Kwai, K. (2004). The value of a programme of clinical supervision for graduate nurses: An evaluative study. Ph.D. thesis, , .
Abstract: The function and implementation of clinical supervision in the practice setting presents a number of challenges for new graduate programmes for registered comprehensive nurses. There have been numerous reports and papers promoting its benefits as important and providing the impetus for change. Clinical supervision has been well established as part of social work, counselling, psychotherapy and psychoanalytic practice, and in mental health nursing and midwifery. Its utilisation for graduate nurses is clearly important and should be seen as integral to professional practice. This study evaluated a programme of clinical supervision as a component of a new graduate nurse programme in a secondary health care practice environment. The clinical supervision component aimed to support graduate registered nurses' transition from the role of student nurse to staff nurse in the context of professional clinical practice. This report is also intended to inform the ongoing provision of clinical supervision at Hutt Valley District Health Board. The evaluation process was guided by the work of Owen (1990) and used utilisation focussed evaluation as the framework on which to undertake the evaluation. A mix of quantitative and qualitative methodology was used to collect and analyse the data. Data were collected from nurse graduates of the new graduate programme using a postal questionnaire that covered three areas; clinical supervision, the Hutt Valley District Health Board new graduate programme and an evaluation of stakeholder roles. Twelve of the new graduates responded to the survey. Findings suggest clinical supervision provided professional support and assisted the new graduate in the identification of education needs. Difficulties associated with accessing the structured component of the new graduate programme and clinical supervision were highlighted. The recommendations made to Hutt Valley District Health Board to improve the programme include considering accessibility, consumer rights, acceptability, a comprehensive approach, the Treaty of Waitangi, efficiency and a coordinated approach.
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Lala, A. C. (2016). Variability in neonatal gentamicin administration influencing drug delivery kinetics. Master's thesis, , .
Abstract: Distributes a self-administered questionnaire to Dunedin Hospital Neonatal Intensive Care Unit (NICU) nurses to investigate: the site of administration, comparing peripheral intravenous line (PIV) or umbilical venous catheter (UVC); and which dose of gentamicin would be used in two clinical scenarios describing babies of 24 and 32-weeks' gestation. Simulates gentamycin delivery and notes clinical variability.
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Lally, E. (2014). Symbiotic relationships in patients' engagements with practice nurses. Doctoral thesis, Victoria University of Wellington, Wellington.
Abstract: Records from patient perspectives the nature of the engagements patients have with practice nurses which influence patients' health and well-being. Posits this mutually-beneficial close association as a form of symbiosis. Surveys 15 patients from seven rural and urban general practices in NZ about aspects of the participants' relationships and engagements with nurses, analysing the results using Narrative Inquiry methodology.
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Lally, E. J. (2002). An exploration of language and nursing practice to improve communication in the context of ear syringing. Ph.D. thesis, , .
Abstract: This action research inquiry explores communication and nursing practice in an effort to improve practice and enhance patient care. Action research is a critical reflective process that involves spirals or cycles of planning, acting, reflecting/evaluating and replanning the next cycle. Using ear syringing as a procedure, in the general practice setting and at two separate surgeries, the author and another practice nurse co-researched this study during working hours. Twelve people consented to participate in the research that involved the audiotaping of each ear syringing interaction. Following each transcription of the recording, the researchers read their own and then each other's transcripts, and listened to the recordings. They discussed and reflected on their findings and planned the next cycle. Throughout the process, the researchers found a number of areas of practice to change or enhance. Changes included the use of technical language such as “contraindications” and “auditory meatus”, the side effects of syringing, improvements in communicating situations where ear syringing is not recommended and the options available, and post procedure information. These changes became a significant challenge, for example when both researchers forgot the changes, thus repeating previous errors and omissions. This factor highlighted the need to practise any changes prior to interactions, and to have a cue card on hand to facilitate recollection and to cement improvements into practice. Although time constraints limited this inquiry to three cycles, at the final meeting the researchers agreed to continue the reflective process they had begun to explore their practice.
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Lilley, S. (2006). Experiences of mentoring in primary health care settings: Registered nurses' and students' perspectives. Ph.D. thesis, , .
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Lim, G., Roberts, K., Marshall, D., & Honey, M. (2020). Factors that influence registered nurse prescribers' antibiotic prescribing practices. Nursing Praxis in Aotearoa New Zealand, 36(1). Retrieved May 20, 2024, from http://dx.doi.org/10.36951/27034542.2020.005
Abstract: Investigates the attitudes of RN prescribers towards prescribing antibiotics, in the context of increasing antimicrobial resistance (AMR). Focuses on six nurse prescribers in primary health and specialty teams, who are permitted to prescribe antibiotics, asking about their clinical assessments of patients and safety considerations of prescribed antibiotics.
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Lindsay, L. (2004). Atrocity tales: The language of terrorism in nursing (Vol. 11). Ph.D. thesis, , .
