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Pool, L. (2012). How Culture Influences Choosing Nursing as a Career. Available through NZNO library, (19).
Abstract: The purpose of this study was to explore how young people make career choices and why young people choose or reject nursing as a career choice. This study has highlighted the complexity of this decision-making process, and the importance of making positive connections and offering appropriate support during this process. It seems that many young people are well equipped to make career decisions when given support.
The need to recruit people from minority cultures into nursing is a global issue. This study also highlights the need for an inter-sectoral approach to raise the profile of nursing and make a career that is attractive to young people. |
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Renor, C. (2012). Blogging about 'It'. Available through NZNO library, (19), 59–62.
Abstract: As nurses and students we all have our own 'its', which get out of perspective and cause us anxiety. By sharing this blog with you, I hope I help you with your 'it'. When all else fails try blogging about your 'it', and use reflection as a tool to grow yourself, instigate change and promote yourself as the evidence-based, caring nurse that you are.
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Richardson, F. (2012). Editorial: Cultural Safety 20 Years On Time to Celebrate or Commiserate? Available through NZNO library, (19), 5–8.
Abstract: There needs to be more practice-focused research about how cultural safety is experienced by the recipient of care and how it is applied in nursing and healthcare delivery. [...]sociology, science, and knowledge developed from within northern hemisphere societies. Because the ground is different for knowledge arising from the New Zealand experience, theorising cultural safety must be different too.
Keywords: Cultural Safety -- Education; Curriculum; Education- Nursing
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Richardson, F. I. (2000). What is it like to teach cultural safety in a New Zealand nursing education programme? Ph.D. thesis, , .
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Rickard, D. (1999). Parents as experts: Partnership in the care of chronically ill children.
Abstract: Margaret May Blackwell Travel Study Fellowship for Nurses of Young Children.
This report discusses the partnership between parents and nurses and its relationship to delivering optimal care to the child. The author has a background in paediatric nursing in a hospital environment. |
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Roberts, F. (1999). The people the programme & the place: Nurses' perceptions of the Lakeland Health Professional Development Programme. Ph.D. thesis, , .
Abstract: This thesis concerns the Professional Development Programme at Lakeland Health. In New Zealand, such programmes were introduced as a mechanism to openly recognise the clinical expertise of nurses. Clinical Career Pathways were introduced to nursing in North America in the 1970's at a time of nursing shortage. Prior to their inception, nurses wishing to develop their careers had to move to administration, management or education. The programmes recognised and rewarded expertise in practice. A qualitative, descriptive approach (using focus groups) was used with Registered Nurses to gather their perceptions of what helps nurses enroll in the Professional Development Programme. The ideas and insights of nine Registered Nurses were clustered around three main categories: The People (fear; being struck; motivation; feedback; peer support; ways of learning); the Programme (relevance; flexibility; Bachelor's Degrees; implementation; supporting information; fairness); the Place (time; regular and accessible; support from nurse leaders; management). These perceptions are discussed in more detail in the context of nursing at Lakeland Health and of Clinical Career Pathways in New Zealand. The findings are helpful for the evaluation and future development of the Professional Development at Lakeland Health. The research contributes to our understanding of what helps nurses enroll in a Clinical Career Pathway, and emphasises the importance of the People, the Programme and the Place.
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Rosieur, J. (2010). An exploration of family partnership approaches to enhance care delivery and improve healthcare outcomes to young families within their communities.
Abstract: Margaret May Blackwell Trust Travel Study Fellowship 2009/2010.
This report is an exploration of some current international trends and tools in the delivery of services supporting families with young children that aim to utilise a partnership approach between health providers, families and their communities. The MMB scholarhsip for 2009/2010 included six weeks of international travel in order to consult with a range of people in realtion to services provided to parents with young children in their various communities. My proposal was to explore current policies supporting Family Partnership (FP)approaches in health services; trends relating to FP approaches in practice; tools supporting FP practice for clinicians; as well as recent FP training and initiatives. Keywords: Professional-family relations; family health; family nursing
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Salt, L. (2013). Evaluating critical care outreach and the early warning score tool ? The ward nurse?s viewpoint. Available through NZNO library, 4(1), 17–24.
