Grinlinton, A., Merrick, E., Napier, S., & Neville, S. (2022). Pressure injury prevention in Aotearoa New Zealand aged care facilities: A case study. Nursing Praxis in Aotearoa New Zealand, 38(1). Retrieved May 17, 2024, from http://dx.doi.org/https://doi.org.10.36951/27034542.2022.03
Abstract: Identifies factors affecting pressure injury prevention in aged residential care. Interviews 10 staff from two aged care facilities, along with relevant policy and practice documents. Analyses data using triangulation and pattern matching to pinpoint three themes: staffing; leadership, teamwork, and communication; and assessment and early intervention. Finds a correlation between difficult work conditions with high-dependency patients and complex care needs, and prevalence of pressure injuries.
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Foster, P., Payne, D., & Neville, S. (2022). An exploration of how nurse education practices may influence nursing students' perception of working in aged care as a registered nurse: A Foucauldian discourse analysis. Nursing Praxis in Aotearoa New Zealand, 38(2). Retrieved May 17, 2024, from http://dx.doi.org/https://doi.org/10.36951/27034542
Abstract: Argues that undergraduate nurse education contributes to the problem of too few nurses choosing to work in aged care, by constructing working in aged care as a lower-status or less valuable area of work than other health-care areas. Examines the issue using Foucauldian discourse analysis to explore the dominant discourses being deployed in relation to clinical experience in aged care. Collects data through semi-structured interviews with 10 senior academic staff members from NZ tertiary institutions. Analyses interview data to reveal how a 'nurse education discourse' and a 'work-ready discourse' were shaping perceptions of aged care as a clinical experience in a variety of ways. Suggests that how and why aged care is utilised as a space to learn a range of nursing skills has the unintended effect of devaluing and discouraging employment in aged care settings.
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Yeung, P., & Rodgers, V. (2017). Quality of long-term care for older people in residential settings -- perceptions of quality of life and care satisfaction from residents and their family members. Nursing Praxis in New Zealand, 33(1).
Abstract: Explores long-term care-home residents’ quality of life and their family's satisfaction with the care provided. Uses descriptive and correlational analyses, collecting secondary data from 39 residents of two long-term care facilities with a resident-directed care approach. Asks residents to complete a survey of quality-of-life and overall satisfaction measures, and asks 31 of their family members to complete a survey on care satisfaction provided by the facilities. Presents a number of practical considerations for nursing care staff to improve residents' quality of life and staff-family relationships.
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Burrow, M., Gilmour, J., & Cook, C. (2017). Healthcare assistants and aged residential care: A challenging policy and contractual environment. Nursing Praxis in New Zealand, 33(2), http://www.nursingpraxis.org.
Abstract: Examines NZ policy and care demands in aged residential care. Maintains that registered nurses need to understand the socio-political, economic and educational factors that influence care delivery in aged residential care. Presents an overview of the current role of healthcare assistants (HCAs)in aged residential care, based on a review of the existing grey literature, current national policy, DHB contract agreements and NZNO collective agreements.
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Burrow, M., Cook, C., & Gilmour, J. (2017). Life in the round and aged care: A theoretical exemplar for research with marginalised populations in institutional settings. Nursing Praxis in New Zealand, 33(3).
Abstract: Employs the concept of 'life in the round', drawn from social network theory and the model of information dissemination, including the supporting theories of information poverty and normative behaviours, to explore the information behaviours of marginalised populations participating in small institutionalised worlds. Uses the context of residential aged care as an exemplar for the application of the theory of 'life in the round' and provides examples to support application of these concepts to the information practices of health-care assistants.
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Jenkins, B., & Huntington, A. (2016). 'We are the international nurses': an exploration of internationally-qualified nurses' experiences of transitioning to New Zealand and working in aged care. Nursing Praxis in New Zealand, 32(2).
Abstract: Explores the experiences of Filipino and Indian internationally-qualified nurses who have immigrated to NZ to work as registered nurses in aged care. Conducts a small-scale study in a large retirement facility in urban NZ using a qualitative approach comprising semi-structured interviews and one focus group. Discusses the physical, social and professional transitions the nurses made to work in aged care in this country.
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Amankwaa, I., Nelson, K., Rook, M., & Hales, C. (2022). Association between body mass index, multi-morbidity and activities of daily living among New Zealand nursing home older adults: a retrospective analysis of nationwide InterRAI data. BMC Geriatrics, 22(1). Retrieved May 17, 2024, from http://dx.doi.org/https://doi.org/10.1186/s12877-021-02696-8
Abstract: Undertakes a retrospective review of nursing home residents' data obtained from the NZ International Residential Assessment Instrument national dataset, 2015-2018. Includes 198,790 aged care residents, calculating weight in kilograms divided by height in metres squared. Defines multi-morbidity as the presence of 2 or more health conditions. Measures the risk of disability by a self-performance scale. Highlights an inverse relationship between activities of daily living (ADL) and BMI.