Abstract: In this paper, the author explores the concept of 'professional terrorism'. He exposes discrimination against male nurses as being a form of professional terrorism, primarily as it is enacted through use of language. He presents the concept of horizontal violence as a way to understand why nurses, as a marginalised group, perform oppressive acts towards male nurses, who are similarly oppressed. He outlines the cost of such a culture on nursing practice and presents strategies for change.
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Litchfield, M. (2009). To advance health care: The origins of nursing research in New Zealand (NZNO, Ed.). Wellington: NZNO.
Abstract: This book examines in detail the confluence of personalities and professional and practice agendas, out of which emerged the research section, intent on placing research at the centre of the profession's evolution. It provides a fascinating look at how a group of women, utterly committed to nursing, drove their research agenda and it expands understandings of why nursing research is significant for the development of nursing. It also provides an insight into that web of relationships between the professional body, NZNA, the Department of Health, service delivery and education.
To order a copy:
Email: publications@nzno.org.nz
NZNO members: $25 (incl GST + p&p)
Non-NZNO members: $35 (incl GST + p&p)
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Lyall, C. (2003). Therapeutic relationships: What are inpatient registered nurses perceptions of the factors which influence therapeutic relationship development? Ph.D. thesis, , .
Abstract: The question explored in this research project is: What are inpatient registered nurses' perceptions of the factors which influence therapeutic relationship development? The literature reviewed for this project includes the history of interpersonal relationships in nursing; therapeutic relationships; what constitutes these relationships. Also discussed is literature about phenomenology as the underlying theoretical and philosophical position that informs the research method. To answer the research question a single focus group was used to gather data from a group of registered nurses practising in inpatient mental health units. Focus groups as a data collection method produce data and insights that would not be accessible without the group interaction. The key themes to emerge from the data analysis were; time, environment, knowing / self-awareness, compassion and power imbalance / empowerment. These key themes are discussed in relation to the literature and the wider context of the mental health care environment. The contribution this research makes to nursing includes a list of recommendations to nurses, nurse leaders and managers who aim to provide therapeutic mental health unit environments.
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MacKenzie, M. (2021). Using trans-disciplinary research to explore solutions to 'wicked problems'. Kai Tiaki Nursing Research, 12(1), 73–76.
Abstract: Explores the challenges and opportunities for enrolled nursing in NZ. Employs trans-disciplinary research (TDR) methodology to approach the question of how enrolled nurses (EN) might become more visible in the health workforce by means of potential innovations arising from collaboration between stakeholders in health-care delivery.
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Mackle, D. (2021). Oxygen management in New Zealand and Australian intensive care units: A knowledge translation study. Doctoral thesis, Victoria University, Wellington.
Abstract: Investigates the effects of participation in the Intensive Care Unit Randomised Trial Comparing Two Approaches to Oxygen therapy (ICU-ROX) randomised controlled trial, on attitudes and practices in relation to ICU oxygen therapy. Distributes a practitioner attitudes survey to 112 specialist doctors and 153 ICU nurses. Performs both inception and retrospective cohort studies using the Australian and NZ ICU adult patient database before, and post-publication of the ICU-ROX trial results.
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Magrath, K. L. (2005). From chrysalis to butterfly: Transition experiences of new graduates in primary health care nursing practice in New Zealand. Ph.D. thesis, , .
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.
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Mahoney, L. (2010). Children living with a mentally ill parent : the role of public health nurses. Nursing Praxis in New Zealand, 26(2), 4–13.
Abstract: Aims to identify the public health nurses' role with regard to children who are living with a parent who is suffering from a mental illness. Uses a qualitative research design with 8 public health nurses working in rural and urban settings. Conducts focus groups from which data are gathered and analysed thematically using axial coding. Conducts further focus groups with 6 of the participants to evaluate the themes identified.
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Manning, E. (2022). Self-employed registered nurses: The impact of liminality and gender on professional identities and spaces. Doctoral thesis, Massey University, Manawatu.
Abstract: Explores the experiences of self-employed registered nurses (RN) in NZ working in the practice area of professional advice and policy. Enrols 13 home-based participants and conducts interviews about their practice scopes and limitations from the perspectives of liminality and gender theories, with a feminist post-structuralist lens.
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Marshall, B., Craig, A., & Meyer, A. (2017). Registered nurses' attitudes towards, and experiences of, aggression and violence in the acute hospital setting. Kai Tiaki Nursing Research, 8(1), 31–36.
Abstract: Examines NZ registered nurses' experiences of aggression and violence and the impact of aggression management training (AMT) on their experiences. Collects data using an internet survey incorporating Collins' Attitudes Towards Aggressive Behaviours Questionnaire. Rates the effect of participation in AMT on exposure to aggression or violence and its impact on attitudes towards aggression and violence.
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