toggle visibility Search & Display Options

Select All    Deselect All
 |   | 
Details
   print
  Records Links
Author Lewis, T. url  openurl
  Title (up) Euthanasia: A Foucauldian analysis Type
  Year 2005 Publication Abbreviated Journal ScholarlyCommons@AUT  
  Volume Issue Pages  
  Keywords Law and legislation; Euthanasia; Ethics; Pain management; Terminal care; Nursing; Palliative care  
  Abstract This study drew upon the theoretical insights of Michel Foucault to provide a discursive analysis of the term euthanasia, and the issues surrounding the “right-to-die”. It involved an analysis of primary texts from; nursing, general, and legal literature as well as the media between the years 2002-2004. Drawing upon data researched, the study analyses the main discourses regarding the practice of euthanasia for terminally ill individuals. The two competing discourses that emerged were what the author termed the sanctity-of life-discourse and the right-to-die discourse. The aim of the study was to uncover the discourses understanding of “truth” regarding the right-to-die. The analysis revealed that a small percentage of cancer sufferers (5%) die with their pain insufficiently treated and the right-to-die discourse claims that no individual should have to suffer needlessly, asserting the individuals right to autonomy. Directly opposing this is the sanctity-of life-discourse which states all life is sacred and nothing can justify euthanasia as an acceptable practice in society. These findings indicate the need for effective palliative care and pain management when caring for the terminally ill individual. The legal, ethical and moral implications of euthanasia are many and this study discusses the effects these may have on health professionals involved with the care of terminally ill patients. The study revealed an increasing deployment of the right-to-die discourse in the media and revealed concerns regarding the nursing profession's lack of preparation to deal with euthanasia if it becomes a legal option in end of life care.  
  Call Number NRSNZNO @ research @ Serial 1226  
Permanent link to this record
 

 
Author Richardson, C.A. openurl 
  Title (up) Ever decreasing circles: Non-curative terminal illness, empowerment and decision making: Lessons for nursing practice Type
  Year 2005 Publication Abbreviated Journal University of Otago Library  
  Volume Issue Pages  
  Keywords Nursing; Palliative care; Terminal care; Psychology  
  Abstract  
  Call Number NRSNZNO @ research @ 683 Serial 669  
Permanent link to this record
 

 
Author Stewart, A.; Thompson, R. openurl 
  Title (up) Exploring critical thinking: In conversation with a graduate Type Book Chapter
  Year 2005 Publication J. McDrury (Ed.), Nursing matters: A reader for teaching and learning in the clinical setting (pp. 9-26) Abbreviated Journal  
  Volume Issue Pages  
  Keywords Critical thinking; Nursing; Education; Students  
  Abstract This report presents selected aspects of an inquiry based on a conversation with Raeleen, a graduate of a post-graduate nursing programme. Raeleen talks about her experience of critical thinking during her post-graduate studies. The authors suggest that, through this conversation, it is possible to explore the nature of critical thinking and examine the important roles teachers can play in facilitating its development. Includes discussion questions prepared by Rebecca Hennephof that consider the relevance and impact of critical thinking on nursing practice.  
  Call Number NRSNZNO @ research @ Serial 495  
Permanent link to this record
 

 
Author Gallocher-Shearer, S. openurl 
  Title (up) 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  
Permanent link to this record
 

 
Author Sheward, K.A. openurl 
  Title (up) 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  
Permanent link to this record
 

 
Author Wilson, D.; McBride-Henry, K.; Huntington, A.D. openurl 
  Title (up) Family violence: Walking the tight rope between maternal alienation and child safety Type Journal Article
  Year 2005 Publication Contemporary Nurse Abbreviated Journal  
  Volume 18 Issue 1-2 Pages 85-96  
  Keywords Nursing; Domestic violence; Nurse-patient relations; Children  
  Abstract This paper discusses the complexity of family violence for nurses negotiating the 'tight rope' between the prime concern for the safety of children and further contributing to maternal alienation, within a New Zealand context. The premise that restoration of the mother-child relationship is paramount for the long-term wellbeing of both the children and the mother provides the basis for discussing implications for nursing practice. Evidence shows that when mothers are supported and have the necessary resources there is a reduction in the violence and abuse she and her children experience; this occurs even in situations where the mother is the primary abuser of her children. The family-centred care philosophy, which is widely accepted as the best approach to nursing care for children and their families, creates tension for nurses caring for children who are the victims of abuse as this care generally occurs away from the context of the family.  
  Call Number NRSNZNO @ research @ Serial 698  
Permanent link to this record
 