Abstract: The aim of this research was to ascertain the opinions of ward nurses (registered and enrolled nurses) on a critical care outreach (CCO) service and the early warning score (EWS) tool and how CCO helps them care for ward patients whose condition is deteriorating. An 18-item Likert scale questionnaire was adapted to gain opinions on three aspects of the service: The usability of the EWS tool and the escalation protocol; the role and usefulness of the critical care outreach nurse (CCON); and education and sharing of critical care skills. The research was conducted in a 270-bed New Zealand hospital with a nurse-led outreach team. The survey was distributed to adult general wards. It found 45 percent of ward nurses found EWS useful in identifying patients whose condition was deteriorating, 58 percent found EWS easy to use and 82 percent found EWS helped them prioritise workloads. On the role and usefulness of the CCON, 41 percent of surveyed nurses found the post-ICU review helpful, 65 said CCONs were approachable, 71 percent found the CCON shift time of 3pm-11pm was useful, 69 percent said the CCON demonstrated sound clinical knowledge, and 54 percent rated CCONs teaching as sufficient for their needs. When CCO was present, nurses were able to formulate an effective management plan for potentially deteriorating patients and acquired critical care skills needed to manage such patients. The results are comparable with other research which sought nurse opinion of CCO. It indicates nurses believe CCO to be instrumental in increasing critical care skills to prevent deterioration in the clinical area.
Keywords: Early warning scores; Critical care nursing; nursing skills
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Seaton, L., Seaton, P., & Yarwood, J. (2013). Preparedness: Lessons for educators from the Christchurch disaster. Available through NZNO library, 4(1), 11–16.
Abstract: This study describes the impact of a sudden, traumatic natural disaster on a bachelor of nursing programme, and the capacity and processes required to minimise disruption to programme delivery and student learning. This descriptive case study, undertaken across 2011-2012, collected data through interviews, a survey and artefact collection. Six key themes emerged from the inductive and descriptive statistical analyses: context; communication; leadership and followership; decision making; the need to balance shifting priorities around professional responsibilities and personal imperatives; and taking action and action plans. The conclusions reached emphasise safety as the first priority, encourage personal risk mitigation, and emphasise the importance of ongoing support and flexibility for all staff and students as well as the need for clear communication and decision-making. What is perhaps most important to take from this experience is that a plan does not, by itself, equal preparedness; every institution must look to its own context, consider its own priorities, and formulate its own approach to preparedness.
Keywords: Education, Nursing; Case studies; Disasters
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Shih, L. - C. (2009). Impact of Dialysis on Rurally Based Mäori Clients and Their Whänau. Master's thesis, , .
Abstract: A research portfolio submitted in partial fulfilment of the requirements for the degree of Master of Nursing, The University of Auckland, 2009
This paper is a report of a study seeking to understand the experience of New Zealand rural dwelling Mäori clients with end-stage renal disease who receive haemodialysis. End stage renal disease (ESRD) is related to lifestyle, genetic factors and environment, and Mäori are at higher risk of renal disease which results of need for renal replacement therapy to sustain their lives. Dialysis clients are a group of ?silent? clients under the care of the dominant health professionals. Adherence with therapeutic regimes has been a main issue for health care professionals and service delivery, as it directly contributes to the efficacy of the treatment and cost effectiveness. Mäori clients? experience of living with haemodialysis has not been explored. Although there are a number of studies describing the experience of patients living on dialysis so far, no studies have yet focused specifically on the experience of Mäori clients towards their renal replacement therapy. The continual demands of dialysis treatment are significant and given the high proportion of Mäori having dialysis. It is timely to explore the experience of Mäori clients and their family/whänau in order to understand the need for quality of care and to promote Mäori health outcomes in chronic kidney disease management Keywords: renal disease; hemodialysis; maori
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Spackman, N. E. (2008). Nurses' early experiences with patient death. Ph.D. thesis, , .
Abstract: Chronic stress and 'burnout' have been extensively researched in nursing populations, but very little is known about the impact of specific acutely stressful or significant events. A novice nurse's first encounter with patient death may pose considerable cognitive, emotional and clinical challenges. Using a mixed methods design, this study explored the clinical circumstances, impact and challenges and rewards of nurses' early experiences with patient death.
Keywords: New graduate nurses; Terminal care
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Surtees, R. (2003). Midwifery as Feminist Praxis in Aotearoa/New Zealand. Ph.D. thesis, , .
