the nurses' stories and the imaginistic process. The author notes that this synthetic understanding is teleological in nature and directs attention to the need for nursing to grow a differentiated consciousness that is honouring of the feminine principle in the psyche in contradistinction from an overweaning masculine patriarchal consciousness that compromises the nursing endeavour. | ||||
| Call Number | NRSNZNO @ research @ 496 | Serial | 482 | ||
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| Author | Cleaver, H. | ||||
| Title | Reflections on knowing, not knowing and being in palliative care nursing | Type | |||
| Year | 2005 | Publication | Abbreviated Journal |
Victoria University of Wellington Library | |
| Volume | Issue | Pages | |||
| Keywords | Palliative care; Nursing; Terminal care; Nurse-family relations; Nurse-patient relations | ||||
| Abstract | The author notes that responses to questions from dying people and their families are as individual as each nurse, patient, family member, or situation. This is well recognised and an unspoken truth in palliative care practice. This paper explores the subjective nature of knowledge in palliative care generated through capturing moments of practice and subsequent reflections. This demonstrates how the author uses her model of care to open a space that enables the person and their family to find meaning from their experience and articulate what they need at the time. The author identifies her interest in the paradoxical reality of knowing and not knowing and describes how that paradox contributes to her role in supporting individuals' needs within their realities. | ||||
| Call Number | NRSNZNO @ research @ | Serial | 511 | ||
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| Author | McKerras, R. | ||||
| Title | Waiting in the emergency department – it doesn't have to take all day | Type | |||
| Year | 2005 | Publication | Abbreviated Journal |
Victoria University of Wellington Library | |
| Volume | Issue | Pages | |||
| Keywords | Emergency nursing | ||||
| Abstract | This thesis explores the nature of the emergency department environment as it continues to challenge emergency nurses to meet the health needs of an increasingly complex emergency department population. The emergency nurse is also facing conflict and challenge with regard to workplace safety and patient rights. The author suggests that, until recently, very little debate or consideration has been given to the moral dilemmas raised in the ability of emergency department staff to deliver timely and appropriate care in an overcrowded environment. She goes on to say that, in New Zealand, there is no national consistency with regard to the waiting crisis, no national guidelines and no national consensus putting the emergency nurse at risk. This thesis argues the need to acknowledge waiting times as a significant safety issue at a national level as increasing waiting times continue to impact on patient outcomes and nursing practice. It challenges current practice, in particular the role of the emergency nurse and the potential to legitimise expansion of the role to improve the patient experience of waiting in the emergency department. | ||||
| Call Number | NRSNZNO @ research @ | Serial | 512 | ||
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| Author | Thompson, C.M.M. | ||||
| Title | Caring for people with mental health problems who present at the emergency department: A nurse educator's journey | Type | |||
| Year | 2005 | Publication | Abbreviated Journal |
Victoria University of Wellington Library | |
| Volume | Issue | Pages | |||
| Keywords | Mental health; Emergency nursing; Education | ||||
| Abstract | The New Zealand emergency department (ED) nurse is faced daily with the challenge of caring for patients of all ages with a wide variety of presenting complaints. Courses are available for ED specialty work such as trauma and paediatric assessment. However, this thesis argues, it is difficult to access updated and ongoing education in relation to caring for people with mental health problems who present to the emergency department. In addition to this education deficit, are the challenges of providing care in an overcrowded ED environment. The author goes on to say that such factors contribute to a perceived lack of confidence and sometimes ambivalence or frustration on the part of nursing staff in caring for this group. This may result in an inconsistent standard of care for the person with a mental health problem unless such issues are addressed. The aim of this research paper was to explore the education needs of ED nurses when caring for people with mental health problems. A literature review was undertaken to investigate the broad education strategies available to overcome these challenges. Diverse approaches were identified such as workshops, clinical guidelines, and mental health consultation-liaison roles. Research was also identified that examined ED nursing attitudes and their learning needs in relation to mental health. This paper concludes with a discussion of recommendations for the New Zealand setting with the intention of developing a more confident and competent nursing workforce, who are better prepared to care for the person with a mental health problem. | ||||
| Call Number | NRSNZNO @ research @ | Serial | 575 | ||
