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Hughes, F., Blackwell, A., Bish, T., Chalmers, C., Foulkes, K., Irvine, L., et al. (2021). The coming of age: Aged residential care nursing in Aotearoa New Zealand in the times of COVID-19. Nursing Praxis in Aotearoa New Zealand, 37(3). Retrieved May 17, 2024, from www.nursingpraxis.org
Abstract: Provides a commentary on the work of executive nurses within the Nursing Leadership Group of the New Zealand Aged Care Association as COVID-19 spread into some aged residential care (ARC) facilities in early 2020 and threatened the health and wellbeing of many residents and nurses. Examines how the Group influenced the agenda and implementation of policies for ARC and brought the voice of nursing and residents of aged care to the forefront at national and regional levels.
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Hughes, F., Duke, J., Bamford-Wade, A., & Moss, C. (2006). Enhancing nursing leadership through policy, politics, and strategic alliances. Nurse Leader, 4(2), 24–27.
Abstract: This paper looks at the links between nursing roles and health policy in New Zealand. Strategic alliances between key professional leaders in different nursing roles can help the profession by directly influencing policy development and implementation. This form of policy entrepreneurship is an important component of professional leadership.
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Hughes, M., & Farrow, T. (2005). Invisible borders: Sexual misconduct in nursing. Nursing Praxis in New Zealand, 21(2), 15–25.
Abstract: This paper identifies the issue of sexual misconduct by nurses in New Zealand. There is evidence that some nurses have been involved in sexual misconduct, resulting in disciplinary proceedings against them. Despite this, there is an absence of guidelines and discussion for New Zealand nurses to prevent such occurrences. This article identifies difficulties in naming and defining sexual misconduct, and discusses sexual misconduct as an abuse of power by nurses. New Zealand and international literature about sexual misconduct by nurses and other health professionals is described, as are guidelines designed to prevent sexual misconduct. Finally, the authors make recommendations for actions needed to facilitate New Zealand nurses in identifying and avoiding sexual misconduct in practice.
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Hunt, G., Verstappen, A., Stewart, L., Kool, B., & Slark, J. (2020). Career interests of undergraduate nursing students: A ten-year longitudinal study. Nurse Education in Practice, 43. Retrieved May 17, 2024, from http://hdl.handle.net/2292/49810
Abstract: Describes career interests of over 500 undergraduate nursing students in New Zealand over a ten-year period. Invites all Bachelor of Nursing cohorts commencing between 2006 and 2016 to complete a questionnaire which includes questions about their career interests. Identifies emergency care and child health as strongest career interests at entry, with child health and surgery the prevailing interests at exit.
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Hunt, M. (2006). Nurses can enhance the pre-operative assessment process. Kai Tiaki: Nursing New Zealand, 12(10), 20–22.
Abstract: This reports on an initiative at Whakatane Hospital, where a Nurse-Led pre-assessment (NLPA) was delivered at an outpatients clinic. NLPA involves taking a comprehensive medical history, a nursing assessment, physical examination, airway assessment, ordering appropriate investigations and carefully documenting the process and results. More valuably, it provides an opportunity for the patient to participate in planning their care. The aim of this initative was to short circuit delays and congestion in existing pre-assessment clinics, streamline the pre-assessment process and reduce the number of patient visits to hospital. Reducing cancellations of surgery (often on the day of surgery) and “did not appear” (DNA) numbers were also objectives. After a small pilot, a six-month trial was funded by the Ministry of Health. Over the six-month trial, 373 patients attended NLPA; 178 patients required anaesthetist review before surgery, and 198 could proceed directly to surgery following NLPA. An anonymous postal survey was made of patients, who indicated satisfaction with the service. Other outcomes are discussed, and the trial was deemed successful. Follow up plans have been disrupted by restructuring at the hospital and the clinic has yet to be implemented.
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Huntington, A. D. (2000). Blood, sweat and tears: Women as nurses nursing women in the gynaecology ward: A feminist interpretive study. Ph.D. thesis, , .