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Westrate, J., Cummings, C., Boamponsem, L., & Towers, A. (2019). What factors influence compliance with health and disability service standards for aged residential care in New Zealand? Kai Tiaki Nursing Research, 10(1), 47–53.
Abstract: Compares compliance with health and disability services standards (HDSS) in aged residential care (ARC) in 2016 with previous years, and relates the findings to the increase in complaints among the public. Quantifies the degree to which 185 ARC facilities complied with HDSS, and reports their level of compliance.
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Ledesma-Libre, K. (2019). Factors influencing nurses' choice to work in mental health services for older people. Kai Tiaki Nursing Research, 10(1), 61–62.
Abstract: Explores what influences nurses to work in mental health services for older people (MHSOP)and what factors encourage those who did not choose this area of nursing, to continue in MHSOP. Includes nurses' positive and negative perceptions of MHSOP. Collects data via focus group discussions with 30 mental health nurses.
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Andrew, A., Foot-McKay, A., & Ritchie, L. (2017). Staff perspectives of a cafe on the premises of an aged-care facility. Kai Tiaki Nursing Research, 8(1), 43.
Abstract: Explores the value of a café on the premises of an aged-care facility. Undertakes a qualitative descriptive inquiry to examine participants' perception of the value of the café to staff and residents. Interviews nine staff members using a core set of five questions. Analyses interview data using thematic analysis according to the stages outlined by Marshall and Rossman.
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Whitehead, N., Parsons, J., & Dixon, R. (2015). Quality and staffing : is there a relationship in residential aged care? Kai Tiaki Nursing Research, 6(1), 28–35.
Abstract: Explores whether there is a relationship between staffing and quality indicators in residential care of older people, in both rest homes and continuing-care hospitals. Conducts a longitudinal survey of 18 residential-care rest homes and 16 continuing-care hospitals in the greater Auckland region to explore the relationship between direct-care staffing levels, skill mix and quality indicators. Collects data over a 6-month period on type of staffing, including registered nurses, enrolled nurses, and support workers; quality indicators, including falls, new fractures, pressure ulcers, weight loss, urinary tract infections (UTI), poly-pharmacy or multiple medications, presence of indwelling catheters and use of daily restraints. Uses logistic analysis to analyse the inverse relationship between staffing levels and adverse events, and whether there is an association between staff type and the incidence of the five quality indicators.
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Darkins, T. (2016). Merging health and social day care: report on a New Zealand-based model of holistic day care service for the elderly, frail and those with disabilities. Wellington, N.Z.: Nursing Education Research Foundation (NERF).
Abstract: Highlights the service innovation model that establishes a new community relationship between health and nursing services, and day-care providers to the elderly, frail and those with disabilities. Performs a literature review of research on the topic, outlining the goals of adult day care, and describing the Forget Me Not (FMN) programme used at the FMN Centre in Whangarei. Highlights the levels of care within the programme and the proposed outcomes.
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Sundarajoo, S. (2017). The Lived Experience of Person-Centred Care in Residential Homes in New Zealand and Singapore: the perspectives of residents, frontline caregivers and family members. Ph.D. thesis, University of Otago, .
Abstract: Employs the life-world hermeneutic phenomenology of Van Manen to examine perspectives on person-centred care in residential homes in both NZ and Singapore. Conducts interviews with 30 residents, 10 family members and 10 caregivers at 2 residential facilities. Records the interviews and analyses data using Van Manen's 6-step research process.
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Kussmaul, J. (2020). An investigation of occupational health and safety workplaces and working conditions in comparison to nursing care quality in residential aged care facilities (RACFs) in New Zealand. Doctoral thesis, University of Auckland, Auckland.
Abstract: Identifies critical factors related to the occupational health and safety of workplaces and working conditions in residential aged-care facilities (RACF), from the perspective of nursing staff. Correlates quality indicators for occupational health and safety for workplaces and in working conditions with nursing care quality based on the InterRAI Clinical Assessment Protocols (CAP). Uses a mixed-method approach to conduct an audit of workplace health and safety and environmental conditions in 17 RACFs. Surveys 398 registered nurses (RN), enrolled nurses (EN), and Healthcare Assistants (HCA) about the mental and physical stressors in their work.
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Foster, P. M. (2020). What undergraduate nurse education actually teaches student nurses about people named as older: A Foucauldian discourse analysis. Doctoral thesis, Auckland University of Technology, Auckland.
Abstract: Traces the origins of gerontology knowledge among student nurses while considering how people designated as older are perceived by the student nurse, and the effects of functional decline and biomedical discourses on their views of older people when on clinical placement in aged residential care (ARC) facilities. Hghlights the contested domain of gerontology knowledge to generate dialogue about how older age is actually represented in student nurse education, as the current iteration perpetuates stereotypical assumptions about older age.
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