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| Author | Ward, C.R. | ||||
| Title | Children matter: What is important to the child living with a life-threatening illness | Type | Miscellaneous | ||
| Year | 2005 | Publication | Abbreviated Journal |
Victoria University of Wellington Library | |
| Volume | Issue | Pages | |||
| Keywords | Children; Nurse-patient relations; Nursing; Chronically ill | ||||
| Abstract | When a child lives with a life-threatening illness there is a range of emotions that affect the child, family and people close to the child. This study utilises a narrative approach to explore what the child puts emphasis on in what is important to them as they live with serious illness. The study incorporates the nurse as narrator with the 'narratives' of the children integrated into her reflections to gain a broader understanding. The focus is on listening intently to the spoken needs of children, their story and the meaning they make of their situation when they live with their illness. 'Children' in this study are between the ages of six years to 15 years. The aim of this research is to provide a clear understanding of the lived experience, which may illuminate the needs of the child and what is required throughout the time of illness; therefore informing health professionals of a culture of care that may support these needs. A broader understanding and deeper insight into the complexity of children living with life-threatening illnesses provides a basis for the development of sensitive, humanistic quality nursing care for both the child and his/her family, this then enhances the potential for best practice for children living with a life-threatening illness. | ||||
| Call Number | NRSNZNO @ research @ | Serial | 577 | ||
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| Author | Mitchell, M.H. | ||||
| Title | Clinical decision-making processes in emergency nursing | Type | |||
| Year | 2005 | Publication | Abbreviated Journal |
Victoria University of Wellington Library | |
| Volume | Issue | Pages | |||
| Keywords | Emergency nursing; Education; Clinical decision making | ||||
| Abstract | The aim of this research paper is to explore the processes of clinical decision-making in relation to emergency nurses and to examine the educational requirements for the development of clinical decision-making skills. Clinical decision-making is foundational to professional nursing practice. It is the expectation of the profession and the organisations in which nurses work that appropriate clinical decision-making will occur. Patients also rightly expect, when being cared for by nurses, that the clinical decisions pertaining to their care will be optimal. | ||||
| Call Number | NRSNZNO @ research @ 592 | Serial | 578 | ||
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| Author | Yarker-Hitchcock, V. | ||||
| Title | Clinical supervision in a home care context | Type | |||
| Year | 2005 | Publication | Abbreviated Journal |
Victoria University of Wellington Library | |
| Volume | Issue | Pages | |||
| Keywords | Clinical supervision; Home care; Rural nursing; Rural health services | ||||
| Abstract | Despite the widespread acceptance of the value of supervision among practitioners and the large quantity of literature on the topic, there is very little empirical evidence in relation to its effect on clinical practice. It is not clear whether supervision actually produces a change in clinician behaviour, or whether it produces benefits in terms of client outcomes. This thesis evaluates the impact of clinical supervision on five co-ordinators in a rural home care setting. It looks at the impact clinical supervision has on their practice and professional growth. The nurses all belong to one organisation, Access Homehealth Ltd. The study builds on the findings of a clinical supervision pilot, which was trialed within the organisation in 2002. The pilot examined which model of supervision was most beneficial for Access Homehealth staff. Clinical Supervision is defined as a designated interaction between two or more practitioners within a supportive environment, that enhances reflective practice and professionalism, which in turn contributes to improved practice and client outcomes. The methodology of this research was qualitative evaluation. The themes which emerged related to personal support, managing stress and alleviating feelings of isolation, reflection, enhancing practice, improved communication skills and the concept of clinical supervision as a safety net. Participants also revealed that one-on-one supervision appeared more helpful than group supervision, and that phone supervision facilitated in-depth dialogue. These findings are important, as they demonstrate it is feasible to simultaneously offer a number of formats of clinical supervision within one organisation, allowing for the organisation to provide what works best for different workers. They also show that clinical supervision is a valuable and useful support tool for home care co-ordinators in order to facilitate empowerment, reflection and growth in practice. Further research is needed to provide evidence of the benefits of supervision on improving client outcomes. | ||||
| Call Number | NRSNZNO @ research @ 593 | Serial | 579 | ||
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| Author | Dulieu, F. | ||||