Abstract: This feminist study is an exploration of the subjectivity of women working as nurses within the gynaecological ward. Gynaecology has a long history as a unique area of concern to the health practitioners of any given period. However, the author suggests, recently with the development of modern gynaecology, this specialty has become based on male knowledge and male texts, women either as patients or nurses appear voiceless within this canon. Major tests within nursing mirror a medical construction of gynaecology, with the women involved in the discourse again absent from the literature. To explore the nurses' reality within the gynaecological ward, the author has undertaken a feminist interpretive study. To contribute to this debate the author drew on certain specific notions from feminist and postmodern epistemologies. These notions of the Other, difference, the body and discourse provided a unique way of viewing the practice of the nurses in this gynaecological setting. These epistemological concepts were then interwoven with feminist strategies to undertake the research. Through the process of feminist praxis, which included the author working alongside the nurses and conducting in-depth interviews, three areas of general concern to the nurses emerged. Firstly the relationships, that is their relationships with each other as nurses and with their women patients. Secondly, the difficulties inherent in nurses' practice in this setting due to the nature of the experiences of the women they were nursing. These difficulties arose in relation to two particular situations, nursing women experiencing a mid-trimester termination and nursing women with cancer. Thirdly, the relationship with/in the medical discourse and individual doctors which, according to nurses, had a major impact on their work. This study contributes to nursing knowledge by providing a forum for the voices of women as nurses, who nurse women in the gynaecological ward, to be heard. The author concludes that nursing and feminism have much to offer each other and share an emancipatory goal of positive action to support and assist people in their lives.
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Hutchinson, R., Adams, S., & Cook, C. (2020). From regulation to practice: Mapping the organisational readiness for registered nurse prescribers in a specialty outpatient clinic setting. Nursing Praxis in Aotearoa New Zealand, 36(1). Retrieved May 17, 2024, from http://dx.doi.org/10.36951/27034542.2020.004
Abstract: Asserts that registered-nurse (RN) prescribing could improve equitable access and care delivery for patients. Uses a mapping tool to reflect how one RN qualified to deliver prescribing services in a sexual health clinic. Emphasises the need for organisational readiness to employ RN prescribers.
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Hutton, G. (2018). How do rural nurse specialists in South Westland perceive their personal safety whilst working in isolation? Master's thesis, University of Otago, Christchurch. Retrieved May 17, 2024, from https://www.otago.ac.nz/christchurch/departments/nursing/research/dissertations/index.html
Abstract: Identifies how rural nurse specialists (RNS) working in South Westland (SW) perceiver their personal safety in a rural environment as compared with an urban one. Uses a focus group to explore RNS responses and to identify the following themes related to safety in isolated environments: community, pressure to perform, and luck versus planning for safety. Suggests recommendations for future practice.
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Hylton, A. (2019). Nurses' knowledge and attitudes regarding pain. Master's thesis, University of Otago, Dunedin. Retrieved May 17, 2024, from http://hdl.handle.net/10523/9447
Abstract: Surveys the knowledge and attitudes of registered nurses (RNs) regarding pain management in the care of the post-operative patient, across five District Health Boards (DHBs). Collects data using a modified version of the Knowledge and Attitudes Survey Regarding Pain (KASRP) tool (Ferrell & McCaffery, 2014), in a cross-sectional descriptive non-experimental design.
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Hylton, J. A. (2002). Enrolled nurse transition to degree level study based at a rural satellite campus. Ph.D. thesis, , .
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Hylton, J. A. (2005). Relearning how to learn: Enrolled nurse transition to degree at a New Zealand rural satellite campus. Nurse Education Today, 25(7), 519–526.
