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Prentice, J. J. (2019). “Tell someone who cares” -- participatory action research of motivation and workplace engagement among caregivers in aged residential care, New Zealand. Doctoral thesis, University of Otago, Dunedin. Retrieved May 19, 2024, from http://hdl.handle.net/10523/9581
Abstract: Aims to understand the factors that encourage motivation and engagement of caregivers who are relatively poorly paid, with limited training, but who are required to provide personal care to an increasingly frail population. Undertakes an initial exploratory study, with participants from four rural aged-residential care (ARC) facilities, to identify three key themes that influence caregiver motivation. Subsequently develops these initial themes, within a 42-bed facility, to explore how to encourage caregiver motivation. Bases the four-step process on Lewin’s cycle: plan, act, observe, and reflect. Establishes an advisory group of caregivers who develop a nine-point action plan, accepted by management and implemented in the facility.
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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). Retrieved May 19, 2024, from http://www.nursingpraxis.org
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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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 19, 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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Sharma, M. (2020). An exploration of the experiences of registered nurses working in aged residential care facilities regarding interRAI: A qualitative research design. Master's thesis, University of Otago, Dunedin. Retrieved May 19, 2024, from http://hdl.handle.net/10523/10009
Abstract: Assesses the experiences of registered nurses (RNs)working in aged residential care facilities in Christchurch, in performing interRAI assessments using interRAI MOMENTUM software. Explores the positive and negative aspects of their experiences and the factors affecting performance of interRAI-based comprehensive health assessments. Identifies the aids and barriers faced by RNs in applying and using interRAI. Conducts focus-group interviews with 7 RNs. Highlights the need for a unified standard assessment system.
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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. Retrieved May 19, 2024, from http://hdl.handle.net/2292/50165
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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Fitzgerald, S., Tripp, H., & Halksworth-Smith, G. (2017). Assessment and management of acute pain in older people: barriers and facilitators to nursing practice. Australian Journal of Advanced Nursing, 35(1). Retrieved May 19, 2024, from https://www.ajan.com.au/
Abstract: Examines the pain management practices of nurses, and identifies barriers and facilitators to the assessment and management of pain for older people, within the acute hospital setting.
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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 19, 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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Dwyer, R. (2022). Exploring the relationships between attitudes to ageing and the willingness of new graduate nurses to work in aged residential care in rural New Zealand. Master's thesis, University of Otago, Christchurch. Retrieved May 19, 2024, from http://hdl.handle.net/10523/13615
Abstract: Examines the relationship between attitudes to ageing and the willingness of pre-registration nursing students to work in aged residential care (ARC), and in
rural NZ. Undertakes a cross-sectional study using a self-administered online survey, of third-year nursing students in southern NZ. Recommends gerontology course content and ARC clinical placements for nursing students.
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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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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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Hendry, C., & Ogden, E. (2016). Hydration in aged residential care: a practical audit process. Kai Tiaki Nursing Research, 7(1), 41–45.
Abstract: Presents the findings of an audit of 34 hospital-level aged-residential-care clients' hydration over a 24-hour period. Describes the audit, undertaken by health-care assistants, and the strategies implemented to meet daily fluid requirements.
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Czuba, K. J. (2021). Improving outcomes for support workers in aged care. Ph.D. thesis, Auckland University of Technology, Auckland. Retrieved May 19, 2024, from http://hdl.handle.net/10292/14224
Abstract: Describes a rigorous and structured approach to development of an evidence-based e-mentoring intervention for NZ aged care support workers. Establishes the conceptual and theoretical bases to define the peer-mentoring intervention protocol, and investigates its feasibility and acceptability. Considers the evidence for improving psychosocial outcomes and turnover rates for support workers in the development of the WeCare Mentoring Programme.
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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). Retrieved May 19, 2024, from www.nursingpraxis.org
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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Chen, C., Shannon, K., Napier, S., & Neville, S. (2022). Loneliness among older adults living in aged residential care in Aotearoa New Zealand and Australia: An integrative review. Nursing Praxis in Aotearoa New Zealand, 38(1). Retrieved May 19, 2024, from http://dx.doi.org/https://doi.org.10.36951/27034542.2022.02
Abstract: Synthesises available evidence on loneliness among older adults in aged residential care settings and identifies interventions that ameliorate loneliness for residents. Undertakes an extensive literature search in online databases, highlighting the main themes about loneliness interventions. Determines that interventions must foster reciprocal relationships and promote quality social engagement with others, while residents must receive personalised care to reduce loneliness.
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Grinlinton, A. (2021). Management of pressure injury prevention in two New Zealand residential aged care facilities: A case study. Master's thesis, Auckland University of Technology, Auckland. Retrieved May 19, 2024, from http://hdl.handle.net/10292/14474
Abstract: Examines how pressure injury prevention is managed in aged residential care (ARC). Using exploratory case study methodology, collects data from Clinical Managers, Regisered Nurses and Health Care Assistants working in two ARC facilities by means of semi-structured interviews. Identifies barriers and facilitators in the prevention of pressure injuries in the context of organisational culture and structure.
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