| Title | Collaborative practice: A study in bridging the gap to transform the delivery of specialist palliative nursing care in residential aged care facilities | Type | |||
| Year | 2005 | Publication | Abbreviated Journal |
Victoria University of Wellington Library | |
| Volume | Issue | Pages | |||
| Keywords | Rest homes; Palliative care; Older people; Nursing; Advanced nursing practice; Terminal care; Geriatric nursing | ||||
| Abstract | This paper documents a practice development initiative with the aim of formulating a rationale for the professional practice development of a relatively recently conceived nursing initiative; that of a Palliative Care Liaison Nurse (PCLN) role. The project involved conducting an inquiry through a search of the literature with the aim of discovering ways to articulate, then develop, the role to meet the needs of elderly people living in Residential Aged Care Facilities (RACFs), their family and the whanau. The paper initially explores the concept of liaison roles globally, to consider how this role might be located as an interagency position between palliative care and aged care within the context of Aotearoa/New Zealand. The paper then reveals the perceived skills and personal attributes required by a person in the PCLN role that the author, drawing from personal and professional experience of having been appointed to this position, considers are necessary to effectively manage the diverse dimensions of this role. Bridging the gap is a key role discussed which centres on the capacity to organise and present an effective education programme while supporting, encouraging and role modeling for staff providing the day to day nursing care. This role involves practice wisdom and advocating for change and tolerance within everyday practice. An example of this dimension is discussed in depth, because the researcher considers that through staff working together, they can effectively bridge the knowledge-practice gap which exists between specialist palliative and gerontological nursing care. | ||||
| Call Number | NRSNZNO @ research @ | Serial | 580 | ||
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| Author | Gingell, M.E. | ||||
| Title | Home based treatment nursing in Aotearoa New Zealand: Factors influencing the successful delivery of care | Type | |||
| Year | 2005 | Publication | Abbreviated Journal |
Victoria University of Wellington Library | |
| Volume | Issue | Pages | |||
| Keywords | Mental health; Home care; Psychiatric Nursing | ||||
| Abstract | Home Based Treatment in acute mental health care is a relatively new phenomenon in New Zealand, although it has been utilised successfully overseas for many years. This paper considers factors that are integral elements of its successful implementation, specifically considering the relationship of nursing care to crisis intervention methodology. It describes how Home Based Treatment fits with contemporary crisis services and how the adherence to crisis intervention models can enable nurses to create a clearly defined recovery perspective in their practice. The author notes that service users in New Zealand and overseas have openly voiced their concerns around the discrepancies between how services have traditionally been delivered and how they wish services to be. He suggests that, as an alternative to inpatient care, Home Based Treatment is an option that promotes recovery and self determination. It is also an arena in which nurses can deconstruct the traditional power relationships between themselves and clients to create a new and invigorating way of practicing. | ||||
| Call Number | NRSNZNO @ research @ | Serial | 589 | ||
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| Author | Lake, S.E. | ||||
| Title | Nursing prioritisation of the patient need for care: Tacit knowledge of clinical decision making in nursing | Type | |||
| Year | 2005 | Publication | Abbreviated Journal |
Victoria University of Wellington Library | |
| Volume | Issue | Pages | |||
| Keywords | Clinical decision making; Nursing | ||||
| Abstract | Effective nursing prioritisation of the patient need for care is integral to daily nursing practice but there is no formal acknowledgement or study of this concept. Utilising the retroductive research strategy of critical realism, this thesis explores the nursing literature for the tacit knowledge of the discipline about nursing prioritisation and proposes a 'fit' for nursing prioritisation of the patient need for care within the bigger picture of nurse clinical decision-making. The tacit knowledge discerned within the literature indicates that nurses use discretionary judgment and ongoing assessment to determine the relative importance of the many aspects of individual patient situations as they unfold. Such nursing prioritisation takes place concurrently between the competing or even conflicting needs of the several individual patient presentations within the nurse's caseload. Varied frames of reference within different practice settings create specific imperatives on this dynamic and non-sequential process. Starting with an initial set of studies in the 1960s, study of clinical decision-making in nursing has created a significant body of knowledge encompassing a range of approaches. Nursing prioritisation of the patient need for care is most readily discerned in the interpretive perspective and in the plain language descriptions of nurse decision-making. Within the selected literature it is apparent that nursing prioritisation of the patient need for care is an advanced skill of nursing that is developed in practice and honed through experiential learning. | ||||