Abstract: A thesis submitted in fulfilment of the requirements for the Degree
of DOCTOR OF PHILOSOPHY IN EDUCATION, UNIVERSITY OF CANTERBURY 2003. This thesis highlights the ways in which the practices of contemporary midwives in Aotearoa/New Zealand are caught within the intersection of an array of competing discourses. The context for this is the reconstruction of midwifery in Aotearoa/New Zealand as an autonomous feminist profession founded on partnership with women. Interviews and participant observation with midwives, based mainly in one New Zealand city, are the basis of an analysis of the complexity of midwives? praxis as professionals. The analysis draws on insights from critical and feminist approaches to Foucault?s theories of discourse, power and the subject. It includes discussion of the conditions which came to produce and authorise the concept of ?partnership?. Which subjects can speak about partnership, and when? What claims are made about it? What challenges it? |
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Taua, C. (2005). Revisiting the past: A focused ethnography of contemporary dual diagnosis nursing practice. Ph.D. thesis, , .
Abstract: As has been the case internationally, deinstitutionalisation of dual diagnosis (intellectual disability and mental illness) services has also occurred in New Zealand. Inpatient services have been redefined to respond to the more acute focus that has arisen out of this deinstitutionalisation process and nurses are having to redefine their roles in response. This study was undertaken to explore and describe the culture of nursing practice in a dual diagnosis inpatient unit in one psychiatric hospital. A focused ethnographic approach was used to triangulate data gathered from fieldwork observations, review of documents and semi-structured interviews. Schein's (1985) levels of culture model, was used to identify and explore the artifacts, values and assumptions evident in this nursing practice. Analysis presents three key themes categorised as 'communication', 'assessment' and 'safety'. While these key themes are shown to be evident in the everyday practice of the nurses, how these relate to the notion of 'dual diagnosis nursing' is not clear. Therefore, the author describes the major finding of this study as revealing a nursing culture holding tight to traditional psychiatric and psychopaedic nursing practices and struggling to develop a distinctive culture in the absence of a defined dual diagnosis knowledge base. The author concludes that these findings suggest an urgent need to provide nurses with support in gaining contemporary knowledge regarding dual diagnosis nursing. Support for nurses in advancing these areas then impacts on support for the patients. It is suggested that additional research is undertaken to assess the learning needs of the nurses in order to develop clinical practice guidelines for this area. Further recommendations are made to address system issues which are contributing to the gap in knowledge.
Keywords: Psychiatric Nursing
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Trim, S. P. (1998). Report on the pilot NZNO practice nurse accreditation programme March 1995 – April 1998 (Vol. 4). Ph.D. thesis, , .
Abstract: The New Zealand Nurses organsation agreed to become the accrediting body for nurses in NZ in 1994 and Susanne Trim, NZNO Professional Nursing Adviser, worked with the National Practice Nurse Section to develop and pilot a model for accreditation.A consultative process was used to develop a framework and process during 1995 and this was unanimously endorsed in the April 1996 National Practice Nurse Section AGM.Implementation occurred from May 1996 to March 1998 with a comprehensive evaluation of the model collection of data from practice nurse applicants, non-applicants, the Practice Nurse Accreditation Board, National PN Sections and the project co-ordinator.The number of applications received exceeded expectations 212 (14% NZNO practice nurse members). There was a high level of satisfaction expressed by applicants.A number of content issues were identified during the pilot as needing review, clarification and amendment. These were of a minor nature rather than recommended changes to the structure itself.The accreditation Board processes were modified part way through the implementation to improve efficiencies and were found to be satisfactory. The training model and timing were appropriate.Administrative support and central co-ordination through designated NZNO staff member proved to be time consuming but vital.Practice Nurses embraced accreditation however as a group they have some minor unique characteristics. This should caution NZNO to proceed gradually with accreditation of other Section Nurses and monitor progress closely
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Walker, L. (2010). Hardships and hurdles: The experiences of migrant nurses in New Zealand. NZNO Library, 1(1), 4–8.
Abstract: The New Zealand nursing workforce is increasingly made up of overseas trained nurses. There is extensive literature from elsewhere in the world on the impacts of international nurse recruitment and migration on individual nurses and on health services. The literature also portrays evidence of abuse and exploitation, yet few studies are available relating to the experiences of migrant nurses in New Zealand. This research conducted a survey of overseas-trained nurses, specifically focusing on those nurses for whom English is not their first language, to understand the experiences and factors affecting migrant registered nurses in New Zealand. Given the importance to the New Zealand workforce of overseas-trained nurses, this research highlighted that more warnings and advice regarding recruitment agencies and information about nursing in New Zealand and the Nursing Council requirements for registration should be made available to nurses prior to their migration. Nursing leaders should be particularly alert to any evidence of bullying or discrimination based on race or overseas origin.
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