Abstract: This paper reports a study that examined the factors that assisted or hindered the transition of a group of enrolled nurses to registration/degree programmes, via a flexible course developed by a North Island tertiary institution. The study follows ten enrolled nurses, primarily Maori and working in rural settings, as they continued to work while studying at a small satellite campus. The study was exploratory and descriptive, and utilised focus group interviews. Two major categories emerged from comparative analysis of the data. One category entitled 'relearning how to learn', demonstrated the cognitive and behavioural adaptations made and is the focus of this paper. The other category 'barriers and catapults', demonstrated the physical and environmental factors that influenced the students' transition but is outside the scope of this paper. Recent changes in New Zealand nursing education have witnessed the clarification of scopes of nursing practice and the controversial development of a new Certificate in Health Science (Nurse Assistant). Currently enrolled nurses are again facing threats to employment and it is envisaged that many will be seeking to undertake transition to registered nurse in the near future.
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Isaac, D. (2006). Passionate dedication: A qualitative descriptive study of nurses' and hospital play specialists' experiences on a children's burn ward. Ph.D. thesis, , .
Abstract: A qualitative descriptive approach was undertaken to explore the experience of eight registered nurses and two hospital play specialists who care for children hospitalised with burn injuries. The research participants were recruited from a paediatric ward that offers centralised specialty care to children with burns. Emerging out of the data was the over-arching theme of 'passionate dedication' that shows the nurses and hospital play specialists genuine compassion and commitment to meet the needs of the children with burns. The findings of the study reveal that the participant's dedication is shaped and determined by a dynamic process that involves having professional integrity and in-depth knowledge of caring for children and burn management. The nurses and the hospital play specialists have a common understanding of what their role entails and the skills required to provide quality care and support to the children and the children's family. On a personal and professional level the participants encounter several challenges in this care context that are physically and emotionally overwhelming. Despite becoming overwhelmed the participants are revealed as being resourceful and resilient in their aptitude to find ways that enable them to cope and get through. The author suggests that this study supports international literature that suggests that caring for children with burns is equally rewarding, as much as it is physically and emotionally demanding. The author identifies that the implication in this study for the organisation is to seriously consider issues regarding productivity and efficiency of the workforce with acknowledgement that nurses and hospital play specialists cannot do this emotional work without effective systems of support in place.
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Isles, P. (2003). An exploration of the difference that academic study makes to Registered General Nurses and Registered General and Obstetric Nurses. Taradale: Eastern Institute of Technology.
Abstract: This paper reports the findings of a three-year longitudinal study of registered nurses studying on a part-time basis towards their Bachelor of Nursing degree. Registered General Nurses and Registered General and Obstetric Nurses have been subject to a good deal of pressure to upgrade their qualifications – from their workplaces, but also from a recognition amongst themselves and their peers that to advance in their careers they need to have equivalent qualifications to new graduates. This study looks at what difference academic study makes to registered nursing practice.
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Isles, V. (2005). The development and role of the clinical nurse specialist in New Zealand: A comparison of the role with that in the United States of America, United Kingdom, and Australia. Ph.D. thesis, , .
Abstract: The development and role of the clinical nurse specialist in New Zealand is the focus of this dissertation. It is an area that has not clearly been documented previously and the author hoped that by articulating this role to nurses, educators, and administrators that the role of the clinical nurse specialist will be more clearly defined and perhaps recognised for the contribution it provides to health care in New Zealand. At present, it is difficult to justify the clinical nurse specialist position in New Zealand, when individuals have been left to define and develop their own positions. This has led to widely differing practice modes and role confusion, and therefore a varying degree of success in achieving improved nursing practice. Without title protection and some form of accreditation process to ensure standard of practice throughout the country it is not possible for post-holders to move from position to position throughout the country. The role and definition of the clinical nurse specialist must be clarified in order to reduce confusion. Restriction of the title to those who meet the defining characteristics will strengthen the role, improve collaboration with other members of the team as well as making it easier for the public to understand the role.
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Jackson, H. (2001). Compassion: A concept exploration. Nursing Praxis in New Zealand, 17(1), 16–23.
Abstract: This paper explores the nature of compassion and posits it as a moral virtue that requires the nurse to act in the presence of suffering. Compassion is defined in relation to suffering and reciprocity, and distinguished from sympathy and pity.
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