| Call Number | NRSNZNO @ research @ | Serial | 661 | ||
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| Author | Lee, S.V. | ||||
| Title | The advanced practitioners' guide to integrating physical and mental health: Introducing the role of the mental health consultation liaison nurse | Type | |||
| Year | 2005 | Publication | Abbreviated Journal |
Victoria University of Wellington Library | |
| Volume | Issue | Pages | |||
| Keywords | Advanced nursing practice; Mental health; Nursing specialties | ||||
| Abstract | Evidence within the literature highlights that staff within the general hospital wards are not necessarily equipped to assess and meet the needs of patients with mental health or behavioural problems. The author notes that this is cause for concern as a number of people requiring admission to the general wards often have a complex, interrelated combination of physical and mental health problems. Within New Zealand there have also been a number of changes to health care policies that have increased general nurses contact with mental health patients over the last decade. The Mental Health Consultation Liaison Nurse is an advanced nurse specialist who can meet this need. Having reviewed the literature and communicated with Mental Health Consultation Liaison Nurses in New Zealand and Australia, the author says it is clear that the availability of a mental health nurse within the district health board general wards would be advantageous to all. The role has been shown to positively influence the care of patients and benefit other health care professionals. It provides an improved system of care that is co-ordinated, integrated and responsive to the needs of patients and health care staff. The implementation of the Mental Health Consultation Liaison Nurse role has the potential to cut costs in relation to decreasing length of stay with untreated mental health issues, and reduce the cost of continued use of 'specialling' unnecessarily. Also of importance is the fact that such a position would assist the district health board to comply with the standards of health care provision as directed by the Mental Health Commission and the Ministry of Health. The author suggests that the introduction of the Mental Health Consultation Liaison Nurse role represents a change in traditional ways of providing general nursing and consequently there are a number of issues that may hinder its success. This dissertation aims to increase the visibility of mental health nursing and provide a resource for others debating the development and implementation of the Mental Health Consultation Liaison Nurse role. | ||||
| Call Number | NRSNZNO @ research @ | Serial | 771 | ||
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| Author | Sheward, K.A. | ||||
| Title | Exploring the juxtaposition of end of life care in the acute setting and the integrated care pathway for the care of the dying | Type | |||
| Year | 2005 | Publication | Abbreviated Journal |
Victoria University of Wellington Library | |
| Volume | Issue | Pages | |||
| Keywords | Palliative care; Hospitals; Communication; Nurse-patient relations | ||||
| Abstract | The primary aim of this research paper is to draw on the literature to offer some insight into end of life care in the acute hospital setting. The secondary purpose is to provide an understanding of the integrated clinical pathway (ICP) for the care of the dying, consider its influence related to some of the challenges shaping end of life care and the positive effect it can generate on the quality of care experienced. There are significant challenges that impact on both the delivery and receipt of care for dying patients and their families. Six key influential barriers are considered within the context of the acute setting. Communication and the acute environment are two areas that significantly impact on the quality of care delivered, and are explored in more depth. Narratives from nursing and medical staff convey the realities encountered and difficulties experienced when they are unable to provide the care to which they aspire. Stories are shared by patients and families, which reflect on their experience of end of life care in the acute setting, and offer heath professionals some insight into the lives of the people nurses care for. The literature in relation to the development and implementation of the Liverpool Care of the Dying Pathway, and an overview of the Pathway document is presented. The strengths and limitations of its use are considered, alongside its influence beyond the documentation of clinical care. It is not possible to transfer the hospice service into the hospital setting, however the author suggests that through the implementation of the clinical pathway there is an opportunity to transfer best practice guidelines and positively influence the palliative culture in the acute setting. | ||||
| Call Number | NRSNZNO @ research @ | Serial | 772 | ||
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