 
Author Manning, J. openurl 
  Title (up) Formative assessment: Using feedback to enhance learning Type Book Chapter
  Year 2005 Publication J. McDrury (Ed.), Nursing matters: A reader for teaching and learning in the clinical setting (pp. 47-65) Abbreviated Journal  
  Volume Issue Pages  
  Keywords Evaluation; Teaching methods; Nursing; Education  
  Abstract This paper explores the literature surrounding the development, definition, process and value of formative feedback. In particular, this review considers how formative assessment can be used by a clinical educator in the practice setting. At the end of the chapter, discussion questions are provided by Rebecca Hennephof.  
  Call Number NRSNZNO @ research @ Serial 766  
Permanent link to this record
 

 
Author Magrath, K.L. openurl 
  Title (up) From chrysalis to butterfly: Transition experiences of new graduates in primary health care nursing practice in New Zealand Type
  Year 2005 Publication Abbreviated Journal Otago Polytechnic library. A copy can be obtained by contacting pgnursadmin@tekotago.ac.nz  
  Volume Issue Pages  
  Keywords Primary health care; New graduate nurses; Mentoring  
  Abstract Primary health care is a dynamic and ever-changing area of practice which has undergone many changes in the last ten years. Traditionally, primary health care was not a routine choice for new graduate nurses as they were encouraged to work in a hospital setting before seeking a position in the community. Bachelor of Nursing programmes emphasise primary health care practice and increasingly nurses and their employers are moving away from the traditional belief of 'doing your time in the hospital' before contemplating the move to primary health care. Currently in New Zealand increasing numbers of graduates from Bachelor of Nursing programmes want to begin their working life as registered nurses in this area. A constructivist approach was taken to explore the experience of five nurses who entered primary health care practice as new graduates. Participants were interviewed using a semi-structured format. They constructed their experience as role transition and identified a number of significant factors which had impacted on their practice. These factors included both the personal and practice challenges they experienced and the strategies they used to address them. Further research findings were a transition time of one year, the importance of both formal and informal support, planned orientation and opportunities for reflection. A number of mediating factors including new graduate programmes, peer support and mentorship were also discussed. Key implications for practice, education, employers and future research regarding transition to primary health care for new graduates are discussed. This research emphasised the importance of appropriate resources and support for new graduates from Bachelor of Nursing programmes. These factors are suggested as integral to the development of new graduates' practice in primary health care and reduction of the challenges inherent in this transition.  
  Call Number NRSNZNO @ research @ Serial 587  
Permanent link to this record
 

 
Author Rudd, J. url  openurl
  Title (up) From triage to treatment: An exploration of patient flow systems in emergency departments Type
  Year 2005 Publication Abbreviated Journal ResearchArchive@Victoria  
  Volume Issue Pages  
  Keywords Emergency nursing; Hospitals; Risk management; Patient safety  
  Abstract To find an effective approach to managing or reducing waiting times for lower triage category patients processed through one particular metropolitan emergency department, an extensive search of the literature revealed several different patient flow processes. These approaches are discussed, in relation to suitability for the particular emergency department. The history of triage, including how and why it evolved, plus the realities of triage today are explored. Included are case examples of two patients on a journey through the department the way it is presently, and how it could be if particular approaches are introduced. Extending nursing practice by introducing nurse-initiated x-rays at triage and the introduction of a separate stream for minor category patients in a dedicated ambulatory care area is one approach that could improve waiting times for these patients. There would be the added advantage of improving triage compliance figures for category three patients. The additional costs involved in such a process could be offset by improved efficiency in terms of waiting times, improved triage compliance figures, happier patients and clinical staff, and an emptier waiting room.  
  Call Number NRSNZNO @ research @ Serial 1209  
Permanent link to this record
 

 
Author Vandergoot, A. openurl 
  Title (up) From ward nurse to proficient critical care nurse: A narrative inquiry study Type
  Year 2005 Publication Abbreviated Journal Akoranga Theses Collection, Auckland University of Technology  
  Volume Issue Pages  
  Keywords Nursing specialties  
  Abstract  
  Call Number NRSNZNO @ research @ 602 Serial 588  
Permanent link to this record
 

 
Author Vandergoot, A. openurl 
  Title (up) From ward nurse to proficient critical care nurse: a narrative inquiry study Type
  Year 2005 Publication Abbreviated Journal Held by Lakes DHB Library (ROM)  
  Volume Issue Pages  
  Keywords  
  Abstract A dissertation [thesis] presented in partial fulfillment of the degree of Master of Health Science.  
  Call Number NZNO @ research @ Serial 1367  
Permanent link to this record
 

 
Author Giddings, D.L.S. openurl 
  Title (up) Health disparities, social injustice, and the culture of nursing Type Journal Article
  Year 2005 Publication Nursing Research Abbreviated Journal  
  Volume 54 Issue 5 Pages 304-312  
  Keywords Cross-cultural comparison; Racism; Attitude of health personnel; Feminist critique  
  Abstract The aim of this cross-cultural study was to collect stories of difference and fairness within nursing. The study used a life history methodology informed by feminist theory and critical social theory. Life story interviews were conducted with 26 women nurses of varying racial, cultural, sexual identity, and specialty backgrounds in the United States (n = 13) and Aotearoa New Zealand (n = 13). Participants reported having some understanding of social justice issues. They were asked to reflect on their experience of difference and fairness in their lives and specifically within nursing. Their stories were analysed using a life history immersion method. Nursing remains attached to the ideological construction of the “White good nurse.” Taken-for-granted ideals privilege those who fit in and marginalise those who do not. The nurses who experienced discrimination and unfairness, survived by living in two worlds, learned to live in contradiction, and worked surreptitiously for social justice. For nurses to contribute to changing the systems and structures that maintain health disparities, the privilege of not seeing difference and the processes of mainstream violence that support the construction of the “White good nurse” must be challenged. Nurses need skills to deconstruct the marginalising social processes that sustain inequalities in nursing and healthcare. These hidden realities-racism, sexism, heterosexism, and other forms of discrimination-will then be made visible and open to challenge.  
  Call Number NRSNZNO @ research @ Serial 943  
Permanent link to this record
 

 
Author Gibson, C. url  openurl
  Title (up) Hearing the adolescents' voice: A study evaluating the use of conjoint analysis for use with adolescents to determine preferences for inpatient hospital facilities Type
  Year 2005 Publication Abbreviated Journal ResearchArchive@Victoria  
  Volume Issue Pages  
  Keywords Adolescents; Hospitals; Patient satisfaction; Cancer  
  Abstract This research used the economic technique of conjoint analysis and an informal discussion to canvas opinions regarding ideal combination of inpatient facilities and the use of cell phones in hospital. The content of the conjoint analysis was, with the exception of the inclusion of the question regarding the use of cell phones, derived from the literature. Because conjoint analysis does not appear to have been used with adolescents one of the questions to be answered was whether this was a method of research that could be used with adolescents. The research was undertaken with 29 young people, most of who were from CanTeen (the adolescent cancer support group) in Wellington. The conjoint analysis, and discussion with the adolescents supported the general findings from the literature that adolescents do not want to be nursed in either overtly paediatric or, in their words, 'dull adult wards', as they enjoy bright lively surrounds. Ideally they would like to be nursed with their peer group and so have the opportunity to interact with young people of their age. The research demonstrated that adolescents are able to understand the concept of conjoint analysis and also supported findings from overseas that these healthcare consumers value having their opinions canvassed and are well able to give constructive and well thought out opinions. A report on the findings of this research will be presented to Capital and Coast District Health Board with the expectation that it will be considered when the final decisions are made regarding the upgrading of Wellington Hospital's present facilities as it is anticipated that these facilities will contain dedicated adolescent beds within the paediatric unit.  
  Call Number NRSNZNO @ research @ Serial 1225  
Permanent link to this record
 

 
Author Spence, D. openurl 
  Title (up) Hermeneutic notions augment cultural safety education Type Journal Article
  Year 2005 Publication Journal of Nursing Education Abbreviated Journal  
  Volume 44 Issue 9 Pages 409-414  
  Keywords Cultural safety; Nursing; Education; Transcultural nursing  
  Abstract In this article, the author integrates literature pertaining to the implementation of kawa whakaruruhau, or cultural safety, with the findings of a hermeneutic project that described the experience of nursing people from cultures other than one's own. It is argued that the Gadamerian notions of “horizon,” “prejudice,” and “play” can be used to facilitate understanding of the tensions and contradictions inherent in cross-cultural practice. Strategies are recommended that enable students to explore the prejudices, paradoxes, and possibilities experienced personally and professionally.  
  Call Number NRSNZNO @ research @ Serial 704  
Permanent link to this record
 

 
Author Gingell, M.E. openurl 
  Title (up) 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  
Permanent link to this record
Select All    Deselect All
 |   | 
Details
   print